tgrule80

Desired Position:


EMPLOYEE NON-DISCLOSURE AGREEMENT FOR GOOD CONSIDERATION, and in consideration of being employed by Mueller Services, Inc. (Company), the undersigned employee hereby agrees and acknowledges: 1. That during the course of my employ there may be disclosed to me certain trade secrets of the Company; said trade secrets consisting but not necessarily limited to: (a) Technical information: Methods, processes, formulae, compositions, systems, techniques, inventions, machines, computer programs and research projects. (b) Business information: Customer lists, policyholder information, pricing data, sources of supply, financial data and marketing, production, or merchandising systems or plans. 2. I agree that I shall not during, or at any time after the termination of my employment with the Company, use for others, or myself, or disclose or divulge to others including future employees, any trade secrets, confidential information, or any other proprietary data of the Company or the Company’s customers in violation of this agreement. Violation of this agreement may result in termination of my employment with the company. 3. That upon the termination of my employment from the Company: (a) I shall return to the Company all documents and property of the Company, including but not necessarily limited to: drawings, blueprints, reports, manuals, correspondence, customer lists, computer programs, and all other materials and all copies thereof relating in any way to the Company’s business, or in any way obtained by me during the course of employ. I further agree that I shall not retain copies, notes or abstracts of the foregoing. (b) The Company may notify any future or prospective employer or third party of the existence of this agreement, and shall be entitled to full injunctive relief for any breach. (c) This agreement shall be binding upon me and my personal representatives and successors in interest, and shall inure to the benefit of the Company, its successors and assigns.

By entering your initials, you agree to the above statement:


Experience:
If possible, upload a sample of personal and/or commercial lines inspection:	[Word or PDF documents only] [Word or PDF documents only]


How did you hear about us?

Upload resume [optional]: If you would like to send a resume along with your application you can upload one here.	[Word, PDF, or RTF documents only]

Base Address		Mailing Address
House Number:		House Number:
Street Name:		Street Name:
City:		City:
State:		State:
Zip:		Zip:

Contact Information
Home Phone:
Work Phone:
Cell Phone:
Fax:

Are you over 18 years old?	Yes No
Have you ever been convicted of a felony?	Yes No
Have you ever been dismissed, asked to resign from a job, or had a service contract terminated?	Yes No
Are you legally eligable to provide services within the United States?	Yes No
Do you currently have field inspection experience?	Yes No
Do you sell or are you licensed to sell Property and Casualty Insurance?	Yes No
Do you have any skills or training that you think would make you especially qualified?	Yes No
If yes, explain:	Over 8 years inspection experience. Clients include: FEMA, Fireman's Fund Insurance, AIG, Hartford, Sunshine State, Allstate, State Farm. Licensed insurance adjuster. 3 years insurance surveying. Proficient with e2Value software.

Required Equipment
Are you willing to purchase or do you currently own the following:
Automobile	Yes No
Auto Insurance Carrier:
Auto Insurance Policy Number:
PC running Microsoft Windows 98 SE or above:	Yes No
Internet connection:	Yes No
Internet connection speed:
Digital camera:	Yes No
Digital camera resolution:

References

Reference 1:

Name:		Company:
Phone:

Reference 2:

Name:		Company:
Phone:

Reference 3:

Name:		Company:
Phone:

Date Available To Start

[MM/DD/YYYY]:

August 2009

	S	M	T	W	T	F	S
31	26	27	28	29	30	31	1
32	2	3	4	5	6	7	8
33	9	10	11	12	13	14	15
34	16	17	18	19	20	21	22
35	23	24	25	26	27	28	29
36	30	31	1	2	3	4	5

Basic Math

Calculate (40+20) x (30 + 10) / 2

[Numbers only]

General Knowledge

A hazard is something that may:

Aggressive describes something as being:

Mortar can be described as:

Briefly describe the above home for
someone who will not see this photo:

2 story stick built home with gable roof and composition shingles.

The siding for this house is:

The garage for this house is:

Choose the correct sketch
for the above photos:

1	2
3	4