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Application for
Employment

Homespire Mortgage Corporation is an equal opportunity employer and does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service, or any other characteristic protected by law.

Personal Information

Incomplete information could disqualify you from further consideration. Please complete all fields.

Name*
Last Name*
Date*
E-mail Address*
Phone Number*
Street Address*
City*

State*

Zip Code*

Are you eligible to work in the U.S.?YesNo
Are you at least 18 years or older?YesNo

If no, you may be required to provide authorization to work.

Have you ever been terminated from employment or asked to resign by an employer?YesNo
If yes, please provide company names and details:
Can you work overtime, including weekends?YesNo
Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation? YesNo

Education

High School

Name & Location of the School
Degree Received
Subjects Studied/Major

College/University

Name & Location of the School
Degree Received
Subjects Studied/Major

Trade, Business/Correspondence School

Name & Location of the School
Degree Received
Subjects Studied/Major
Do you have any special skills, experience, and/or training that would enhance your ability to perform the position applied for?YesNo

If yes, please provide company names and details.

Employment History

Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.

From

Job Title
Immediate Supervisor and Title
Employer Name
Employer Street Address
Employer City

Employment State

Employer Zip Code

Employer Phone Number
Employer Website
Summarize the nature of work performed and job responsibilities
Reason for leaving

Employment History 2

From

Employer Job Title
Immediate Supervisor and Title
Employer Name
Employer Street Address
Employer City

Employment State

Employer Zip Code

Employer Phone Number
Employer Website
Summarize the nature of work performed and job responsibilities
Reason for leaving

Employment History 3

From

Job Title
Immediate Supervisor and Title
Employer Name
Employer Street Address
Employer City

State

Employer Zip Code

Employer Phone Number
Employer Website
Summarize the nature of work performed and job responsibilities
Reason for leaving

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Employment Desired

Date you can start*
Hourly rate/salary desired*
Position desired*
Are you currently employed?YesNo
If yes, may we inquire of your present employer?YesNo

Referral Source

How did you hear about us?Walk InAdvertisementReferralOther
Have you ever worked for this company before?YesNo
If yes, please provide dates and position

Do you know anyone who works for our company?YesNo
If yes, who?

References

Give the names of three persons not related to you, whom you have known at least three (3) years.

Reference 1

Reference Name
Reference Company
Reference Years Acquainted
Reference Street Address
Reference City

Reference State

Reference Zip Code

Reference E-mail Address
Reference Phone Number

Reference 2

Reference Name
Reference Company
Reference Years Acquainted
Reference Street Address
Reference City

Reference State

Reference Zip Code

Reference E-mail Address
Reference Phone Number

Reference 3

Reference Name
Reference Company
Reference Years Acquainted
Reference Street Address
Reference City

Reference State

Reference Zip Code

Reference E-mail Address
Reference Phone Number

+ ADD MORE

Please read carefully before signing.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Homespire Mortgage Corporation to hire me. If I am hired, I understand that either Homespire Mortgage Corporation or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Homespire Mortgage Corporation has the authority to make any assurance to the contrary.
I attest with my signature below that I have given to Homespire Mortgage Corporation true and complete information on this application. No requested information has been concealed. I authorize Homespire Mortgage Corporation to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

Employee Signatute*

Date*

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Thank You

Missing Field

Application forEmployment

Personal Information

Education

High School

College/University

Trade, Business/Correspondence School

Employment History

Employment History 2

Employment History 3

Employment Desired

Referral Source

References

Reference 1

Reference 2

Reference 3

Please read carefully before signing.

This application is valid only for 60 days from the date above.

Application for
Employment