Job Application

Below is our job application, please fill out and submit. Questions marked with an ‘*‘ are required.

Basic Information
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Country
Home Phone*
Cell Phone*
Email*
Are you licensed to drive a car?*
- Yes
- No
Are you 18 years of age or older?*
- Yes
- No
Education
What High School did you attend?*
Did you graduate?*
- Yes
- No
What college did you attend?*
Did you graduate?*
- Yes
- No
Other (Name and Type)*
Desired Position
What position are you applying for?*
What is the wage desired?*
State*
Please Select Your Branch*
Please Select Your Branch*
Please Select Your Branch*
Please Select Your Branch*
Desired Schedule*
- Full Time
- Part Time
Have you ever applied here before?*
- Yes
- No
Employment
Start with most recent and complete in full.
**Last 3 jobs Required**
Employer 1*
Please provide the name of you employer. If not applicable please type 'NA' in the field.
Employer 1 Phone*
Dates Employed*

Starting Month/Year - Ending Month/Year
Employer 1 Address*
Street Address Address Line 2 City State ZIP
Supervisor’s Name*
Ending Salary/Wage*
Job Title*
Job Duties*
Reason For Leaving*
Employer 2*
Please provide the name of you employer. If not applicable please type 'NA' in the field.
Employer 2 Phone*
Dates Employed*

Starting Month/Year - Ending Month/Year
Employer 2 Address*
Street Address Address Line 2 City State ZIP
Supervisor’s Name*
Ending Salary/Wage*
Job Title*
Job Duties*
Reason For Leaving*
Employer 3*
Please provide the name of you employer. If not applicable please type 'NA' in the field.
Employer 3 Phone*
Dates Employed*

Starting Month/Year - Ending Month/Year
Employer 3 Address*
Street Address Address Line 2 City State ZIP
Supervisor’s Name*
Ending Salary/Wage*
Job Title*
Job Duties*
Reason For Leaving*
Emergency Contact Information
Emergency Contact Name*
Emergency Contact Phone*
Personal Reference
Personal Reference may not be family. Minimum 3 references.
Name*
Relationship*
Address*
Phone*
Name*
Relationship*
Address*
Phone*
Name*
Relationship*
Address*
Phone*
Agreement
APPLICANT: READ AND SIGN BELOW. SIGNING MEANS AGREEMENT: The information provided in the Application for Employment is true, correct, and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. I agree that the Company may obtain a Motor Vehicle Report (MVR) on me. Results may cause dismissal/no hire. I authorize you to conduct a criminal background check. If you decide to engage an investigative consumer-reporting agency to report on my credit and personal history, I authorize you to do so. If a report is obtained you must provide, at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report. I authorize you to verify my employment with employers listed on this application. I voluntarily and knowingly authorize any present or past employer or supervisor, college or university or other institution of learning, administrator, law enforcement agency, state agency, local agency, federal agency, credit bureau, collection agency, private business, military branch or the national personnel records center, personal reference, and/or any other person to give records of information that may have concerning my criminal history, motor vehicle history, social security number, earnings history, character, employment (including reasons for termination), credit history, credit capacity, credit standing or any other information requested by Western-Shamrock Corporation deemed pertinent to my employment. Information obtained may be used in employment decisions including termination.
- Okay to contact if currently employed
Name*

Electronic signature
Today's Date*
MM slash DD slash YYYY
Voluntary Questionnaire
How did you hear about Western-Shamrock Corporation?*
If Other, Please Describe*
If Referred, please specify who referred you.*
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We look forward to serving you!

Locations

Useful Links

Resources

Western Shamrock Corporation is an industry leader in the consumer installment loan business

We look forward to serving you!

Locations

Useful Links

Resources

Careers

Western Shamrock Corporation is an industry leader in the consumer installment loan business

Basic Information

Education

Desired Position

Employment

Emergency Contact Information

Personal Reference

Agreement

Voluntary Questionnaire

We look forward to serving you!

Locations

Useful Links

Resources

We look forward to serving you!

Locations

Useful Links

Resources

Careers

Select Your Branch

When Life Happens

We’re Here to Help

Select Your Location

Job Application

Basic Information

Education

Desired Position

Employment

Emergency Contact Information

Personal Reference

Agreement

Voluntary Questionnaire

We look forward to serving you!

Locations

Useful Links

Resources

We look forward to serving you!

Locations

Useful Links

Resources

CareersWe’re Hiring!

Select Your Location

Select Your Branch

When Life Happens

We’re Here to Help

Select Your Location

Careers