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Employment Application Form
Employment Application Form
Chris Handley
2019-05-07T13:35:46-07:00
Personal Information
Full Name
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First
Last
Cell Phone Number
*
E-Mail Address
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Alt. Phone Number
Are you eligible to work in the United States?
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Yes
No
Are you at least 18 years of age or older?
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Yes
No
Employment Desired
Position Desired
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Date Available to Start
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MM slash DD slash YYYY
Work Environment Preferences
I prefer to work in an environment that is
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High Paced
Slow Paced
I prefer to work
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Independently
Collectively
I prefer to work in an environment that is
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Quiet
Busy
I prefer feedback from my manager in
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Formal Reviews
Frequent Meetings
The work environment I prefer is
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Casual
Professional
I prefer to work with customers
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Yes
No
Please select your top five values in an employer from the list below:
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Work schedule Flexibility
Innovation
Good Managers
Advancement Opportunities
Salary
Positive Work Environment
Stability
Benefits
Overtime Opportunities
Community Focused Company
Environmentally Friendly Organization
Family Friendly
Good Co-workers
Work Ethic
Company’s integrity
Training Opportunities
Professionalism
Paid Time Off
Opportunities for Business Travel
Diversity in task assigned
Autonomy
Frequent Feedback
Referral Source
How did you hear about us?
Have you ever worked for WLT before?
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Yes
No
Do you know anyone who works for our company?
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Yes
No
Who do you know at our company?
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Education
Did you attend any of the following?
High School
College or University
Trade / Business School
High School
Name and Location
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# of Years Attended
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Degree Received?
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Yes
No
College / University
Name and Location
*
# of Years Attended
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Major / Subjects Studied
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Degree Received?
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Yes
No
Trade / Business School
Name and Location
*
# of Years Attended
*
Major / Subjects Studied
*
Degree Received?
*
Yes
No
Employment History
Employment History List
List the last 10 (ten) years of employment history (Please complete if not included on your resume)
Employer Name
Employer Address & Phone Number
Job Title & Responsibilities
Reason For Leaving
Dates Employed (Month, Year to Month, Year)
References
Please give the names of three persons not related to you who you have known for at least three (3) years.
Reference #1 Full Name
*
First
Last
Reference #1 Phone Number
*
Reference #1 Email
*
Reference #2 Full Name
First
Last
Reference #2 Phone Number
*
Reference #2 Email
*
Reference #3 Full Name
First
Last
Reference #3 Phone Number
*
Reference #3 Email
*
Skills & Certifications
What is your skill level with Microsoft Word?
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Not Familiar
Basic
Intermediate
Expert
What is your skill level with Microsoft Excel?
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Not Familiar
Basic
Intermediate
Expert
What is your skill level with Microsoft Outlook?
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Not Familiar
Basic
Intermediate
Expert
What is your skill level with Microsoft Teams?
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Not Familiar
Basic
Intermediate
Expert
What is your Words Per Minute (WPM) typing?
*
Skills
*
Do you have any skills, experience and/or training that would enhance your ability to perform duties of the position applied for?
Certifications / Memberships
Please list any certifications or memberships you hold
Employer Termination
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Have you been terminated from employment or asked to resign by an employer? If yes, please provide the employer's name and details of the situation.
Resume and Cover Letter Attachments
Only accepts PDF files. If you have trouble submitting your resume or cover letter, please email it to allisona@whatcomtitle.com
Drop files here or
Select files
Accepted file types: pdf, jpg, png, Max. file size: 10 MB, Max. files: 3.
How may we contact you?
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Phone Call
Voice Mail
Text Message
Email
Consent
*
I agree to the policy below.
Whatcom Land Title Company, Inc. (WLT) is an equal opportunity employer WLT does not discriminate in employment opportunities or practices on the basis of race, color, creed, gender, sexual orientation, national origin, genetic information, age, religion, marital status, family status, Vietnam-era or special disability status, presence of a physical, mental or sensory disability or any other characteristic protected by law.
I understand, where permissible under applicable federal, state, or local law I may be subject to a pre-employment background check after receiving a conditional offer of employment to investigate my criminal background and other matters related to my suitability for employment. I understand a separate disclosure and consent form will be provided to me prior to any background check.
I understand employment with WLT is contingent on my providing sufficient documentation necessary to establish my identity and eligibility to work in the United States.
I understand the completion of this application and other application requirements do not obligate WLT to hire me. If I am hired, I understand my employment is at-will. At-will means that either WLT or I can terminate my employment at any time for any reason, with or without cause, and with or without notice.
I attest with my signature below that I have given WLT true and complete information on this application. I understand any falsification or omission of information made by me may disqualify me from further consideration for employment or, if hired, may result in my termination.
I authorize WLT to contact references provided and previous employers for reference checks, and authorize the same to provide requested information to WLT.
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