Employment Application

Eaglemind Insurance Agency Employment Application

All steps must be completed. Application is not completed until submitted.

Please enter your complete information for identification verification purposes

Please Enter your full Social Security Number for Background Check

Applicant's Personal/Job Information

License Background Questions

Resume Upload

  • Employment Application Disclosure
  • Contact Information
  • Applicant's Personal/Job Information
  • License Background Questions
  • Resume Upload

Eaglemind Insurance Agency is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Please note: You must be able to pass a background Check in order to be appointed with the carriers we represent

Positions and Openings

Which position(s) are you interested in?

How did you hear about this position?

Are you available to work during or around these hours? 9AM TO 5PM (M-F) AND/OR SAT: 10AM TO 2PM? You don't have to work all these hours but be available to answer phones, enroll clients or respond to client inquiries during peak hours within above hours.

Have you ever applied to or worked for Eaglemind Insurance Agency before?

Do you have any friends, relatives, or acquaintances working for Eaglemind Insurance Agency

Are you 18 years of age or older?

Are you a U.S. citizen or approved to work in the United States?

What document can you provide as proof of citizenship or legal status?

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

Education and Training: Do you have a high school diploma or any degree? If so please list

These are questions related to your license

Do you currently have an Active Insurance License?

If yes, what kind of Insurance License do you currently have?

If no, do you plan or desire to obtain your insurance license?

AT-WILL EMPLOYMENT: The relationship between you and the Eaglemind Insurance Agency is referred to as

Resume Upload

Do you have resume to upload?

Max. size: 100.0 MB