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Please fill out application and hit submit button at bottom of form. You may also email your resume to judyj@mosineeins.com.
Last Name:
First Name:
Middle:
Street:
City:
State:
Zip Code:
Home Telephone: - -
Work Telephone: - -
Cell: - -
Email address:
WI insurance license #
Indicate the position for which you are applying:
Date available
for work:
Education
(highest level only)
School:
Course of study:
Total years:
Degree/Diploma:
Seminars, classes or other education which may help qualify you for this position:
Employment history
Most recent employer first
Employer:
End date:
Position:
Essential job functions:
Reason for leaving:
What value did you add to this company or its customers? Explain.

 

Employer:
End date:
Position:
Essential job functions:
Reason for leaving:
What value did you add to this company or its customers? Explain.

Employer:
End date:
Position:
Essential job functions:
Reason for leaving:
What value did you add to this company or its customers? Explain.

Describe what you believe are the most unique features of your work history?

Equal Employment Opportunity Statement. This company is committed to the principles of equal employment opportunity and is committed to make employment decisions based on merit. We are committed to complying with all federal, state and local laws providing for equal employment opportunities, as well as all laws related to terms and conditions of employment. The company desires to maintain a work environment that is free of sexual harassment and discrimination due to race, religion, color, national origin, physical or mental disability, age or any other status protected by federal, state or local laws. The company will make reasonable efforts to accommodate those physical or mental limitations of an otherwise qualified employee unless undue hardship would result for the company

Company obligation. I understand and agree that the company’s acceptance of this job application does not mean that a position for which I am qualified is open (unless specifically posted) or that the company has agreed to hire me. I understand that the company is under no obligation to hire me as the result of accepting this completed application.

By submitting this application, I hereby confirm that I have read and understand the policy statements above and agree to be bound by them if employed by the company.



You may also email your resume to gerrym@mosineeins.com.

 


 

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