On-line Application Form


We would like to gather some information needed to process your application. Please complete all fields in order to expedite your application.

 

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Please Read Cimarron Escrow Inc.,  is licensed by the State of California's Department of Corporations (D.O.C.). Prior to employment all employees must be fingerprinted, drug tested, and pass a background check. Please note we cannot employ an individual with any prior convictions as all employees must be bonded.
Contact Information

Today's Date       

Name                  

Mailing Address   

City                     State     Zip

Home Phone           

Work Phone           Other

E-mail Address   

Employment Interests

Position Applying For

Date Available                  Annual Salary Desired: $

Are you willing to work?    Days   Weekends   Full Time   Part Time
 

How did you hear about us?

Web Search Engine  
Web Site   
Current/Former Employee   
Mailer  
Newspaper   
Event  
Real Estate Agent   
Skills/License Typing Speed    Office equipment 

Other Skills:

Licenses / Certifications  

Do you have a current professional license or certificate?                              Yes No

 

Type of License/Certification         Expiration Date

License Number     State where issued

 

Are there any restrictions on your license?                                                   Yes No

If yes, please explain.

Employment History 1. (Present or most recent)
Employer Name     
Employer Address 
City                         State     Zip
Scheduled hours per week       
Name of Supervisor                 
Title of Supervisor                   
Telephone Number/Extension  
Dates of Employment:  From     To   Salary/Hourly $    
Job Title                                 
Reason for Leaving                  
Job Duties/Responsibilities     
Eligible for Rehire? Yes No
General Information

Have you ever pled guilty or "no contest" to, or been convicted of any misdemeanor involving             violence or dishonesty for which the record has not been sealed or expunged?  Yes No 
If yes, please give the dates, details and location:

Have you ever been terminated, asked to resign or suspended from any job?   Yes No
If yes, explain circumstances and date:

Have you ever been in the military service?                                                   Yes No 
If yes, please give type of discharge:
Note: a dishonorable or general discharge is not an automatic bar to employment.

Have you ever used another name?                                                              Yes No
If yes, please explain:

If hired, can you furnish proof that you are at least 18 years of age and can legally to work in                   the U.S.A?                                                                                                 Yes No 

May we contact your current employer for a reference?                                  Yes No
If no, please explain:
 

Note: answering yes to these questions does not constitute an automatic bar to employment.           Factors such as time of offense, seriousness and nature of the violation and rehabilitation will be        taken into account.

EDUCATION

High School
Name    
Location
Name Enrolled Under 
Last Year Completed 9 10 11 12
Diploma Yes No

College
 Name    
Location
Dates Attended          
Name Enrolled Under 
Major Field       
Diploma/Degree

Formal Escrow Education (if any)
Name    
Location
Dates Attended          
Name Enrolled Under 
Major Field       
Diploma/Degree

Professional/Technical School
 Name    
Location
Dates Attended          
Name Enrolled Under 
Major Field      
Diploma/Degree

APPLICANT'S STATEMENT

PLEASE READ THE FOLLOWING CAREFULLY BEFORE SUBMITTING  THE APPLICATION FORM

I hereby certify that the information contained in this application form is true and correct to the best of my knowledge and agree to have any of the statements checked by Cimarron Escrow Inc., unless I have indicated to the contrary. I authorize the references listed above to provide Cimarron Escrow Inc., any and all information concerning my previous employment and any pertinent information that they might have. Further, I release all parties and persons from any and all liabilities and damages that may result from furnishing information to Cimarron Escrow Inc., as well as from the use or disclosure of such information by Cimarron Escrow Inc.. I understand that any misrepresentation, falsification, or material omission of information on this application may result in my failure to receive an offer or, if I am hired, in my dismissal from employment.