Fred Loya Employment Application PDF Details

Are you looking for a job? Have you ever applied to work at Fred Loya Insurance? If so, you may be interested in reading this blog post. We're going to take a look at the Fred Loya employment application and review the types of questions that are asked. We'll also provide some tips on how to complete the application successfully.

You will see info about the type of form you intend to submit in the table. It can tell you the time it will need to finish fred loya employment application, what fields you will have to fill in and some further specific details.

QuestionAnswer
Form NameFred Loya Employment Application
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesfred loya insurance careers, loya form, fred loya job application, fred loy a job 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:

Watch Fred Loya Employment Application Video Instruction

If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .