Application

Home Office

Home Office employees carry out the mission of our organization through member services, programs, information technology, underwriting, sales, communications, engagement, finances and more. Employees are dedicated to our members and strengthening community.

Use this application to apply for available positions or to have your information on record for future opportunities.

By completing this application, you give Hermann Sons Life full rights and permissions with respect to any photographs, video and audio recordings taken when you represent the organization. These images may be used for publicity (newspaper, website, brochures, etc.). You further give permission and consent that any such photographs may be published and used by Hermann Sons Life and its agents to illustrate and promote Hermann Sons Life.

    First Name*

    Middle Name

    Last Name*

    Phone*

    Email*

    Street Address*

    Address Line 2

    City*

    State*

    Zip / Postal Code*

    For what position(s) are you applying?

    How did you hear about Hermann Sons?*

    If someone referred you, please list that person's name

    What skills do you possess related to the position for which you are applying?

    Do you have an employment history?

    Previous Employers

    Name of Most Recent or Current Employer

    Street Address

    Address Line 2

    City

    State

    Zip / Postal Code

    Reason for Leaving

    Position Held

    Job Duties

    Supervisor Name
    First Name

    Last Name

    Supervisor Phone

    Supervisor Email

    Do you give permission for Hermann Sons Life or one of its authorized representatives to contact this employer?

    Do you have any additional employment history?

    Previous Employer

    Name of Employer

    Street Address

    Address Line 2

    City

    State

    Zip / Postal Code

    Reason for Leaving

    Position Held

    Job Duties

    Supervisor Name
    First Name

    Last Name

    Supervisor Phone

    Supervisor Email

    Do you give permission for Hermann Sons Life or one of its authorized representatives to contact this employer?

    Do you have any additional employment history?

    Previous Employer

    Name of Employer

    Street Address

    Address Line 2

    City

    State

    Zip / Postal Code

    Reason for Leaving

    Position Held

    Job Duties

    Supervisor Name
    First Name

    Last Name

    Supervisor Phone

    Supervisor Email

    Do you give permission for Hermann Sons Life or one of its authorized representatives to contact this employer?

    Do you have any additional employment history?

    Describe additional employment history, including dates of employment.

    Personal Reference #1*

    Provide the name of a personal reference we may contact.

    First Name*

    Last Name*

    Phone

    Email

    Relationship to You*

    How does your reference know you?

    Personal Reference #2*

    Provide the name of a personal reference we may contact.

    First Name*

    Last Name*

    Phone

    Email

    Relationship to You*

    How does your reference know you?

    Personal Reference #3

    Provide the name of a personal reference we may contact.

    First Name

    Last Name

    Phone

    Email

    Relationship to You

    How does your reference know you?

    Educational History - Institution Name*

    List the highest educational institution you've attended.

    City*

    State*

    Level of Education Obtained

    If Applicable, Date Graduated

    Please list any achievements, organizational involvement and/or leadership positions that you held.

    Do you have any additional educational history?

    Educational History - Institution Name*

    List the highest educational institution you've attended.

    City*

    State*

    Level of Education Obtained

    If Applicable, Date Graduated

    Please list any achievements, organizational involvement and/or leadership positions that you held.

    Do you have any additional educational history?

    If you have additional educational history, please describe it.

    Did you read and understand all information on the application and answer all questions truthfully to the best of your knowledge and belief?*

    Do you understand that false information, omissions or misrepresentation of facts on this application could lead to your application not being considered or discharge of your contract at any time?*

    Do you authorize Hermann Sons Life or any of its authorized representatives or agents, including consumer reporting bureaus, to verify any of the information listed on this application?*

    Do you understand that use and/or possession of illegal drugs is prohibited during employment with Hermann Sons Life?*

    Are you willing to submit to drug testing to detect the use of illegal drugs prior to and at any point during employment with Hermann Sons Life?*

    Either party may terminate employment with or without reason or notice.

    Applicant Agreement and Consent to Background Check*

    I hereby give permission for Hermann Sons Life or its agents to conduct a background check which may include investigation of my employment history, educational background, criminal history, military records, credit history and department of motor vehicle records. I understand that I may receive additional information about the nature and scope of the background check by submitting a written request. I understand that Hermann Sons Life may deny me an employment opportunity if it receives information that it considers unfavorable. I release Hermann Sons Life and its agents from any liability resulting from use or disclosure of the information obtained from the background check.

    Criminal Offense*

    Have you ever plead guilty to, been convicted of, or received deferred adjudication for a criminal offense?

    Please describe.

    Please list any achievements, organizational involvement and/or leadership positions that you've held.

    Is there anything else you would like for Hermann Sons Life to know about you?

    If you have a resume you would like to include, please upload it.

     

    By typing your name below, you testify that you have read and understood all information on this application and answered all questions truthfully and to the best of your knowledge and belief. You further understand that false information, omissions or misrepresentation of facts on this application could lead to your application not being considered. Furthermore, by typing your name below, you are electronically signing this application. The electronic signature will be in accordance with the E-Sign Act and will have the same force and effect as a wet signature. For information on the Electronic Signature in Global and National Commerce Act (E-Sign Act), please copy and paste this link into your browser: https://wwwwww.gpo.gov/fdsys/pkg/PLAW-106publ229/pdf/Plaw-106publ229.pdf.

    By clicking the "Submit" button, you are submitting your application as final. You will not be able to go back and edit it. You must contact Hermann Sons to change or withdraw your application.

    Electronic Signature*

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