Employment Application Form
Please complete the information below and we will let you know if there is an available position.
Thank you
Email address *
Your answer
Applicant Name *
Your answer
Cell Phone
Your answer
Phone Number *
Your answer
Current Home Address
Your answer
City
Your answer
State *
Your answer
Zip
Your answer
Are you currently employed?
How were you referred to our Company?
Employment position request
(check the positions you are applying for)
Required
Which Insurance Companies You Have been Working With?
Required
Number of years experienced
Your answer
Insurance License Number
if you are licensed please write your License or if not say Non
Your answer
Are you applying for?
Are You Currently Employed?
What days and hours are you available for work?
If hired, on what date can you start working?
(enter start date mm-dd-yy)
Your answer
Salary desired
(Hourly/ Monthly or Annually Dollar Amount Range )
Your answer
General Knowledge And Rating Ability
How well do you know the coverage and able to Quote with the carriers?
1 - Weakest
2
3
4
5 - Strongest
Personal Lines
Personal lines Quotation Direct / FSC
Small Accounts BOP
Medium and Large Commercial
Contractors
Trucks / Fleets
Workers Comp
Health
Life / Disability
Bond
Surplus Line
Commercial in-house Rating
Familiar with Commercial Endorsements
General Commercial Coverage Knowledge
Sales Ability
Marketing
Tell us about yourself
(Please do not copy and paste your resume in this section)
Your answer
Which Management System Are you Familiar With
Please email your resumes to jobs@newsinsurance.com
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