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First
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PERSONAL INFORMATION
Name
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First
Middle
Last
Date of Birth
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MM slash DD slash YYYY
Address
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Street Address
Address Line 2
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Armed Forces Americas
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State
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Phone
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Email
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Enter Email
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ARE YOU 18 YEARS OLD OR OLDER?
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YES
NO
ARE YOU CURRENTLY LIFE/LIFE & HEALTH LICENSED BY THE STATE?
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YES
NO
HAVE YOU BEEN CONVICTED OF A FELONY OR MISDEMEANOR WITHIN THE LAST 10 YEARS?
(Required)
YES
NO
Pre-Internship Questions
1. Why should we choose you over other candidates?
(Required)
2. What about the financial industry is appealing to you and why do you want to work with Arkshire?
(Required)
3. Do you consider yourself a hard worker and coachable? If so, please explain why.
(Required)
4. How do you deal with challenges?
(Required)
5. What skills do you possess that can help you in this industry?
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6. What are your long-term goals?
(Required)
7. What is your schedule availability?
(Required)
8. Have you completed your pre-licensing with ExamFX?
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EMPLOYMENT DESIRED
FULL TIME OR PART TIME?
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PART TIME
FULL TIME
DATE YOU CAN START
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MM slash DD slash YYYY
HRS/WEEK AVAILABLE
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EDUCATION
HIGH SCHOOL
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DATES ATTENDED
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MM slash DD slash YYYY
HIGHEST GRADE LEVEL
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DEGREE/MAJOR
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COLLEGE
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GENERAL
SPECIAL SKILLS
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ACTIVITIES: (CIVIC ATHLETIC ETC.)
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EMPLOYMENT HISTORY
Date
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MM slash DD slash YYYY
Date
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MM slash DD slash YYYY
COMPANY
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Address
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Street Address
Address Line 2
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Alaska
American Samoa
Arizona
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California
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Connecticut
Delaware
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Florida
Georgia
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Iowa
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Louisiana
Maine
Maryland
Massachusetts
Michigan
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Northern Mariana Islands
Ohio
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Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
SALARY
(Required)
TITLE
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REASON FOR LEAVING
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HAVE YOU EVER BEEN FIRED OR GIVEN AN OPPORTUNITY TO RESIGN?
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PROFESSIONAL/PERSONAL REFERENCES
Name
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First
Last
Phone
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OCCUPATION
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NO. OF YEARS ACQUAINTED
(Required)
Please enter a number less than or equal to
100
.
Name
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First
Last
Phone
(Required)
OCCUPATION
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NO. OF YEARS ACQUAINTED
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Please enter a number less than or equal to
100
.
Name
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First
Last
Phone
(Required)
OCCUPATION
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NO. OF YEARS ACQUAINTED
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Please enter a number less than or equal to
100
.
IN CASE OF EMERGENCY NOTIFY
Name
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First
Last
Phone
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RELATIONSHIP
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Address
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Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Consent
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I agree
*I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS, OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND IF IN CONSIDERATION, I AGREE TO CONFORM TO THE COMPANY'S RULES AND REGULATIONS, AND I AGREE THAT MY CONTRACTS AND COMPENSATION MAY BE TERMINATED, WITH OR WITHOUT CAUSE. AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT EITHER MY OR THE COMPANY'S OPTION. I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF MY CONTRACTS MAY BE CHANGED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT MOTIVE, AT ANY TIME BY THE COMPANY. I UNDERSTAND THAT NO COMPANY REPRESENTATIVE, OTHER THAN IT'S PRESIDENT, AND THEN ONLY WHEN IN WRONG AND SIGNED BY THE PRESIDENT, HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING."
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