It is the policy of HR Imaging Partners, Inc. to provide equal
opportunity for all qualified persons and not to discriminate against any employee or applicant for employment because of age, race, creed, color, sex or origin.
Personal Information
*Position Applying For:
*Hours of Availability: From:   To:  
*Applying for? Days Nights Either
*Are you willing to accept seasonal employment? Yes No
*Are you under 18? Yes No   If yes, indicate age:  
*First Name:  
*Last Name:  
*Address Line 1:  
Address Line 2:  
*City:
*State: *Zip Code:
*Telephone Number:  
*E-mail Address:  
*Have you worked at Halterman Photographic Services before? Yes No  
If Yes, when did you work at HPS? From: To:

*Career Goals:
*Summary of Competencies:
*Resume:
Work History (Start with most current and include dates of employment):
Company:  
Title:  
Dates of Employment From: To:  
Company:  
Title:  
Dates of Employment From: To:  
Company:  
Title:  
Dates of Employment From: To:  

Education:
List all education, including trade, military, college or university.
Include other training, seminars, etc. as appropriate.

School name and location:  
Dates Attended From: To:  
Course of Study:  
Certificate or Degree Received:  
School name and location:  
Dates Attended From: To:  
Course of Study:  
Certificate or Degree Received:  
School name and location:  
Dates Attended From: To:  
Course of Study:  
Certificate or Degree Received:  
Certifications:
Type of certification:  
Date Certified:  
Type of certification:  
Date Certified:  
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