CAREERS - A & K Mortgage

EMPLOYMENT APPLICATION

Name *

First

Last

Email *

Social Security Number *

Home Number

Cell Number *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

GENERAL INFORMATION

What position are you applying for? *

Date Available *

Are you 18 or older? *

Yes
No

If yes, enter date of birth

Are you legally able to work in the United States? *

Have you ever been convicted of a felony? *

Do you have a NMLS license? *

If yes, what is your license number?

Do you have a PTIN? If so, enter your number

WORK HISTORY

Please provide your past employment for the last five years. List your most recent employer first.

File Upload

Click or drag a file to this area to upload.

Feel free to upload your resume

Company Name *

Company Address *

Address Line 1

Address Line 2

City

State

Zip Code

Position *

Manager's Name *

Manager's Phone *

Start Date *

End Date ( Leave Blank if you are still employed)

Reason for leaving *

Company Name

Company Address

Address Line 1

Address Line 2

City

State

Zip Code

Position

Manager's Name

Manager's Phone

Start Date

End Date ( Leave Blank if you are still employed)

Reason for leaving

EDUCATION

High School ( Name and Address)

Diploma / GED Obtained?

College/University ( Name and Address)

Graduate? - Degree?

Major/ Concentration

CERTIFICATION

Statement - Enter your full name *

I certify that the facts set forth in the above employment application are true and complete to the best of my knowledge. I understand that falsified statements on this application in any detail shall be considered sufficient cause for disqualification from further consideration for hire or for dismissal. I authorize Bradley & Gray Inc to make any investigation of my personal or employment history and authorize any former employer, person, firm, corporation or government agency to give Bradley & Gray Inc any information they may have regarding me. In consideration of Bradley & Gray Inc a review of this application, I release Bradley & Gray Inc and all providers of information from any liability as a result of furnishing and receiving this information. I further agree that, if employer, my employment can be terminated with or without cause and with or without notice, at any time, at either Bradley & Gray Inc or my option. I understand that no personnel recruiter, interviewer or other representative of Bradley & Gray Inc other than Kristen Bradley has any authority to enter into any agreement for employment for any specified period of time. I also understand that any employment manuals or handbooks that may be distributed to me during the course of my employment shall not be construed as a contract or contract by implication.

Application Date *