Applicant Name: * required |
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| SSN: |
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| Years In Sales: |
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| Type of Business: |
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Applicants's Full Name: (Last, First, Middle Initial) * required |
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| Proposed Office Location: |
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| City, State, County, Zip: |
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Contact Phone Number: * required |
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| Contact Fax Number: |
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| Mobile Phone Number: |
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| Email Address: |
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| Email Address (please re-enter above address): |
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Home Address of Owner/Officer: (Street, City, State, Zip) |
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| Home Phone Number: |
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| Home Fax Number: |
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| Work Phone Number: |
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| Drivers License Number: |
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| Drivers License State: |
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| Have you ever been convicted of a crime excluding traffic violations?: (check for yes)
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| If yes, please explain: |
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| Name of Institution/Location: |
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| Highest Level Completed: |
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| Number Of Years: |
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| List any and all degrees or certificates received at above mentioned Institution: |
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| Graduate Institutions/Courses: |
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| Name of Employer and Address: |
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| Type of Business: |
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| Department: |
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| Your Position: |
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| Duties Performed: |
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| Years Employed: |
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| Name of Immediate Supervisor: |
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| Position of Supv: |
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| Reason for Leaving: |
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| Name of Employer and Address: |
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| Type of Business: |
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| Department: |
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| Your Position: |
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| Duties Performed: |
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| Years Employed: |
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| Name of Immediate Supervisor: |
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| Position of Supv: |
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| Reason for Leaving: |
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Reference 1: Name Phone # Address (City, State Zip) |
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Reference 2: Name Phone # Address (City, State Zip) |
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Reference 3: Name Phone # Address (City, State Zip) |
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| Expected number of loans monthly: |
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| Have you ever had any errors and omissions(professional liability) claim filed against you?: (check for yes)
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| If yes, please explain: |
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| Have you ever had your privileges revoked by any states, lenders or banking institutions?: (check for yes)
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| If yes, please explain: |
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| Is there any litigation ongoing or in the past from any State, Federal or other Authority?: (check for yes)
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| If yes, please explain: |
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| Describe a typical work day for you: |
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| Discuss your marketing abilities: |
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| Have you had sales training and what is your sales style: |
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| Do you use a business plan and do you set business goals , if so, name them: |
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| How did you find out about First Mortgage Corporation: |
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| Name 2 or 3 words that best describe you interaction with people: |
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| Do you set monthly projections and goals and if so what is done to insure that those goals/projections have been met: |
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| Are you currently a licensed residential lender/broker?: (check for yes)
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| Have you ever applied for a residential lender /broker license?: (check for yes)
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| Have you ever been terminated by an employer for fraud?: (check for yes)
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| Have you ever been terminated by an employer for misrepresentation?: (check for yes)
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| Do you currently hold a Real Estate Agents or Broker?: (check for yes)
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| Have you ever been suspended, terminated or denied approval by HUD, GNMA, FHA, VA, or any mortgage insurance lender, investor, correspondent or lender?: (check for yes)
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| Please indicate by percentage, what your historical product mix has been for the past two (2) years? (Conforming/Government) : |
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| Please indicate by percentage, what your historical productions has been the past two (2) years? (Purchase/Refinance): |
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| List your (3) three top investors that you have closed loans with within the next twelve (12) months: |
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| We at First Mortgage Corporation appreciate your interest in becoming a Freedom Loan Officer. Please feel free to make any additional remarks in the space provided below or submit any additional information that would be helpful in evaluating your qualifications. |
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I hereby certify that to the best of my knowledge and belief that the answers given by myself on this application are true and complete.
If employed, I agree that all material created and produced, whether in written, graphic or broadcasting form and all inventions, new or changes in progress developed during my contract term are the exclusive property of First Mortgage Corporation. Subsequent to my contract, I will not disclose, use or reveal any confidential information related to the company without first obtaining written consent from an officer of the company.
I hereby apply for a position as a Freedom Loan Officer contract upon the basis and understanding that any such contract may be terminated as per the contract language
I hereby consent to the investigation by First Mortgage Corporation to obtain such personal and job related information as required in connection with this application and its statements contained herein for arriving at a decision for my employment.
I also understand that I am responsible for any recourse by my current employer regarding any loans originated with my current employer.
Please type your full name in the box below to indicate you are signing this application.
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Signature: * required |
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Date: * required |
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