101 North Second Street Raton, New Mexico 87740 575.445.7090 Fax: 575.445.7663 Visit: www.hprec.com Please complete this form in its entirety in order to be seriously Application considered. Typewritten preferred or create your own using this format. POSITION OF INTEREST: ____________________________________________________________ APPLICANT INFORMATION: Last Name First Name Middle Initial Home Address City/State/Zip Code Home Telephone Email Address Cellular Telephone Current Position Current Employer Current Salary PROFESSIONAL EXPERIENCE (Please list in reverse chronological order): Dates of Employment Reason for Position District/State (Month/Year to Month/Year) Leaving EDUCATION (Please list in reverse chronological College/University Major Degree & Year
101 North Second Street Raton, New Mexico 87740 575.445.7090 Fax: 575.445.7663 Visit: www.hprec.com Application Please complete this form in its entirety in order to be seriously considered. Typewritten preferred or create your own using this format. POSITION OF INTEREST: ____________________________________________________________ APPLICANT INFORMATION: Last Name First Name Middle Initial Home Address City/State/Zip Code Home Telephone Email Address Cellular Telephone Current Position Current Employer Current Salary PROFESSIONAL EXPERIENCE (Please list in reverse chronological order): Position District/State Dates of Employment (Month/Year to Month/Year) Reason for Leaving EDUCATION (Please list in reverse chronological College/University Major Degree & Year
EmploymentApplication2012.docx