ERIE: 14 ½ South Lake St. North East, PA 16428
PITTSBURGH: 300 Mt. Lebanon Blvd., Suite 205C Pittsburgh, PA 15234

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(412) 343-3223

Employment Application

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Equal Opportunity Employer

In accordance with existing state and federal laws, we employ qualified personnel for all positions without regard to race, creed, color, sex, age, religion, or national origin. Selection of candidates for positions will be made upon the basis of demonstrated capability, competence, and appropriate experience.

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Personal Data
2
Educational Data
3
Experiences
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Other Qualifications
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General Background Information
Educational Data
Do You Have A High School Diploma or Equivalent?
If no, do you have a GED?
Do you have any vocational/technical training?
High School Data
College/University Data
Graduate Study Data
Experience (present or most recent first)
Experience (present or most recent first)
Experience (present or most recent first)
Please check each of the following kinds of work in which you have experience.
Please check each of the following kinds of technology in which you have experience
Within the last ten years, have you been fired from any job for any reason?
Within the last ten years, have you quit a job after being notified that you would be fired?
Are you subject to any visa or immigration status, which would prevent lawful employment?
References (Please list only one family member for a reference.)
Member 2:
Member 3:
Member 4:

Declarations
I declare that I understand that this is an application for a position only and does not imply any promises of employment on behalf of the Company.
I the undersigned applicant hereby declare that all of the information on this Application Employment Form is accurate and true and I understand that any falsehood or omission on my part may be grounds for future dismissal from the position or withdrawal of an offer of employment.
My electronic signature signifies my approval for the company to check my references and to verify my reason for leaving my prior employment.

Electronic Signature
By typing your name in the signature box below, you are indicating your intent to sign the relevant document or record and that this shall constitute your signature.

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Contact

  • ERIE: 14 ½ South Lake St. North East, PA 16428
    PITTSBURGH: 300 Mt. Lebanon Blvd., Suite 205C Pittsburgh, PA 15234
  • Tel: (412) 343-3223
  • Mail: claims@castleclaims.com
  • Week Days : 07:30 – 19:00
    Sunday : Holiday

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