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Employment Opportunities At Our Small Business Insurance Agency

Cool Insuring Agency, Inc. is one of the largest and most progressive independent Insurance Brokers in the Capital Region, providing human resources consulting, health insurance and more to small businesses. It was founded in 1857 by Charles W. Cool, the first Mayor of the City of Glens Falls. Today, it operates from three offices; two of which are located in the Capital District. Cool Insuring Agency places over $200,000,000 in premium volume, has thousands of clients, and over 100 employees. We have several openings available in our Latham, New York and Glens Falls, New York offices in our Commercial Lines Property/Casualty Division. These positions include Customer Service Representatives and Technical Assistants whose job responsibilities include providing support for Customer Service Representatives in the daily servicing of medium to large Commercial accounts.

Please provide the following information:

Personal Information
 
Last Name:
First Name:
Middle:
E-mail:
   
Street Address:
City:
State:
Zip Code:
   

Are You 18 Years Or Older?

Yes No
 Phone NO.:
Apartment NO.:
   

In Case Of Emergency Notify:
Name:
Address:
Phone NO.:
   

Are You Prevented From Lawfully Becoming Employed In This Country Because Of Visa Or Immigration Status?

Yes No
 

Employment Desired
 
Position:

Date You Can Start:

mm/dd/yyyy

Salary Desired:

   

Are You Employed Now?

Yes No

If So May We Inquire of Your Present Employer?

Yes No
 

Ever Applied To This Company Before?

Yes No
When?

Where?

   

Ever Worked For This Company Before?

Yes No
When?

Where?

Reason for Leaving:

Name Of The Last Supervisor At This Company:
   

Who Referred You To This Company

   

Education
 
Grammar School:
Name:
Location:
NO. Of Years Attended?
Did You Graduate? Yes No
Subjects Studied
   

High School:
Name:
Location:
NO. Of Years Attended?
Did You Graduate? Yes No
Subjects Studied
   

College:
Name:
Location:
NO. Of Years Attended?
Did You Graduate? Yes No
Subjects Studied
   

Trade Business or Correspondence School:
Name:
Location:
NO. Of Years Attended?
Did You Graduate? Yes No
Subjects Studied
   
General
 
Subjects Of Special Study Or Research Work:
Special Training:
Special Skills:
   
Former Employers
(List Below Last Three Employers, Starting With Last One First)
 
Name And Address Of Present Or Last Employer

Starting Date:

 mm/yyyy

Leaving Date:

 mm/yyyy

Weekly Starting Salary:

Weekly Final Salary:
Job Title:
May We Contact Your Supervisor? Yes No
Name And Title Of Supervisor:
Phone NO.:
Reason for Leaving:
   
Name And Address Of Present Or Last Employer

Starting Date:

 mm/yyyy

Leaving Date:

 mm/yyyy

Weekly Starting Salary:

Weekly Final Salary:
Job Title:
May We Contact Your Supervisor? Yes No
Name And Title Of Supervisor:
Phone NO.:
Reason for Leaving:
   
Name And Address Of Present Or Last Employer

Starting Date:

 mm/yyyy

Leaving Date:

 mm/yyyy

Weekly Starting Salary:

Weekly Final Salary:
Job Title:
May We Contact Your Supervisor? Yes No
Name And Title Of Supervisor:
Phone NO.:
Reason for Leaving:
   

References
(Give Below The Names Of Three Persons Not Related To You, Whom You Have Known At Least One Year)
 
Name:
Address:
Business:
Years Acquainted:
   
Name:
Address:
Business:
Years Acquainted:
   
Name:
Address:
Business:
Years Acquainted:
   
Service Record
 
Branch Of Service:
Discharge Date/Rank: mm/yyyy
Present Membership In National Guard Or Reserves:
Date Obligation Ends: mm/yyyy
   

Authorization

I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and condition of my employment may be changed, with or without cause and with or without notice, at any time by the company. I understand that no company representative, other than its president, and then only in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.
 
Date: mm/dd/yyyy
Name: 


business insurance company office
784 Troy-Schenectady Road 
Latham, NY  12110-2424 
Phone (800) 233-0115
Phone (518) 783-COOL (2665)
Fax  (518) 783-8754

insurance company Queensbury office
2 Country Club Road
Suite #1
Queensbury, NY  12804
Phone (800) 648-4824
Phone (518) 793-5133
Toll Free Fax (888) 288-4433 

    
   

 

  

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Small Business Insurance - Cool Insuring Agency, Inc. • 784 Troy-Schenectady Rd • Latham, NY 12110 • 800 233-0115