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Full Name

First Name

Last Name

Current Address

Street Address

Street Address Line 2

City

State/Province

Postal/Zip Code

Country

Phone Number

Area Code

-

Phone Number

Other Phone

-

Previous Address

Street Address

Street Address Line 2

City

State/Province

Postal/Zip Code

Country

Email

What Position(s) Interested In?

Terms Sought (check all that apply)

Will you relocate?

Part Time

Please mark each of the following below with which you have experience and are qualified to work now

Full Time

Permanent Employment

As Needed/Temporary

Yes

No

Yes

No

Will you travel overnight?

Yes

No

State Licenses, certifications (NFIP), and other designations


Property-Residential

Property-Industrial

Property-Business

Interruption

Property-Wind/Hail

Property-Fire

Property-Commercial

Property-Computer

Estimatics


Property-Flood

Property-Earth

Movement

Property-Mold

Casualty-Workers

Compensation

Casualty-General

Liability

Casualty-Jones

Act/Longshore

Casualty-Medical

Malpractice

Casualty-Auto

Liability

Investigations-Surveillance

Appraisals-Computer

Estimates

Appraisals-Tractor/Trailers

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Appraisals-Transit

Vehicles

Appraisals-

Passenger Vehicles

Appraisals-Heavy

Equipment

Investigations

Background

Please list all states, geographic areas in which you will accept employment

Resume for Employment with Barker Claim Services