GTL - Online Application

GTL Online Application

Thank you for your interest in Guarantee Trust Life Insurance Company. Please provide the following information.

Required fields are marked with an asterisk (*)

	Personal Information
	Name *
	Address *
	City *
	State *
	Zip *
	Email Address *
	Day Phone
	Evening Phone *
	Employment - Company Information
	Company Name
	Address
	City
	State
	Zip
	Job Title
	Dates of Employment	To
	Salary
	Supervisor Name
	Company Information
	Company Name
	Address
	City
	State
	Zip
	Job Title
	Dates of Employment	To
	Salary
	Supervisor Name
	Company Information
	Company Name
	Address
	City
	State
	Zip
	Job Title
	Dates of Employment	To
	Salary
	Supervisor Name
	Other Information
	Salary Requirement *
	Education *
	Have you ever been convicted of a Felony?
	if yes, please provide details
	Dates:
	Charges:
	Penalties:
	(A conviction will not necessarily bar you from employment at GTL.)
	Signature of Applicant *
	(Please type your name here. This indicates that you have read and understand the applicant statement )
	Date *

Applicant Statement:

I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct.

I understand that any information provided by me that is found to be false, incomplete, or a misrepresentation, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer's service, whenever it is discovered.

I expressly authorize, without reservation, the employer (Guarantee Trust Life Insurance Company), its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering, and using such information in the employment process and all other persons, corporations, or organizations for furnishing such information about me.

I understand that GTL does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment of a basis prohibited by applicable local, state, or federal law.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without prior notice, and the employer reserves the right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral, or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president.

I also understand that if I am hired, I will be required to provide legal proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.