Homesteaders Life Company

Application Form     (* indicates required field)

First Name*

Last Name*

Email*

Phone*

LinkedIn URL

Please attach the following files

Please answer the following questions to help us better evaluate your application.

1. Where are you currently working and what is your job title? If you are not currently employed, please give a brief explanation. *
2. What is your current pay? *
3. If applicable, why are you leaving your current position? *
4. What are your expected earnings? *
5. Please explain any periods of unemployment in the last 5 years. *
6. Do you have a High School Diploma or equivalent? *
   Yes No
7. Do you have an Associates or 4-year degree? *
   Yes No
8. Can you provide proof that you are eligible for employment in the U.S.? *
   Yes No
9. Have you ever been convicted of a criminal offense? *
   Yes No
10. I affirm the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, any false statement(s) on this application shall be sufficient cause for dismissal. I authorize the investigation of all statements and information contained on this application and any supplemental information I may provide to Homesteaders as part of the hiring process. I release Homesteaders Life Company from all liability for soliciting any background information. If an employment relationship is established, I understand that my employment, compensation, and other benefits can be terminated with or without cause, and with or without notice, at any time, at the option of the Company or myself. *
    Yes No
11. Where did you hear about us?
    Please choose Indeed.com Craigslist Monster.com Jobdango TalentZoo CareerBuilder Other Website Friend/Colleague Recruiter Employment Department

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You will receive confirmation after we have received your application.