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Please fill out the Career Opportunity form below. A member of our staff will contact you to set up an appointment to meet with us. We look forward to hearing from you.

Application for Employment
Insurance Management and Employee Services LLC
100 New Leicester Hwy

Asheville, NC 28806

 

Full Name:  
Street Address:  
City, State & Zip:  
E-Mail Address:  
Day Telephone:  
Eve Telephone:  
 
Are you legally eligible for employment in this country?     No

(Proof of US citizenship or immigration status will be required upon employment.)

 

Have you been convicted of a felony or misdemeanor or crime of any variety or been investigated for any felony or misdemeanor or crime of any variety  in the last seven (7) years?     No

Driver's License information will be obtained by our representative during a followup phone call with you to discuss your application.

 

State of Issuance:        Position Desired:

Wage Desired:    Date available for work:
 
Employment History
Most recent or current employer:
Supervisor's name:

Phone Number:  

Dates Employed:
Wages:

Describe position duties:

 
Previous employer:
Supervisor's name:
Phone Number:     
Dates Employed:
Wages:

Describe position duties:

 
Previous employer:
Supervisor's name:
Phone Number:     
Dates Employed:
Wages:

Describe position duties:

 
Educational History
High School: Years Completed:
College:        Years Completed:

Describe your areas of study:

 
Skills

Summarize your skills and qualifications for this position (office equipment, computer applications, etc.):

 

List any additional information you would like for us to consider:

 
References
Please list the name and telephone number of three individuals who are NOT related to you.

Name:

Business address:
Phone:   Years Known:
 

Name:

Business address:
Phone:   Years Known:
 

Name:

Business address:
Phone:   Years Known:
 
 
 Please include any additional comments or information that might be helpful  to know about you:
 

Your signature below signifies that all information provided herein is true and accurate, to the best of your knowledge.

Signature:         Date:
 

AF067
All potential employees are evaluated without regard to age, religion, race, color, national origin, sex, or any other protected status.  

 

I  realize and agree that a complete background check will be performed  before I am employed. This check will include but not limited to credit check, driver record, and  criminal history.

Signature:         Date:
 
 

 

READ CAREFULLY BEFORE SIGNING

YES! I Agree - I agree that any claim or lawsuit relating to my service with  Johnson Insurance Agency Inc, Insurance Management & Employee Services LLC, Allcar Insurance LLC, Robbinsville Insurance LLC, Cherokee County Insurance Inc, Insurance America LLC, Insurance Now LLC or any of  their affiliates and/ or  subsidiaries must be filed no more than six (6) months after the date of the employment action that is the subject of the claim or lawsuit. I waive any statute of limitations to the contrary.


 

   

 

 

(p) (828) 258-8030 ∙ (f) (828) 258-8030
(e) tony_johnson_agency@nationwide.com