Fred Loya Employment Application PDF Details

The Fred Loya Employment Application is a comprehensive form designed for prospective employees to provide their personal and professional information as part of the hiring process at Fred Loya Insurance Agency Inc. ("Loya"). The application ensures adherence to Title VII of the Civil Rights Act of 1964, reinforcing the company's commitment to equal employment opportunities regardless of race, color, religion, sex, national origin, disability, age, or genetics. Applicants are asked to furnish details such as personal information, desired position, availability, employment history, and educational background. Additionally, the form inquires about the applicant's legal eligibility to work in the United States, possession of a valid work permit for minors, willingness to travel, language skills, and any relevant certifications or licenses. The application highlights the importance of honesty and accuracy in the information provided by indicating that false statements could lead to denial of employment or termination if already employed. It also informs candidates that a routine inquiry may be made into their employment history, character, and performance, which includes obtaining consumer reports and investigating consumer credit reports, to ensure the integrity of the hiring process. Furthermore, it outlines the at-will employment nature at Loya, reminding candidates that employment can be terminated by either party at any time. The form concludes with a section for business references and a statement from the candidate certifying the truthfulness of the information provided, alongside consent for the company to conduct its due diligence as described. This rigorous application process underscores Fred Loya Insurance's dedication to a transparent and fair employment practice, setting clear expectations for applicants from the outset.

QuestionAnswer
Form NameFred Loya Employment Application
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesfred loya insurance jobs, fred loya application online, loya employment, fred loya insurance application

Form Preview Example

In what position?

Employment Application

WE ARE AN EQUAL OPPORTUNITY EMPLOYER

Title VII of the Civil Rights Act of 1964, as amended, protects applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy), national origin, disability, age, sex, or genetics.

Personal Information

Last Name

First Name

MI

Social Security Number

Desired Position

Current Mailing Address

Street

City

State

Zip Code

Permanent Address (If different from above)

Street

City

State

Zip Code

Home Phone #

Mobile Phone#

Alternate Phone#

Are you legally authorized to work in the

United States? Yes No (Proof of citizenship or immigration status will be required upon employment)

If you are a minor, under age 18, do you

 

 

possess a valid work permit?

Yes

No

 

Position Applying For

Date Available:

Desired Pay:

Are you currently employed?

YesNo

Are you willing to travel if necessary?

Yes

No

%

Are you interested in:

 

 

Temporary/Seasonal

Full Time

Part Time

Please list desired location (City & State) :

1)

2)

3)

Have you ever worked for us before?

 

 

 

 

 

Yes

No

If yes:

Where:

When:

 

Hours Available

 

Referred By:

Walk-in

Newspaper

Craig's List

 

 

 

 

Monster

Career

Unemployment

 

 

 

 

 

 

 

 

Builder

Office

 

 

 

 

 

 

 

 

 

 

 

 

T

F

 

 

 

Employee

 

 

M

T

W

S

S

 

Referral

Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other

Specify:

 

From:

 

 

 

 

 

Are you related to anyone currently

 

 

 

 

 

 

 

 

employed by us?

 

Yes

No

Name:

To:

If yes, where?

Have you ever been convicted of a crime other a traffic violation? (By disclosing this information may not automatically disqualify you for employment)

If yes, explain:

Education

School

Name and Location of School (Include Street, City, State, and

Course of Study

Number of years

Did you graduate?

Degree or Diploma

Zip Code)

completed

Received

 

 

 

 

 

 

 

 

 

College

 

 

 

 

 

 

 

 

 

 

 

High

 

 

 

 

 

School

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

Additional General Information

Are you bilingual?

Yes

No

Language:

 

Read

 

Write

 

Speak

Current Licenses or Certifications (Other than driver license) :

 

 

Expiration Date:

 

 

Using the key below please write the number that best specifies your level of expertise:

 

 

 

 

 

 

(1) Beginner (2) Intermediate

(3) Advanced

 

 

 

 

 

 

 

Computer Skills:

No

Word

____

Excel

____

P.P. ___

Email ____

Experience

List skills/trainings relevant to the position applying for:

Please describe why you would be an ideal candidate for the position applied for (In at least 50 words. If additional space in needed please attach a separate sheet) :

Military experience/training relevant to the position applying for:

Employment Experience (Starting with most recent)

If currently employed may we contact your present employer?

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

Employer

 

Telephone Number (

)

 

 

 

 

 

 

 

 

 

 

 

Address

 

Start Date:

 

 

 

End Date:

 

 

 

 

 

 

 

 

1

State you Job Title and Responsibilities

 

Starting Salary:

 

 

 

Final Salary:

 

 

 

 

 

 

 

 

 

 

Reason for Leaving:

 

 

 

 

 

 

 

 

 

 

 

 

Supervisor's Name:

Title:

 

 

 

Phone #

 

 

 

 

 

 

 

 

2

Employer

 

Telephone Number (

)

 

 

 

 

 

 

 

 

Address

 

Start Date:

 

 

End Date:

 

 

 

 

 

 

State you Job Title and Responsibilities

 

Starting Salary:

 

 

Final Salary:

 

 

 

 

 

 

 

 

Reason for Leaving:

 

 

 

 

 

 

 

 

 

Supervisor's Name:

Title:

 

Phone #

 

 

 

 

 

 

 

Employer

 

Telephone Number (

)

 

 

 

 

 

 

 

 

 

 

Address

 

Start Date:

 

 

End Date:

 

 

 

 

 

 

 

3

State you Job Title and Responsabilities

 

Starting Salary:

 

 

Final Salary:

 

 

 

 

 

 

 

 

 

Reason for Leaving:

 

 

 

 

 

 

 

 

 

 

 

Supervisor's Name:

Title:

 

Phone #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer

 

Telephone Number (

)

 

 

 

 

 

 

 

 

 

 

Address

 

Start Date:

 

 

End Date:

 

 

 

 

 

 

 

4

State you Job Title and Responsabilities

 

Starting Salary:

 

 

Final Salary:

 

 

 

 

 

 

 

 

 

Reason for Leaving:

 

 

 

 

 

 

 

 

 

 

Supervisor's Name:

Title:

 

Phone #

 

 

 

 

 

 

 

Business References

1

Name and Title:

Address: (Street, City, State and Zip Code)

Phone # (

)

2

Name and Title:

Address: (Street, City, State and Zip Code)

Phone # (

)

3

Name and Title:

Address: (Street, City, State and Zip Code)

Phone # (

)

I certify that the information given by me herein is true, accurate, and complete to the best of my knowledge.

I understand that, as part of Fred Loya Insurance Agency Inc. ("Loya") employment procedure, a routine inquiry may be made which will provide applicable information concerning my employment history, performance and character.

I understand that Loya may obtain consumer reports, consumer credit reports and/or investigate consumer reports about me, including a search of criminal records and verification of my education and employment history, in connection with this application or during my employment if hired. I have authorized or will be authorizing the obtaining of such reports obtained directly by Loya without the use of any third party provider. I hereby authorize all persons or businesses contacted by or on behalf of Loya about me to disclose to Loya any and all letters, reports, and other information related to my work records, without giving me prior notice of such disclosure. I also authorize the persons named as references to provide Loya with any pertinent information they may have regarding me. I further understand that my employment with Loya is subject to satisfactory completion of this investigation. In addition, I hereby fully release Loya, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigations or disclosures.

I understand any false answers or statements or implications made by me in the application, in any interview, or other documents shall be considered sufficient cause for denial of employment or termination of employment if I should be employed by Loya. I further understand that my employment with Loya is subject to the satisfactory completion of this investigation.

Additionally, I understand that nothing contained in this employment application or in the granting of an interview or in the conduct of such investigation is intended to create an employment contract between Loya and myself for either employment or for the providing of any benefit. No promises or representation regarding employment have been made to me and I understand no such promise, representation or guarantee, whenever made, whether written or oral, is binding upon Loya unless made in writing by the President of Loya. If any employment relationship is established, I understand that employment with Loya is "at will" and if hired, I acknowledge that I have the right to terminate employment, with or without advance notice, for any reason at all, at any time and that Loya retains the same right.

If employed, I agree to sign any and all documents, forms & agreements customarily requested by Loya of all new hires from time to time. In addition, if employed, I agree to sign Loya's Confidentiality Agreement, in which I agree to protect and not divulge any confidential information I have gained through employment with Loya.

If employed, I agree to sign Loya's Mutual Agreement to Arbitrate Claims and have all disputes resolved through the arbitral forum.

If offered employment with Loya, I understand that my employment is contingent upon the presentation of documents establishing my identity and eligibility to work in the United States. I also understand that if employed, I will be required to abide by all rules and regulations of Loya.

Print Name:

Date:

 

 

 

Signature:

How to Edit Fred Loya Employment Application Online for Free

It is simple to get forms making use of our PDF editor. Modifying the fred loya insurance job application document is easy in case you check out the next steps:

Step 1: On this web page, choose the orange "Get form now" button.

Step 2: Now you can edit the fred loya insurance job application. You can use the multifunctional toolbar to add, delete, and adjust the text of the document.

If you want to prepare the form, enter the information the application will require you to for each of the following sections:

step 1 to filling out fred loya employment application

Type in the necessary information in the field Hours Available, Monster, Employee Referral, Newspaper Career Builder, Craigs List Unemployment Office, Name, From, Other, Specify, Are you related to anyone, Yes, Name, If yes where, In what position, and Have you ever been convicted of a.

fred loya employment application Hours Available, Monster, Employee Referral, Newspaper Career Builder, Craigs List Unemployment Office, Name, From, Other, Specify, Are you related to anyone, Yes, Name, If yes where, In what position, and Have you ever been convicted of a fields to fill

Provide the necessary information in the Additional General Information, Are you bilingual, Yes, Language, Read, Write, Speak, Current Licenses or Certifications, Expiration Date, Using the key below please write, Beginner Intermediate Advanced, Computer Skills, Word, Excel, and Email area.

Completing fred loya employment application part 3

The If currently employed may we, Employer, Address, State you Job Title and, Yes Telephone Number, Start Date, Starting Salary, Reason for Leaving, End Date, Final Salary, Supervisors Name, Title, Phone, Employer, and Address area should be used to record the rights or responsibilities of both parties.

fred loya employment application If currently employed may we, Employer, Address, State you Job Title and, Yes Telephone Number, Start Date, Starting Salary, Reason for Leaving, End Date, Final Salary, Supervisors Name, Title, Phone, Employer, and Address fields to complete

Finish by taking a look at the next sections and preparing them accordingly: State you Job Title and, Starting Salary, Reason for Leaving, Final Salary, Supervisors Name, Title, and Phone.

Filling in fred loya employment application step 5

Step 3: Select "Done". You can now upload the PDF form.

Step 4: Prepare duplicates of the document. This is going to protect you from potential future troubles. We do not check or display the information you have, therefore feel comfortable knowing it will be secure.

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