Apply - Navigator Truck Insurance Agency

Apply Online

To apply online please complete the following steps:

Step 1: Complete the secure online application below.
Step 2: Send your resume and cover letter to careers@navigatortruckinsurance.com

To The Applicant: We appreciate your interest in our Company and assure you that we are interested in your qualifications. A clear understanding of your background and work history will aid us in seeking to place you in a position which, in our judgment, best meets your qualifications.

We are an equal opportunity employer and will not unlawfully discriminate on the basis of race, color, sex, religion, national origin, age, marital or veteran status, height, weight or disability.

PERSONAL

First Name:

Middle Name:

Last Name:

Address:

Address 2:

City:

State:

Zip:

Phone:

E-mail Address:

Are you 18 or older?:

Application Date:

Are you legally authorized to work in the United States?

Have you been previously employed here:
If yes, date(s):
If yes, supervisor name(s) :
Have you filed an application here before:
If yes, date(s):

List any friends or relatives working here:

EMPLOYMENT DESIRED
Position(s) applied for:
Kind of work sought:
List any special training, skills, qualifications or other experiences that relate to the position(s) applied for:
Salary Desired:
Date Available to Start Work:
NOTICE: Michigan law requires employers to make accommodations to handicapped applicants and employees where the accommodation does not impose an undue hardship on the employer. Handicapped employees and applicants may request an accommodation of their handicap by notifying the Company in writing of the need for accommodation within 182 days of the date the handicapper knows or should know that an accommodation is needed. Failure to properly notify the Company will preclude any claim.

EMPLOYMENT EXPERIENCE (List current or most recent job first)
		Dates
1)	Employer:	From:	To:	Work Performed
	Address:
		Hourly Rate/Salary
	Job Title:	Starting:	Final:
	Reason for Leaving:

		Dates
2)	Employer:	From:	To:	Work Performed
	Address:
		Hourly Rate/Salary
	Job Title:	Starting:	Final:
	Reason for Leaving:

		Dates
3)	Employer:	From:	To:	Work Performed
	Address:
		Hourly Rate/Salary
	Job Title:	Starting:	Final:
	Reason for Leaving:

		Dates
4)	Employer:	From:	To:	Work Performed
	Address:
		Hourly Rate/Salary
	Job Title:	Starting:	Final:
	Reason for Leaving:

EDUCATION
Level	Name, City, State	Years	Diploma	Courses
Elementary
High School
College
Graduate
Vocational/Training
Any other educational training:

REFERENCES (Please do not include relatives or former employers)
Name	Address	Phone	Years Acquainted
1.
2.
3.

MILITARY SERVICE RECORD
Have you had experience in the Armed Forces of the United States or in a State of National Guard?
- If yes, what branch:
- Rank at discharge:
- Date of discharge:
- Are you in the reserves:
- Special/technical training:

ADDITIONAL INFORMATION
Ever convicted of a crime?
If so where, when and nature of offense:
Do you have a valid driver's license?
License #:
State:
List professional, trade, business or civic activities and offices held, but please do not include any groups the name or character of which indicate race, color, religion, sex, national origin, handicap, marital or veterans status or disability
State any additional information that you feel may be helpful to us in considering your application:
Name, address, and telephone number of the person to be notified in the event of accident or emergency:

AUTHORIZATION AND UNDERSTANDING
By my signing of this application, I represent that all of the information now or hereafter given by me in support of my application is true and complete. I authorize you to verify any of the information concerning my employment, education, credit, or criminal history with the appropriate individuals, companies, institutions or agencies, and I authorize them to release such information as you require, including my prior disciplinary employment record, without any obligation to give me written notice of such disclosure. I also authorize you to release any information requested by any of my prospective or subsequent employers without any obligation to give me written notice of such disclosure. I hereby release you and them from any liability whatsoever as a result of any such inquiries and disclosures. I agree that any false information of any type whatsoever in support of my application shall subject me to discharge at any time during the period of my employment at the discretion of the Company. I agree and understand that either the Company or I may terminate the employment relationship, with or without cause, at any time and without notice, and I future agree that this arrangement may only be altered in writing directed to me personally and signed by the president of the Company. I agree that I shall be bound by the other rules, policies, regulations and terms and conditions of employment of the Company as they are from time to time changed and no additional obligations may be imposed on the Company without the written acknowledgement of the President. I hereby authorize the Company to deduct from each and every period of my pay any amounts necessary to offset any damages caused by me of the value of property or the value of property or money entrusted to me by, or owned by me to the Company during the course of my employment. I agree that any action or suit against the Company arising out of my employment or termination of employment, including, but not limited to, claims arising under state or federal civil rights statutes, must be brought within one year of the event giving rise to the claims, or such claims are forever barred. I waive any limitation periods to the contrary. I further agree that my employment is conditional until such time as the results of my pre-employment physical (if such a physical is required) are known.
Eletronic Signature:	Date: