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Pre-fill this Application Form

To submit your application please complete the form below. Fields marked with a red asterisk * are required. When you have finished click Submit at the bottom of this form.

Save time by using your Resume or LinkedIn profile to fill in many of the fields of this application form. (Note this will overwrite any typing that you have already done on this form.)


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Resume Attachment

Your resume can be uploaded in any of the following formats: DOC, DOCX, RTF, PDF, TXT, HTML.
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Email Registration


Your email address will be used as your login name allowing you to return to our website update your profile.

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Passwords must be at least six(6) characters



Personal Information

 
 
 
 
   

How did you hear about us?

If you selected "Employee Referral" in the source box above please list our employees name in the "Referred By" box below.


Additional Information


Educational Background:


+ Add Another Education History    


Employment Background - (list your past 3 employers, starting with the most recent: complete even if resume is submitted.):


Employer

 
 
 
 

Responsibilities and Duties



Employer

 
 
 
 

Responsibilities and Duties



Employer

 
 
 
 

Responsibilities and Duties


+ Add Another Employment History    


Applicant Understanding and Agreement

 

Have you ever been convicted of, or are you currently charged with, committing a crime, whether or not adjunction was withheld?

“Crime” includes a misdemeanor, felony or a military offense. You may exclude misdemeanor traffic citations and juvenile offenses. “Convicted” includes, but is not limited to, having been found guilty by verdict of a judge or jury, having entered a plea of guilty or nolo contendre, or having been given probation, a suspended sentence or a fine.


I hereby affirm and declare that all the foregoing statements are true and correct, and that I have not knowingly withheld any fact that would, if disclosed, affect my application unfavorably. I understand that the falsification of any information provided to Hagerty Insurance Agency, including that contained in my employment application, or the failure to accurately disclose information requested, or falsification of skills assessment testing, may result in a decision not to hire me, or may result in the termination of my employment.

 

I understand that, if hired, my employment is at-will, meaning that either the employer or I may terminate the employment relationship at any time with or without notice and with or without cause. The provision supersedes any oral or written representations to the contrary, unless the written statement is signed by the President of Hagerty.

 

I agree that any claim or lawsuit relating to my service with Hagerty or any of its affiliate companies must be filed no more than six (6) months after the date of the employment action that is the subject of the claim or lawsuit. I waive any statute of limitations to the contrary.

 

I have read and understand the above statements.


Voluntary Equal Opportunity Questionnaire

As an equal opportunity employer, we hire without consideration to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, veteran status or disability. We invite you to complete the optional self-identification fields below used for compliance with government regulations and record-keeping guidelines.

 
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