Employment Application Form Employment Application Form Fill the employment application form in just 5 steps. "*" indicates required fields Step 1 of 5 20% We actively recruit and ensure equal employment opportunities for qualified individuals.The following screens will ask for information about your race, gender, veteran status, and disability status, if applicable. As part of this procedure, we are going to invite you to complete the following: Voluntary Self-Identification of Gender, Ethnicity/Race Voluntary Self-identification of Veteran Status Voluntary Self-identification of Disability Your responses will remain confidential and will not be used against you in any way. Providing this information is voluntary, and you are not obliged to complete the questionnaires. Once you have completed this process, you will be directed to our application. Invitation to Self-Identify Gender, Ethnicity/Race Greenly Mortgage must adhere to specific government recordkeeping and reporting requirements for administering civil rights laws and regulations. To comply with these requirements, we encourage applicants and employees to self-identify their gender, race, and ethnicity voluntarily. Submitting this information is strictly voluntary, and refusal to provide it will not subject you to any adverse treatment. The information collected will remain confidential and only be used by applicable laws, executive orders, and regulations. This includes requirements to summarize and report the data to the federal government for civil rights enforcement. When reported, the data will not identify any individual. This information will be stored separately from your employment application. If you choose not to self-identify now, you may do so later by submitting this form. Not providing this information will not result in any adverse action or treatment. Greenly Mortgage is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other employment or career development conditions. Gender:* Male Female Decline to identify Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. White (Not Hispanic or Latino): A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. Black or African American (Not Hispanic or Latino): A person having origins in any of the black racial groups of Africa. Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino): A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands. Asian (Not Hispanic or Latino): A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. American Indian or Alaska Native (Not Hispanic or Latino): A person who has origins in any of the original peoples of North and South America (including Central America) and maintains tribal affiliation or community attachment. Two or More Races (Not Hispanic or Latino): All persons who identify with more than one of the above five races. I decline to identify. Ethnicity/Race:* Hispanic or Latino A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. White (Not Hispanic or Latino) A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. Black or African American (Not Hispanic or Latino) A person having origins in any of the black racial groups of Africa. Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands. Asian (Not Hispanic or Latino) A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. American Indian or Alaska Native (Not Hispanic or Latino) A person who has origins in any of the original peoples of North and South America (including Central America) and maintains tribal affiliation or community attachment. Two or More Races (Not Hispanic or Latino) All persons who identify with more than one of the above five races. I decline to identify. Invitation to Self-Identify Protected Veteran StatusGreenly Mortgage is a Government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA), which requires Government contractors to take affirmative action to employ and advance in employment: Disabled veterans Recently separated veterans Active duty wartime or campaign badge veterans Armed Forces service medal veterans These classifications are defined as follows: A "disabled veteran" is one of the following: A veteran of the U.S. military, ground, naval, or air service who is entitled to compensation (or who, but for the receipt of military retired pay, would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs A person discharged or released from active duty because of a service-connected disability A "recently separated veteran" means any veteran during the three years beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service. An "active-duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval, or air service during a war or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense. An "Armed Forces Service Medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval, or air service, participated in a United States military operation for which an Armed Forces Service medal was awarded under Executive Order 12985. Protected veterans may have additional rights under USERRA - the Uniformed Services Employment and Reemployment Rights Act. Suppose you were absent from employment to perform service in the uniformed service. In that case, you may be entitled to be reemployed by your employer in the position you would have obtained with reasonable certainty if not for the absence due to service. For more information, call the U.S. Department of Labor's Veterans Employment and Training Service (VETS) toll-free at 1-866-4-USA-DOL. If you believe you belong to any of the categories of protected veterans listed above, please indicate by checking the appropriate box below. As a government contractor subject to VEVRAA, we request this information to measure the effectiveness of our outreach and positive recruitment efforts under VEVRAA. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information provided will be used only in ways that are not inconsistent with the Vietnam Era Veterans Readjustment Assistance Act of 1974, as amended. The information you submit will be kept confidential, except that: Supervisors and managers may be informed regarding restrictions on the work or duties of disabled veterans and necessary accommodations First aid and safety personnel may be informed when and to the extent appropriate if you have a condition that might require emergency treatment Government officials engaged in enforcing laws administered by OFCCP, or enforcing the Americans with Disabilities Act, may be informed * I IDENTIFY AS ONE OR MORE OF THE CLASSIFICATIONS OF PROTECTED VETERAN LISTED ABOVE I AM NOT A PROTECTED VETERAN I DO NOT WISH TO IDENTIFY AT THIS TIME Voluntary Self-Identification of Disability Form CC-305 OMB Control Number 1250-0005 Expires 04/30/2026 Why are you being asked to complete this form? As a federal contractor or subcontractor, we are legally required to provide equal employment opportunities to qualified individuals with disabilities. We aim for at least 7% of our workforce to consist of individuals with disabilities. To measure our progress toward this goal, we must ask applicants and employees if they have a disability or have ever had one. Since disability status can change over time, we must ask this question at least once every five years. Self-identifying as an individual with a disability is entirely voluntary, and we encourage you to do so. Your response will remain confidential and not be shared with hiring officials or anyone involved in personnel decisions. Completing this form is optional, and your choice will not affect you negatively. To learn more about this form or related laws, please visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp. How do you know if you have a disability? A disability is a condition that significantly impacts one or more of your "major life activities." If you have or have ever had such a condition, you are considered a person with a disability. Disabilities may include, but are not limited to: Alcohol or other substance use disorder (not currently using drugs illegally) Autoimmune disorders, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS Blind or low vision Cancer (past or present) Cardiovascular or heart disease Celiac disease Cerebral palsy Deaf or serious difficulty hearing Depression or anxiety Diabetes Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders Epilepsy or other seizure disorder Gastrointestinal disorders, for example, Crohn's Disease or irritable bowel syndrome Intellectual or developmental disability Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD Missing limbs or partially missing limbs Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports Nervous system conditions for example, migraine headaches, Parkinson’s disease, or Multiple sclerosis (MS) Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, and other learning disabilities Partial or complete paralysis (any cause) Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema Short stature (dwarfism) Traumatic brain injury Please check one of the boxes below:* Yes, I have a disability or have had one in the past No, I do not have a disability and have not had one in the past I do not want to answer Your Name* First Last Date* DD slash MM slash YYYY Select Position:*Loan Officer AssistantLoan OfficerSenior Loan Officer Team LeaderBranch ManagerProcessorUpload Your Resume*Upload your resume in .pdf, .docx formatAccepted file types: pdf, docx, Max. file size: 25 MB.Name* First Last Personal Email* Upload Cover LetterAccepted file types: pdf, docx, Max. file size: 25 MB.Current Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Cell Phone*Home PhoneAre you 18 years or older?* Yes No Are you legally authorized to work in the United States?* Yes No Desired Compensation:Available Start Date:* MM slash DD slash YYYY How did you hear about this opportunity?If referred to by a current employee, please give the employee’s name: Employment History Please provide the following requested information regarding your employment history: Include military service assignments and volunteer activities. You may exclude organization names that include race, color, religion, gender, national origin, ancestry, age, disability or other protected status. Current or Most Recent Employer Are you currently employed?* Yes No Employer Name:*City and State:*Title:*From:* MM slash DD slash YYYY To:* MM slash DD slash YYYY Reason for leaving: Terminated / Promoted / Resigned / Laid OFF / Currently Employed.*Company Phone:*Ok to Contact:* Yes No Responsibility and Duties:* Education/Training: What is your highest level of education completed? Some High School High School GED Trade School Associate degree Some College Bachelor’s Degree Master’s Degree Doctorate Name of the Institution (s):Graduate? Yes No Major(s):Degree (s) or Certifications:Lost any professional licenses:Are you currently licensed as a Mortgage Loan Officer? If yes, please provide your NMLS number No Enter NMLS Number:* Applicant's Statement: I certify that my answers to all questions are true and correct without any consequential omissions. I understand that if I am employed, any false, misleading, or otherwise incorrect statements made on this application or during the pre-employment process may be grounds for my immediate termination. Consent* I have read and agree to this disclaimer.Applicant Signature:*Date:* MM slash DD slash YYYY Comments:CAPTCHAAcceptance: I have read and agree with this statement.
