SSIA Employment Application

  • Employment Application

  • SSIA (South Shore Insurance Agency) is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law.

    Should the applicant need reasonable accommodation in the application process, he or she should contact a company representative for further assistance. All fields marked with * are required.

  • Application Date
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  • Date Available
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  • Are you legally authorized to work in the United States?*
  • Do/Will you require sponsorship to work in the United States?*
  • Have you ever worked for this company?*
  • Do you know anyone who works for this company?*
  • Have you ever been terminated from employment or asked to resign by an employer?*
  • Are you able to perform the essential functions for the job for which you are applying, with or without reasonable accommodation?*

  • Education History

    Click + to add additional education in any category
  • Did you graduate?
  • Did you graduate?
  • Diploma?
  • Did you graduate?

  • Employment History

  • Currently employed here?*
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  • May we contact your previous employer for a reference?*
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  • May we contact your previous employer for a reference?
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  • May we contact your previous employer for a reference?

  • Disclaimer & Signature

    I certify that my answers are true and complete to the best of my knowledge. I understand, if selected for the position, my previous employer may be contacted for employment verification after my start date if I elected they not be contacted during the hiring process.

  • AT WILL EMPLOYMENT
    The relationship between you and South Shore Insurance Agency (“Company”) is referred to as “employment at will.” This means that your employment can be terminated at any time for any reason, with or without notice, by you or the Company. No representative of the Company has authority to enter into any agreement contrary to the foregoing “employment at will” relationship. You understand that your employment is “at will” and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Company’s President or Operations Director.

  • EEOC Statement
    South Shore Insurance Companies provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, SSIA, LLC and SSIU, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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