Please Fill Out the Form Below to Submit Your Job Application!
Name:
*
First Name
Middle Name
Last Name
E-mail:
*
example@example.com
Phone Number:
*
Position you're applying for:
*
Please Select
Agent/Broker
Admin/Operations
Marketing
How did you hear about us?
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Agent Referral
Word of Mouth
Google
Company Website
Indeed
Zip Recruiter
Other
If you were referred by an America First Agent, please list their name below:
Education
Highest Level of Education Completed:
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Please Select
High School Diploma or Equivalent
Some College or Associate's Degree
Bachelor's Degree
Master's Degree
Doctorate or PhD
Vocational or Technical Training
Other
Name of Institution:
Degree/Certification Earned (if applicable):
Expiration Date (Format: MM/YY):
Work Experience
Previous Employment History (list most recent first):
*
Company Name: Job Title: Dates of Employment: Responsibilities:
Do you have any previous experience in the insurance industry? If yes, please provide details:
*
Do you currently hold a valid FL 2-15 Health and Life License?
*
Yes
No
Skills and Qualifications
Please list any relevant skills or qualifications that make you suitable for this position:
*
Availability
Are you available to work full-time or part-time?
*
Full-time
Part-time
Do you have any scheduling constraints we should be aware of? If so, please provide further details:
*
City and State of Residence:
*
Are you willing to relocate to Florida?
*
Yes
No
Motivation
Why are you interested in working with America First Healthcare?
*
What do you believe sets you apart from other candidates?
*
References
Please provide the names and contact information of three professional references:
*
Name, Contact Number, and Relationship to Applicant
Additional Information
Is there anything else you would like our team to know about you or this application?
Earliest Possible Start Date
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Month
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Day
Year
Date
Cover Letter:
Please do not exceed 200 words.
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Any Other Documents to Upload
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Signature
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Today's Date:
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