Employment Application

Complete the following form to apply to become a member of our team.

* Required Fields

Personal Information

First Name*

Middle Name

Last Name*

Date of Birth*

Address/PO Box #* City* Province* Postal Code*

Email*

Primary Phone Number*

Alternate Phone Number

Do you have a valid Drivers License?*

Are you able to Travel?*

Do you have Access to a Vehicle?*

Please provide details of any Criminal Code Convictions if applicable: A Criminal Record check will be required for Employment.

Experience

Rate your understanding of SGI Sask Auto Licensing Information and Products:*

Provide Your SGI Sask Auto Licensing Training and Experience:

Rate your understanding of Insurance Information and Products:*

Provide you Insurance Training and Experience:

Rate your understanding of Computer Use and Software:*

Provide computer/software information you are familiar with:

Employment

When would you be able to Start?*

What is your Expected Wage/Salary:*

What is your Expected Starting Position:*

Are you currently Employed? If Yes, Where?*

I am Looking For a*

What makes you interested in a Career in the insurance industry?*

You may either upload a Resume here, or email one to info@lakelandagencies.ca File Types Accepted (.pdf / .doc / .docx / .odt / .txt) Maximum File Size (4MB) File Size: (Unknown)

Type in the Characters above:*

Contact Info

Loon Lake

Lakeland Agencies Inc.
418 Main ST
PO Box 489
Loon Lake SK S0M1L0
PH: (306) 837 - 2016
info@lakelandagencies.ca