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APPLICATION FOR EMPLOYMENT

We are an equal opportunity employer.  If you are an applicant with a disability and need a reasonable accommodation to allow you to complete this application, please contact employment@horizonmarketing.com.

Date of Application:
First Name:
Last Name:
Address:
Telephone Number:
Email Address:
Position(s) Applied for:
Salary Range Desired: Minimum: To:
Position Desired: Full-time   |  Part-time   |  Full or Part-Time 
Contractor   |  Internship 
When are you available to begin work?
 

Have you ever been convicted of a crime?  If so, please advise of the date(s) of conviction, nature of conviction, sentence imposed and type of rehabilitation.

If you are a Connecticut applicant, please click here.
Educational Background
  Name Degree (GED) Obtained? and/or Highest Year Completed
High School
College
Post-Graduate
Technical School

References

Please provide the name, address and telephone number for three references other than family members:
Name Address Telephone Number

Employment History

Please list your employment for the past ten years.  If you need additional space, please use the reverse side:
Employer 1
Employer Name, address, telephone number Dates of Employment Position Held
Name of Supervisor Reason for leaving May we contact?
Yes  |  No
Employer 2
Employer Name, address, telephone number Dates of Employment Position Held
Name of Supervisor Reason for leaving May we contact?
Yes  |  No
Employer 3
Name of Supervisor Reason for leaving May we contact?
Yes  |  No
Employer 4
Name of Supervisor Reason for leaving May we contact?
Yes  |  No
Employer 5
Name of Supervisor Reason for leaving May we contact?
Yes  |  No
Employer 6
Name of Supervisor Reason for leaving May we contact?
Yes  |  No
If you are applying for a Graphic Designer or Web Application Developer position, please indicate the applications, platforms, hardware, software, etc. on which you are proficient:
Please share any other skills, experience or other job-related information that you deem relevant for our consideration:
Please check the following:
I understand that nothing in this application is intended to create a contract of employment.  I further understand that no statements or comments made by company employees during the hiring process or, if applicable, after hire, is intended to create a contract of employment.
I affirm that the information provided on this application is true and correct to the best of my knowledge.  I understand that any misstatements, misrepresentations, or omissions of information on this application may result in my not being hired and/or the termination of my employment if they are discovered after my employment begins.
I understand that if I am hired, my employment will be at-will, which means that I can be terminated at any time, with or without cause and with or without notice.
I understand that initial and continued employment is contingent upon successful completion of a background check.
I understand that initial and continued employment is contingent upon my signing a non-compete and/or confidentiality agreement.



For additional information contact:

employment@horizonmarketing.com

Horizon Marketing Group, Inc.
PO Box 1468
Glastonbury, CT 06033

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