Position Applying For:
Referral Source:
Advertisement
Friend
Relative
Walk-In
Employment Agency
Indeed
Other*
Other*:
First Name:
Last Name:
Social Security Number:
Date of Birth:
Address 1:
Address 2:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
Phone 1:
Phone 2:
Email:
Are you available for:
On what date would you be available for work?
Do you have an active mortgage brokers license?
Yes
No
In School
NMLS ID #
If yes, what state(s)?
Do you possess a valid drivers license? (Applicable only for positions requiring travel):
Yes
No
If yes, what state?
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
DL Number:
Drivers License Expiration Date:
Have you been convicted of a serious driving offense such as reckless driving, leaving the scene of an accident or an alcohol-related offense within the last five years?
Yes
No
Have you ever been convicted, pled guilty, or pled no contest to a felony?
Yes
No
If yes to either of the above questions, please explain:
Please describe your education and work experience or copy and paste your resume:
I certify that the answers given herein are true and complete to the best of my knowledge. I have read, understand and agree to the above statement:
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment. I have read, understand and agree to the above statement
This application for employment shall be considered active for a period of time not to exceed 60 days. Any applicant wishing to be considered for employment beyond this time should inquire as to whether or not applications are being accepted at that time. I have read, understand and agree to the above statement
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with Mortgage Investors Corporation is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. I have read, understand and agree to the above statement
In the event of employment, I understand that false or misleading information given in my application or interview(s) will result in discharge. I understand, also, that I am required to abide by all rules and regulations of Mortgage Investors Corporation during my employment with MIC. I have read, understand and agree to the above statement
Digital Signature of Applicant:
Signed Date:
EMPLOYMENT REFERENCE RELEASE AND AUTHORIZATION TO OBTAIN CRIMINAL HISTORY, CONSUMER CREDIT REPORT AND/OR INVESTIGATIVE CONSUMER REPORT
I, the applicant having made application for employment with Mortgage Investors Corporation and desiring it to be informed as to my ability, reasons for leaving previous employment, character, education, reputation for honesty and records of convictions, here by authorize Mortgage Investors Corporation to investigate and to ascertain any and all information which may concern any or all of the foregoing, whether same is of record or not. I specifically consent to a criminal background check. I hereby release my present and former employers, school administrators, credit agencies, any city, county or state law enforcement agency, and all persons whomsoever from any damage or liability resulting from furnishing said information:
I understand Mortgage Investors Corporation may obtain a consumer credit report and/or investigative consumer report bearing on my credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living. I understand that information maybe obtained through personal interviews of my neighbors, friends, associates or others with living. I understand that information may be obtained through personal interviews of my neighbors, friends, associates or others with whom I am acquainted or who may have knowledge concerning any such items of information. I understand that a summary of my rights under the Fair Credit Reporting Act is available from the Mortgage Investors Corporation human resources department:
I hereby authorize mortgage Investors Corporation, Inc. to obtain and/or conduct a consumer report or investigative consumer report analysis and investigation for purposes of employment. I authorize and direct all persons who may have information relevant to my criminal history, consumer report or investigative consumer report to disclose it to Mortgage Investors Corporation or its agents, and I hereby release all persons, including Mortgage Investors Corporation and its agents, from liability on account of such disclosure. I hereby further authorize that a photocopy of this authorization may be considered as valid as an original:
I understand that, if hired, my continued employment is contingent on satisfactory completion of any, or all, reference or background investigation:
Signature Date:
Applicants Social Security Number:
California, Minnesota & Oklahoma law allows you to receive a copy of your background report. If you would like to receive a copy, please notify the Human Resources Department in writing.
APPLICANT'S STATEMENT
I certify that the answers given herein are true and complete to the best of my knowledge. I have read, understand and agree to the above statement
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment. I have read, understand and agree to the above statement
This application for employment shall be considered active for a period of time not to exceed 60 days. Any applicant wishing to be considered for employment beyond this time should inquire as to whether or not applications are being accepted at the time. I have read, understand and agree to the above statement
