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The Fred Loya Employment Application form serves as a crucial step for individuals seeking employment with Fred Loya Insurance Agency. This form collects a range of personal information, including basic identifying details, desired position, and availability for work. Applicants are asked to disclose their current employment status, willingness to travel, and preferred working hours. Importantly, the form emphasizes that Fred Loya is an equal opportunity employer, adhering to guidelines established by the Civil Rights Act of 1964, which prohibits discrimination based on various factors like race, gender, and age. Educational background is also a key component, where applicants provide information about their schools, degrees, and specific skills, including computer proficiency and language capabilities. Furthermore, the application inquires about past employment experiences and references, ensuring a comprehensive view of the candidate’s qualifications. Legal compliance is stressed, with clauses concerning criminal history and authorization for background checks included. Overall, this application form reflects the company’s commitment to diversity and thorough evaluation of potential employees, while also outlining the expectations and responsibilities that come with employment at Fred Loya Insurance Agency.

Fred Loya Employment Application Example

In what position?

Employment Application

WE ARE AN EQUAL OPPORTUNITY EMPLOYER

Title VII of the Civil Rights Act of 1964, as amended, protects applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy), national origin, disability, age, sex, or genetics.

Personal Information

Last Name

First Name

MI

Social Security Number

Desired Position

Current Mailing Address

Street

City

State

Zip Code

Permanent Address (If different from above)

Street

City

State

Zip Code

Home Phone #

Mobile Phone#

Alternate Phone#

Are you legally authorized to work in the

United States? Yes No (Proof of citizenship or immigration status will be required upon employment)

If you are a minor, under age 18, do you

 

 

possess a valid work permit?

Yes

No

 

Position Applying For

Date Available:

Desired Pay:

Are you currently employed?

YesNo

Are you willing to travel if necessary?

Yes

No

%

Are you interested in:

 

 

Temporary/Seasonal

Full Time

Part Time

Please list desired location (City & State) :

1)

2)

3)

Have you ever worked for us before?

 

 

 

 

 

Yes

No

If yes:

Where:

When:

 

Hours Available

 

Referred By:

Walk-in

Newspaper

Craig's List

 

 

 

 

Monster

Career

Unemployment

 

 

 

 

 

 

 

 

Builder

Office

 

 

 

 

 

 

 

 

 

 

 

 

T

F

 

 

 

Employee

 

 

M

T

W

S

S

 

Referral

Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other

Specify:

 

From:

 

 

 

 

 

Are you related to anyone currently

 

 

 

 

 

 

 

 

employed by us?

 

Yes

No

Name:

To:

If yes, where?

Have you ever been convicted of a crime other a traffic violation? (By disclosing this information may not automatically disqualify you for employment)

If yes, explain:

Education

School

Name and Location of School (Include Street, City, State, and

Course of Study

Number of years

Did you graduate?

Degree or Diploma

Zip Code)

completed

Received

 

 

 

 

 

 

 

 

 

College

 

 

 

 

 

 

 

 

 

 

 

High

 

 

 

 

 

School

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

Additional General Information

Are you bilingual?

Yes

No

Language:

 

Read

 

Write

 

Speak

Current Licenses or Certifications (Other than driver license) :

 

 

Expiration Date:

 

 

Using the key below please write the number that best specifies your level of expertise:

 

 

 

 

 

 

(1) Beginner (2) Intermediate

(3) Advanced

 

 

 

 

 

 

 

Computer Skills:

No

Word

____

Excel

____

P.P. ___

Email ____

Experience

List skills/trainings relevant to the position applying for:

Please describe why you would be an ideal candidate for the position applied for (In at least 50 words. If additional space in needed please attach a separate sheet) :

Military experience/training relevant to the position applying for:

Employment Experience (Starting with most recent)

If currently employed may we contact your present employer?

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

Employer

 

Telephone Number (

)

 

 

 

 

 

 

 

 

 

 

 

Address

 

Start Date:

 

 

 

End Date:

 

 

 

 

 

 

 

 

1

State you Job Title and Responsibilities

 

Starting Salary:

 

 

 

Final Salary:

 

 

 

 

 

 

 

 

 

 

Reason for Leaving:

 

 

 

 

 

 

 

 

 

 

 

 

Supervisor's Name:

Title:

 

 

 

Phone #

 

 

 

 

 

 

 

 

2

Employer

 

Telephone Number (

)

 

 

 

 

 

 

 

 

Address

 

Start Date:

 

 

End Date:

 

 

 

 

 

 

State you Job Title and Responsibilities

 

Starting Salary:

 

 

Final Salary:

 

 

 

 

 

 

 

 

Reason for Leaving:

 

 

 

 

 

 

 

 

 

Supervisor's Name:

Title:

 

Phone #

 

 

 

 

 

 

 

Employer

 

Telephone Number (

)

 

 

 

 

 

 

 

 

 

 

Address

 

Start Date:

 

 

End Date:

 

 

 

 

 

 

 

3

State you Job Title and Responsabilities

 

Starting Salary:

 

 

Final Salary:

 

 

 

 

 

 

 

 

 

Reason for Leaving:

 

 

 

 

 

 

 

 

 

 

 

Supervisor's Name:

Title:

 

Phone #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer

 

Telephone Number (

)

 

 

 

 

 

 

 

 

 

 

Address

 

Start Date:

 

 

End Date:

 

 

 

 

 

 

 

4

State you Job Title and Responsabilities

 

Starting Salary:

 

 

Final Salary:

 

 

 

 

 

 

 

 

 

Reason for Leaving:

 

 

 

 

 

 

 

 

 

 

Supervisor's Name:

Title:

 

Phone #

 

 

 

 

 

 

 

Business References

1

Name and Title:

Address: (Street, City, State and Zip Code)

Phone # (

)

2

Name and Title:

Address: (Street, City, State and Zip Code)

Phone # (

)

3

Name and Title:

Address: (Street, City, State and Zip Code)

Phone # (

)

I certify that the information given by me herein is true, accurate, and complete to the best of my knowledge.

I understand that, as part of Fred Loya Insurance Agency Inc. ("Loya") employment procedure, a routine inquiry may be made which will provide applicable information concerning my employment history, performance and character.

I understand that Loya may obtain consumer reports, consumer credit reports and/or investigate consumer reports about me, including a search of criminal records and verification of my education and employment history, in connection with this application or during my employment if hired. I have authorized or will be authorizing the obtaining of such reports obtained directly by Loya without the use of any third party provider. I hereby authorize all persons or businesses contacted by or on behalf of Loya about me to disclose to Loya any and all letters, reports, and other information related to my work records, without giving me prior notice of such disclosure. I also authorize the persons named as references to provide Loya with any pertinent information they may have regarding me. I further understand that my employment with Loya is subject to satisfactory completion of this investigation. In addition, I hereby fully release Loya, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigations or disclosures.

I understand any false answers or statements or implications made by me in the application, in any interview, or other documents shall be considered sufficient cause for denial of employment or termination of employment if I should be employed by Loya. I further understand that my employment with Loya is subject to the satisfactory completion of this investigation.

Additionally, I understand that nothing contained in this employment application or in the granting of an interview or in the conduct of such investigation is intended to create an employment contract between Loya and myself for either employment or for the providing of any benefit. No promises or representation regarding employment have been made to me and I understand no such promise, representation or guarantee, whenever made, whether written or oral, is binding upon Loya unless made in writing by the President of Loya. If any employment relationship is established, I understand that employment with Loya is "at will" and if hired, I acknowledge that I have the right to terminate employment, with or without advance notice, for any reason at all, at any time and that Loya retains the same right.

If employed, I agree to sign any and all documents, forms & agreements customarily requested by Loya of all new hires from time to time. In addition, if employed, I agree to sign Loya's Confidentiality Agreement, in which I agree to protect and not divulge any confidential information I have gained through employment with Loya.

If employed, I agree to sign Loya's Mutual Agreement to Arbitrate Claims and have all disputes resolved through the arbitral forum.

If offered employment with Loya, I understand that my employment is contingent upon the presentation of documents establishing my identity and eligibility to work in the United States. I also understand that if employed, I will be required to abide by all rules and regulations of Loya.

Print Name:

Date:

 

 

 

Signature:

Get Fred Loya Employment Application PDF Form

Form Characteristics

Fact Name Description
Equal Opportunity Employer Fred Loya is committed to providing equal employment opportunities regardless of race, color, religion, sex, national origin, disability, age, or genetics.
Legal Authorization Applicants must indicate whether they are legally authorized to work in the United States. Proof may be required upon employment.
Criminal History Disclosure Applicants must disclose any felony convictions, but doing so does not necessarily disqualify them from employment.
Education Information Applicants need to provide details about their education, including the name of the school, location, years completed, and whether they graduated.
Employment History Detailed employment history is required, listing starting and final salaries, job titles, reasons for leaving, and supervisor contact information.
References Requirement Applicants must provide at least three business references, including names, titles, addresses, and phone numbers.
At-Will Employment If hired, employment is considered “at-will,” meaning either party can terminate it at any time without cause or notice.
Confidentiality Agreement Upon employment, employees must sign a confidentiality agreement to protect company information.

Guidelines on Utilizing Fred Loya Employment Application

Completing the Fred Loya Employment Application form is an important step in your job search. By carefully filling out this application, you provide potential employers with the necessary information to evaluate your suitability for the desired position. Follow these steps to ensure that your application is filled out accurately and thoroughly.

  1. Position Desired: At the top of the form, indicate the position you are applying for.
  2. Personal Information: Fill in your last name, first name, and middle initial. Include your Social Security number and the desired position.
  3. Contact Details: Enter your current and permanent mailing addresses. Provide your home, mobile, and alternate phone numbers.
  4. Authorization: Indicate whether you are legally authorized to work in the United States. If you are a minor, select if you have a valid work permit.
  5. Employment Status: State your current employment status and your willingness to travel if necessary.
  6. Employment Preferences: Choose whether you are interested in temporary, seasonal, full-time, or part-time work. If applicable, list any specific locations you prefer.
  7. Previous Employment: If you have worked for Fred Loya before, provide details about your previous employment.
  8. Criminal History: Answer whether you have ever been convicted of a crime, excluding traffic violations, and if so, provide an explanation.
  9. Education: Write down the name and location of schools you attended, years completed, graduation status, and any degrees or diplomas received.
  10. Language Skills: Indicate if you speak multiple languages and describe your proficiency levels.
  11. Licenses/Certifications: List any current licenses or certifications, along with their expiration dates.
  12. Computer Skills: Assess your computer skills in different areas and rate yourself using the specified numbers from beginner to advanced.
  13. Relevant Skills: Include any skills or training that are relevant to the position you are applying for.
  14. Candidate Description: Write at least 50 words explaining why you would be an ideal candidate for the position. Attach a separate sheet if you need more space.
  15. Military Experience: Describe any military experience or training relevant to the job.
  16. Employment History: List your employment experiences, starting with the most recent. Include employer names, job titles, addresses, responsibilities, starting and final salaries, and reasons for leaving.
  17. References: Provide contact information for three business references, including names, titles, addresses, and phone numbers.
  18. Certification: Finally, certify that the information you provided is true by printing your name, signing, and dating the application.

What You Should Know About This Form

What is the purpose of the Fred Loya Employment Application form?

The Fred Loya Employment Application form is designed to collect information from job candidates. It allows applicants to present their qualifications, background, and experience for various positions within the company. This information helps hiring managers assess fit and make informed decisions during the recruitment process.

What personal information is required on the application?

Applicants are required to provide key personal details, including their last name, first name, middle initial, and social security number. Additionally, they must specify their current and permanent addresses, phone numbers, and preferred method of communication. This information is crucial for facilitating communication throughout the hiring process.

Can minors apply for jobs at Fred Loya?

Yes, minors are welcome to apply. However, they must possess a valid work permit if they are under the age of 18. This requirement ensures compliance with labor laws while allowing younger individuals to gain work experience in a supportive environment.

Is proof of citizenship or immigration status required upon employment?

Yes, proof of citizenship or legal immigration status is a requirement for employment. This documentation must be provided to verify the candidate’s eligibility to work in the United States, ensuring that all hiring practices align with federal regulations.

What types of employment positions are available?

Fred Loya offers various types of employment opportunities, including temporary, seasonal, full-time, and part-time positions. Applicants are encouraged to specify their desired position and availability on the application, helping the company match candidates with appropriate roles.

Does the application require information about previous employment?

Absolutely. The application requires candidates to list their previous employment history, starting with the most recent job. This section includes job titles, responsibilities, dates of employment, salary information, and reasons for leaving. This information allows hiring managers to gauge the applicant’s experience and suitability for the position.

What should I include when listing skills and training?

When listing skills and training, candidates should focus on relevant experiences that align with the desired role. This could include specific technical skills, interpersonal abilities, and any additional training that enhances the applicant's qualifications. Highlighting these attributes helps to paint a clearer picture of the candidate's capacity to perform the job effectively.

Are there any restrictions on disclosing criminal history?

Applicants are requested to disclose any felony convictions, excluding minor traffic violations. However, providing this information does not automatically disqualify a candidate from employment. Each situation is assessed individually, providing an opportunity for candidates to explain their circumstances.

What happens after the application is submitted?

Once the application is submitted, it undergoes a review process by hiring managers. If a candidate meets the qualifications for the desired position, they may be contacted for an interview. Additionally, a background check and reference verification will be conducted as part of the hiring process to confirm the information provided.

What constitutes an "at-will" employment relationship?

An "at-will" employment relationship means that either the employee or the employer can terminate employment at any time, for any reason, without prior notice. This flexibility benefits both parties, as it allows employees to leave if they find a better opportunity, and enables employers to make staffing changes as needed.

Common mistakes

Filling out the Fred Loya Employment Application form requires attention to detail. One common mistake applicants make is providing incomplete personal information. Many people overlook certain fields such as the middle initial or alternate phone numbers. Failing to provide a complete mailing address can also hinder effective communication from the employer. Ensuring that every section is filled out correctly is crucial, as missing information can lead to automatic disqualification from the hiring process.

Another frequent error is neglecting to specify the position for which they are applying. Clarity is essential. When applicants leave this section blank or write ambiguous titles, it creates confusion regarding their intentions. This may result in misunderstandings about which position they are actually interested in, potentially affecting their candidacy.

Some individuals also underestimate the importance of detailed employment history. Simply stating the name of previous employers without including specific roles, responsibilities, or the duration of employment is inadequate. Employers often look for applicants who can clearly articulate their experiences and relevant skills. Providing a thorough account can demonstrate professionalism and a strong work ethic.

Finally, applicants frequently overlook the section regarding former convictions. Disclosing this information is not only a requirement but also an opportunity to explain any context surrounding past incidents. Many candidates err by failing to address this question, fearing that it will automatically disqualify them from consideration. This can reflect poorly on the candidate's honesty and integrity. By providing accurate information and explanations where necessary, applicants can maintain transparency and establish trust with potential employers.

Documents used along the form

The Fred Loya Employment Application form serves as a critical entry point in the employment process, but it is often accompanied by various other forms and documents that provide a more complete picture of the candidate's qualifications and background. Here are some commonly used forms that complement the application:

  • Resume: A resume showcases a candidate's work history, education, skills, and accomplishments. It offers a more detailed summary that helps employers understand the applicant's qualifications at a glance.
  • Cover Letter: This document accompanies the application and provides the candidate an opportunity to elaborate on their interest in the position. It can highlight specific experiences or skills relevant to the job.
  • Reference List: A list of professional references who can speak to the candidate’s qualifications. Typically, these individuals have worked with the candidate in a professional capacity and can provide insight into their work ethic and character.
  • Civil Rights Act Acknowledgment: This form demonstrates that the applicant has been informed of their rights under the Civil Rights Act. It emphasizes the organization's commitment to equal opportunity employment.
  • Background Check Authorization: This document authorizes the employer to conduct a background check, which may include reviewing criminal history, employment records, and credit history, as permitted by law.
  • Employment Eligibility Verification (Form I-9): Required for all new hires, this form verifies the identity and employment authorization of individuals to work in the United States, ensuring compliance with immigration laws.

Each of these documents plays a significant role in the employment process, helping both the employer and the applicant make informed decisions. By compiling a thorough application packet, candidates can enhance their prospects of securing the job they seek.

Similar forms

  • Job Application Form: Similar to the Fred Loya Employment Application, a standard job application form collects personal details, educational background, and work history. Both documents seek to understand the applicant's qualifications for a specific position.

  • Resume: A resume highlights qualifications, experiences, and skills. While the application form gathers basic information, the resume allows candidates to elaborate on their accomplishments.

  • Cover Letter: This document serves as an introduction, summarizing the candidate's interest in the position and explaining why they are a good fit. Like the application, it expresses intent to apply but offers a more personalized touch.

  • Reference Check Form: Employers often use this to verify an applicant's claims. Similar to the references section in the Fred Loya form, it seeks information from previous employers about the candidate's work ethics and behavior.

  • Background Check Authorization: This document allows employers to conduct checks on a candidate’s history. It closely aligns with the background inquiry consent included in the employment application.

  • Employment Verification Form: Commonly used by employers to confirm a candidate’s employment history, it parallels the work history section of the application.

  • Tax Form (W-4): While the Fred Loya application focuses on qualifications, a W-4 form deals with tax information after hiring. Both are critical in the employment process but serve different purposes.

  • Confidentiality Agreement: Often signed upon employment, it shares similarities with sections in the Fred Loya Employment Application that outline confidentiality obligations in the workplace.

Dos and Don'ts

When filling out the Fred Loya Employment Application form, consider the following guidelines to ensure a smooth process:

  • Read the entire application carefully. Understanding all parts of the form helps avoid mistakes.
  • Provide accurate information. Ensure all details are correct, as inaccuracies can lead to disqualification.
  • Be clear and concise. Use straightforward language for your responses to make them easy to understand.
  • List all relevant experience. Include any work history, education, or certifications that relate to the position you're applying for.
  • Double-check your contact information. Make sure your phone number and email are entered correctly.
  • Use a professional email address. A formal email address reflects positively on your application.
  • Sign and date the application. This confirms that you have reviewed everything and agree to the terms outlined.

Additionally, there are some things to avoid while filling out this application:

  • Don’t leave any sections blank. If you feel a question doesn’t apply, indicate that clearly.
  • Avoid subjective language. Stick to factual statements rather than opinions about your worthiness.
  • Don’t exaggerate your qualifications. Be honest about your skills and experience to maintain credibility.
  • Do not provide irrelevant personal information. Focus on what pertains to the job and your qualifications.
  • Refrain from using technical jargon. Use simple language unless specifically asked to elaborate on technical skills.
  • Don’t forget to proofread. Misspellings and grammatical errors can create a negative impression.
  • Avoid discussing salary expectations prematurely. Wait until prompted by the interview or HR discussions.

Misconceptions

There are several misconceptions regarding the Fred Loya Employment Application form. Understanding these can help applicants navigate the application process more effectively. Below are seven common misconceptions:

  1. Personal information is optional. Some applicants believe that providing personal information, such as their social security number or phone number, is not necessary. However, this information is essential for processing the application and for verification purposes.
  2. A criminal history will automatically disqualify an applicant. Many people assume that any past convictions, even minor ones, disqualify them from employment. The form explicitly states that disclosing this information may not automatically result in disqualification.
  3. Employment history does not need to be detailed. Applicants often think they can provide minimal employment history information. It is important to detail job titles, responsibilities, and reasons for leaving to give employers a complete picture of past experiences.
  4. Fred Loya only hires bilingual individuals. While being bilingual is an asset for some positions, it is not a requirement for all roles. The application allows applicants to indicate their language skills but does not prioritize bilingual applicants over others.
  5. This application form is discriminatory. Some individuals believe that the application process may lead to unfair treatment of candidates. However, the form promotes equal opportunity employment, as stated in adherence to Title VII of the Civil Rights Act.
  6. Email address is unnecessary. Some applicants think providing an email address is optional. However, an email can be a critical means of communication between the applicant and the employer during the hiring process.
  7. Required documents can be submitted later. Applicants often believe they can provide necessary documentation, such as proof of citizenship or immigration status, after the application process. However, these documents must be presented upon employment or as the application specifies.

Clearing these misconceptions can help ensure that applicants present their best selves while applying for a position with Fred Loya.

Key takeaways

Here are key takeaways regarding the Fred Loya Employment Application form:

  • Equal Opportunity Employer: Fred Loya Insurance Agency follows equal opportunity laws, ensuring that applicants are not discriminated against based on characteristics such as race, color, or sexual orientation.
  • Personal Information: Accurate completion of personal information, including Social Security Number and contact details, is essential for processing the application.
  • Employment History: Applicants should provide detailed employment history, including job titles, responsibilities, and reasons for leaving previous positions.
  • Background Check Consent: By signing the application, applicants give permission for Fred Loya to conduct background checks, which may include verification of employment history and criminal records.
  • At-Will Employment Statement: The application clarifies that employment, if granted, will be "at will," allowing either party to terminate the employment relationship at any time.

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