Employment Application

First Name (required)

Last Name (required)

Address Line 1(required)

Address Line 2

City(required)

State(required)

Zip Code(required)

Home Phone(required)

Cell Phone(required)

Your Email (required)

Are you authorized to work in the US on an unrestricted basis?
 yes no

Position Desired:(required)

Salary Requirements:(required)

Date Available:(required)

How did you hear about OnGuard Insurance?

Are there any hours, shifts, or days you cannot or will not work?
 yes no

Are you interested in working
 Full Time Part Time Temporary

Are you willing to work nights and Saturdays?
 yes no

Are you willing to travel or relocate?
 yes no

Can you perform the essential functions of the position for which you are applying?
 yes no

Do you have any obligations that would prevent you from working overtime or consistently?
 yes no

Do you hold an active Fire & Casualty license?
 yes no License #: ( )

Have you ever been convicted of a felony under your present name or any other name?
 yes no

If Yes:(required)

Why?(required)

When?(required)

Where?(required)

Disposition of case

Highest level of education completed:
 High School Bachelors Masters None

Where?(required)

Do you have any other experience, training, qualifications or skills which apply to the position for which you are applying?

Date(required)