Serving the financial and employee benefit needs of a variety of American industries and organizations.

Career Opportunity

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Employment Application

(To be considered you must complete the Application below.
Prospective employees will receive consideration without discrimination
 because of race, creed, color, sex, age, national origin, handicap or veteran status.)
Personal
First Name:
Middle Name:
Last Name:
Social Security #:
Street Address:
City:
State:
Zip:
Home Phone:
Business Phone:
Email:
Position Desired:
Pay Expected:
Have you ever applied for employment with us? Yes No
If Yes: Month: Year: Location:
Apart from absence for religious observations, are you available for full-time work? Yes No
If not: What hours can you work:
Will you work overtime if asked? Yes No
Are you legally eligible for employment in the United States? Yes No
When will you be available to begin work?
Other special training or skills (languages, machine operartion, etc.)
Education
School Name and Location
of School		 Course of Study No. of
years
completed		 Did you
graduate?		 Degree or Diploma
College Yes
No
High Yes
No
Elementary Yes
No
Other Yes
No
Employment 1
Please give accurate, complete full-time and part-time employment record. Start with present or most recent employer.
Company Name:
Address:
Telephone:
Name of Supervisor:
State Job Title and Describe Your Work:
Employed: From: To: (State month and year)
Weekly pay:  Start:  Last:
Reason Leaving:
Employment 2
Please give accurate, complete full-time and part-time employment record. Start with present or most recent employer.
Company Name:
Address:
Telephone:
Name of Supervisor:
State Job Title and Describe Your Work:
Employed: From: To: (State month and year)
Weekly pay:  Start:  Last:
Reason Leaving:
Employment 3
Please give accurate, complete full-time and part-time employment record. Start with present or most recent employer.
Company Name:
Address:
Telephone:
Name of Supervisor:
State Job Title and Describe Your Work:
Employed: From: To: (State month and year)
Weekly pay:  Start:  Last:
Reason Leaving:
Employment 4
Please give accurate, complete full-time and part-time employment record. Start with present or most recent employer.
Company Name:
Address:
Telephone:
Name of Supervisor:
State Job Title and Describe Your Work:
Employed: From: To: (State month and year)
Weekly pay:  Start:  Last:
Reason Leaving:
We may contact the employers listed above unless you indicate those
you do not want us to contact.
DO NOT CONTACT
Employer
Number (s):
Reason Not to Contact:

 

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The Lewer Agency, Inc.
4534 Wornall Road Kansas City, Missouri 64111
The Lewer Agency, Inc. is licensed in all fifty United States and the ten provinces of Canada.
© 1999 The Lewer Agency, Inc. Privacy notice and Legal Page

              Securities are offered through Registered Representatives of Sunset Financial Services, Inc. (SFS).                       Member NASD and SIPC.  The Lewer Agency, Inc is not affiliated with SFS.

This communication may not be construed as a solicitation to buy or sell any security.
Investment in any security involves risk, including the possible loss of principal.
Offer of services under this announcement is exclusively and strictly limited to legal residents
of United States and Canada.