Lending Leah Employment Application Form

Employment Application
Personal Information
Today's Date

MonthDayYear
Date
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
Other Phone
Please enter a valid phone number.Format: (000) 000-0000.
E-mail*
example@example.com
Are you a United States Citizen or legally eligible to work in the U.S.?*

YesNo
(If hired, you will be required to provide documentation that you are eligible to work in the U.S.)
Are you 18 or over?*

YesNo
Select the title of the position you are applying for?*

Loan Officer
Date Available to Work*

MonthDayYear
Date
Has anyone who is currently employed with Move Smart Mortgage, LLC dba Lending Leah referred you?

YesNo
If yes, who referred you?
Have you been previously interviewed or employed by Move Smart Mortgage, LLC dba Lending Leah?

YesNo
If Yes, list date(s) and job title(s):
Do you have any relatives currently working for Move Smart Mortgage, LLC dba Lending Leah?

YesNo
If Yes, list names and relationship to you:
Have you EVER be convicted of a felony?

YesNo
If Yes, Explain with a detailed letter of explanation with supporting documentation. Upload documents here.

Cancelof
Are you employed now?

YesNo
If so, may we contact your present employer?

YesNo
Education
High School
College
Graduate School
Technical or Certificate Earned
Employment History

Please provide the following information for your previous three employers, beginning with the most recent: (Please attach an additional page if necessary, do not use “see attached resume”.)
Employer #1 Name
Job Title
Employment Start Date
Start date.
Employment End Date
End date.
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone Number
Format: (000) 000-0000.
Weekly Pay - Start
Weekly Pay - Finish
Reason for Leaving:
Job Duties:
Employer #2 Name
Job Title
Employment Start Date
Start date.
Employment End Date
End date.
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone Number
Format: (000) 000-0000.
Weekly Pay - Start
Weekly Pay - Finish
Reason for Leaving:
Job Duties:
Employer #3 Name
Job Title
Employment Start Date
Start date.
Employment End Date
End date.
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone Number
Format: (000) 000-0000.
Weekly Pay - Start
Weekly Pay - Finish
Reason for Leaving:
Job Duties:
Describe your qualifications for the type of employment you are seeking: (Please include skills, special training, etc.)
Please list any special awards, honors, scholarships, or offices held.
References

Please list names of supervisors, managers, or others who can comment directly on your abilities:
Name (Reference #1)

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Relationship/Occupation
Years Known
Name (Reference #2)

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Relationship/Occupation
Years Known
Name (Reference #3)

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Relationship/Occupation
Years Known
Move Smart Mortgage LLC, dba Lending Leah is an Equal Opportunity Employer. It is the policy of Move Smart Mortgage, LLC dba Lending Leah not to discriminate in employment matters on the basis of race, creed, color, age, marital status, national origin, sex, or status with regard to public assistance or disability.
I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if employed, false statements on this application shall be considered sufficient cause of dismissal. You are hereby authorized to make investigation of my personal references.
Signature
Print Name
Date

MonthDayYear
Date
Should be Empty:

Employment Application

Personal Information

Education

Employment History

References