Careers

Application for
employment

Whitinger & Co. Insurance is an equal opportunity employer. Employment decisions are based on qualifications, experience, performance, and business needs without regard to any status protected by applicable law.

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Application for Employment

Tell us about yourself

Please complete this application fully and accurately. Submission does not constitute an offer or guarantee of employment. Plan for about 15 minutes — your answers go directly to Josh Whitinger.

Section 01Applicant Information

Full Name *

Preferred Name

Address

City

State

ZIP

Phone *

Email *

Position Applied For *

Date Available to Start

Desired Compensation

Employment Desired

Full-Time Part-Time Temporary Independent Contractor, if applicable

Eligibility

Are you legally authorized to work in the United States?

Yes No

Will you now or in the future require sponsorship to work in the United States?

Yes No

Are you at least 18 years old?

Yes No

Have you previously applied to or worked for Whitinger & Co. Insurance?

Yes No

If yes, please explain

How did you hear about this opportunity?

Section 02Professional Experience

Current or Most Recent Employer

Employer

Position / Title

Dates Employed

Supervisor

Employer Phone

May we contact this employer?

Yes No

Primary Responsibilities

Reason for Leaving or Considering Leaving

Previous Employer

Employer

Position / Title

Dates Employed

Supervisor

Employer Phone

Primary Responsibilities

Reason for Leaving

Additional Previous Employer

Employer

Position / Title

Dates Employed

Primary Responsibilities

Reason for Leaving

Section 03Education

High School

School

City / State

Graduated?

Yes No

College / University

School

Degree / Area of Study

Graduated?

Yes No

Additional Education, Certifications or Training

Section 04Insurance Experience

If applicable, please complete this section.

Do you currently hold an insurance license?

Yes No

If yes, list the states and license types

National Producer Number (NPN)

Years of insurance experience

Have you previously worked for an:

Other

Primary areas of insurance experience

Other

Agency management systems or insurance technology you have used

Section 05Sales Experience

Complete this section if applying for a sales, producer, business development, or leadership position.

Have you previously been responsible for generating new business?

Yes No

If yes, describe your sales experience

Approximate annual new business revenue or premium produced in your most recent sales role

Do you currently manage or maintain an existing book of business?

Yes No

If yes, briefly describe

Industries or niches in which you have significant experience

Section 06Professional Restrictions & Obligations

Are you currently subject to any employment agreement, confidentiality agreement, non-solicitation agreement, non-compete agreement, restrictive covenant, deferred compensation agreement, or other contractual obligation that could affect your ability to perform the position for which you are applying?

Yes No

If yes, briefly describe the nature of the restriction

You may be asked to provide a copy of any applicable agreement before beginning employment. Whitinger & Co. Insurance does not request or authorize any applicant or employee to violate an obligation owed to a current or former employer, including obligations involving confidential information, trade secrets, customer information, employee solicitation, or restrictive covenants.

Section 07Technology & Professional Skills

Identify systems, software, or professional tools with which you have experience.

Other

Section 08Professional References

Please provide three professional references who are not family members.

Reference 1

Name

Company / Relationship

Phone

Reference 2

Name

Company / Relationship

Phone

Reference 3

Name

Company / Relationship

Phone

Section 09Getting to Know You

Why are you interested in joining Whitinger & Co. Insurance?

What do you believe you would bring to the organization?

Describe the type of work environment in which you perform your best

What are you looking for in your next professional opportunity?

What professional accomplishment are you most proud of?

Section 10Integrity & Professional Standards

Whitinger & Co. Insurance places a high value on integrity, professionalism, client service, confidentiality, accountability, and ethical business practices.

Are you willing to comply with the company’s policies regarding confidentiality, conflicts of interest, ethical conduct, client funds, carrier funds, documentation, and regulatory compliance?

Yes No

Are you willing to complete required licensing, continuing education, compliance training, and company training applicable to your position?

Yes No

Section 11Resume & Certification

Attach your resume (PDF or Word, optional)

I certify that the information provided in this application is true, accurate, and complete to the best of my knowledge.

I understand that any material misrepresentation, falsification, or omission may disqualify me from consideration for employment or, if discovered after employment begins, may result in disciplinary action up to and including termination, subject to applicable law.

I authorize Whitinger & Co. Insurance to verify information contained in this application and to contact the employers, educational institutions, and professional references identified by me, subject to any limitations I have indicated.

I understand that any background check, consumer report, criminal history inquiry, motor vehicle record inquiry, or other legally regulated screening will be conducted only in accordance with applicable law and any separate authorization or disclosure requirements.

I understand that this application does not constitute an employment contract or guarantee of employment.

If employed, I understand that I will be required to comply with the policies, procedures, confidentiality requirements, ethical standards, and other requirements of Whitinger & Co. Insurance.

I have read and agree to the certification above. *

Applicant Name (typed signature) *

Date *

Optional By checking this box, you agree to receive SMS messages from Whitinger & Co. Insurance related to account notifications and customer care. You may reply STOP to opt out at any time. Reply HELP to 319-222-4422 for assistance. Messages and data rates may apply. Message frequency will vary. Learn more on our Privacy Policy page and Terms & Conditions.

Your application goes directly to Josh Whitinger. We review every submission.

Application foremployment

Tell us about yourself

Application for
employment