LA Career Application LA Insurance Application Position application for: Basic InformationLast Name First Name Middle Name Address 1 Address 2 Apt# City State Zip Best time to contact you? AM PM Anytime Best method to reach you? Phone Email Are you 18 years of age or older? Yes No Can you provide proof that you are authorized to work in the United States? Yes No Is this your first application with LA Insurance? Yes No If "No", give date: MM slash DD slash YYYY Have you ever been employed by LA Insurance? Yes No Date available: MM slash DD slash YYYY Desired Shift Full Time Part Time Desired compensation: MilitaryPrior experience in military service: Yes No If "yes", which branch: Special / Technical Training AdditionalWhat are your preferred working hours and days? Are there hours or days when you are not available? Yes No Do you have a valid, unrestructed, driver's license? Yes No Have you ever been convicted of a felony? Yes No If yes, please explain: Upload Your resumeMax. file size: 300 MB.Authorization & CertificationCertify I certify the below is true:I CERTIFY THAT THE ANSWERS I HAVE GIVEN IN THIS APPLICATION FOR EMPLOYMENT ARE TRUE AND COMPLETE. I AUTHORIZE VERIFICATION OF ALL STATEMENTS I HAVE PROVIDED IN THIS APPLICATION. THIS APPLICATION FOR EMPLOYMENT SHALL REMAIN ACTIVE FOR ONE YEAR. I, HEREBY, ACKNOWLEDGE AND UNDERSTAND THAT ANY EMPLOYMENT RELATIONSHIP WITH LA INSURANCE IS OF AN “AT WILL” NATURE, UNLESS APPLICABLE LAW DEFINES OTHERWISE. “AT WILL” EMPLOYMENT MEANS THAT THE EMPLOYEE MAY RESIGN AT ANY TIME AND THE EMPLOYER MAY DISCHARGE THE EMPLOYEE AT ANY TIME WITH OR WITHOUT CAUSE. IN THE EVENT OF EMPLOYMENT, I UNDERSTAND THAT FALSE OR MISLEADING INFORMATION GIVEN IN THIS APPLICATION OR DURING INTERVIEWS WITH LA INSURANCE MAY RESULT IN DISMISSAL. I ACKNOWLEDGE AND UNDERSTAND MY REQUIREMENT TO ABIDE BY ALL RULES AND REGULATIONS OF LA INSURANCE.PhoneThis field is for validation purposes and should be left unchanged.
