***NOTE: Fields with ' * ' are required.  Please give us as much of your information as possible.  Thank You!
Position You're Applying For (if known)
Personal Information
* 1. Name (Last, First, Middle Initial):
 
* 2. Present Address (incl. State and Zipcode):
 
 

3. Permanent Address (if different):



* 4. Home Phone Number:
  Best Time to Contact?
5. Work Phone Number (may we contact you here?):
Best Time to Contact?
6. E-mail Address:
7. If you have a Resume on your Personal Homepage, and would like us to view.  Please indicate the URL here:

Education Information

High School

* 1. Name & Address of School:
 
 2. Dates Attended:
From: Until:
* 3. Major Subject(s):
4. Graduated? Degree Received:

College

1. Name & Address of College:
2. Dates Attended:
From: Until:
3. Major Subject(s):
4. Graduated? Degree Received:

Other Education

1. Name & Address of School:
2. Dates Attended:
From: Until:
3. Major Subject(s):
4. Graduated? Degree Received:

List Computer Hardware/Software Skills:

List Machines Operated or Other Special Skills:

Typing - WPM 

Employment History

Present/Most Recent Employer

1. Company Name:
2. Street Address (incl. State and Zip code):



3. Phone Number: FAX Number:
4. Starting Date: Ending Date:
5. Supervisor/Title:
6. May We Contact? :
7. Describe Your Last/Present Position and Responsibilities

Previous Employer

1. Company Name
2. Street Address (incl. State and Zip code)



3. Phone Number: Fax Number:
4. Starting Date: Ending Date:
5. Supervisor/Title:
6. May We Contact? : 
7. Describe Your Last Position and Responsibilities:

You've reached the end of the On-Line Application Form.  Make sure that all the information you've furnished is true and complete, then click on the 'Submit Information ' button (below).  Your application will be emailed instantly to the AMCO Human Resources Department, and will be reviewed in confidence.


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We would like to thank all interested applicants, but advise that only qualified candidates will be contacted for an interview.

All materials will be kept in the strictest confidence.  AMCO is an Equal Opportunity Employer.

© 2001. AMCO Auto Insurance. All rights reserved.
Revised: September 12, 2002 .