Customer Service Agent - Commercial Lines, Application

Are you a citizen of the United States? *

If no, are you authorized to work in the U.S.? *

Have you ever worked for this company? *

Are you currently employed?

If yes, may we contact your current employer?

Do you have a reliable means of transportation? *

Have you ever been discharged from any employment or been asked to resign? *

Are you bound by any agreement(s) (including signing a non-competition, non-disclosure, or non-piracy agreement) that would limit your ability to work for Hill & Hamilton? *

Have you ever been convicted of a felony? *

Do you currently hold the Ohio Property & Casualty Insurance License? *

Do you currently hold the Ohio Life & Health Insurance License? *

Do you hold any of the following designations (check all that apply)?

It is the policy of Hill & Hamilton Inc. to afford equal opportunity to all employees and applicants for employment without regard to age, race, religion, color, sex, national origin, marital status or sexual orientation, individuals with a disability, or any other characteristic protected by applicable Federal, State or Local law.
I authorize the investigation of all statements and information contained in this application. I release from liability anyone supplying such information and I also release Hill & Hamilton Inc. from all liability that might result from making an investigation.
If employed, I agree not to engage in any outside activity that would involve a material conflict of interest with, or could reflect adversely on Hill & Hamilton Inc. I understand that Hill & Hamilton Inc. retains the right to solely decide when such conflict exists.
If employed, I agree to hold in strictest confidence any information concerning Hill & Hamilton Inc., its insureds, and its Carriers that may come to my knowledge.
In consideration of my employment, if I am employed, I agree to conform to the employment policies of Hill & Hamilton Inc., and understand that my employment and compensation can be terminated, with or without notice, at any time, at the option of either Hill & Hamilton Inc. or myself. I understand that no representative of Hill & Hamilton Inc., other than the President, has the authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing.
I understand that completion of this employment application does not guarantee that I have been employed by Hill & Hamilton Inc.
I certify that all answers given by me are true, accurate and complete. I understand that the falsification, misrepresentation or omission of fact on this application (or any accompanying or required documents) will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered. *