An Equal Opportunity Employer

We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors.

Answer each question fully and accurately. No action can be taken on this application until you have answered all questions. In reading and answering the following questions, be aware that none of the questions are intended to imply illegal preferences or discrimination based upon non-job-related information.

Once you have completed the online application, we will generate documents for e-signature.

Legal First Name

M.I.

Legal Last Name

Email

Gender

Date of Birth (mm/dd/yyyy)

Present Street Address

Apt #

City

State

ZIP

SSN

Home Phone

Cell Phone

Referred By

FM Home Loans Contact

If hired, can you furnish proof you are eligible to work in the U.S.?

Job you're applying for - type if not listed

Seeking Position Type

When could you start?

Have you ever applied here before?

If yes, when?

Were you ever employed here?

If yes, when?

Have you ever been convicted of any law violation? Include any plea of "guilty" or "no contest". Exclude minor traffic violations

If yes, please provide a detailed explanation

If employed, do you expect to be engaged in any additional business or employment outside of our job?

If yes, please provide a detailed explanation

List professional, trade, business or civic activities and offices held. (Exclude labor organizations and memberships which reveal race, color, religion, national origin, sex, age, disability or other protected status.)

High School or GED Click 'NA' if Not Applicable

College or University Click 'NA' if Not Applicable

Vocational or Technical Click 'NA' if Not Applicable

What skills or additional training do you have that relate to the job for which you are applying?

List names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, give firm name and supply business references. Note: A job offer may be contingent upon acceptable references from current and former employers.

Name of Employer

Job Title and Duties

Employment Address

Date of Employment (MO/YR)

Pay

Supervisor(s)

Telephone

Reason For Leaving

Have you worked or attended school under any other names?

Yes

No

If yes, give names.

Are you presently employed

Yes

No

If yes, whom do you suggest we contact?

Have you ever been fired from a job or asked to resign?

Yes

No

If yes, please explain.

Give three (3) references, not including relatives

Candidates seeking employment with FM Home Loans, LLC are required to answer the following questions and provide the following authorizations.

Should the answer be YES to any of these questions, please provide a letter of explanation detailing the specifics.

Have you ever had a license, or registration denied, suspended or revoked by a financial services or securities licensing agency in any state?

Yes

No