Application for Employment

Risk Management Analyst Program

Willis is an Equal Opportunity/Affirmative Action Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disabilities or status as Vietnam era or special disabled veteran in accordance with federal law. Willis also complies with applicable Federal, state and local laws prohibiting discrimination in employment in each location in which it maintains facilities. Willis also provides reasonable accommodations to individuals with disabilities in accordance with applicable laws. In connection with your application for employment you may be required to take a written pre-employment test. Willis will provide accommodations in the testing process for disabled individuals. If you require any accommodation in the testing process, please notify your personnel interviewer.

Attachment

Personal Details

Last Name

First Name

Home Address

College Address

Preferred Mailing Address

Address

Zip Code

Preferred Daytime Phone Number

Preferred E-Mail Address

Are you legally authorized to work in the US?

Yes No

Will you now or in the future require VISA or work permit sponsorship from Willis?

Yes No

Preferred location?

Please select the location in which you prefer to enter the RMA Program

Are you willing to relocate?

Yes No

Have you previously filed an application with Willis or any of its affiliates?

Yes No

If yes, please indicate the Job, Program, office, dates, etc.

Have you ever been employed by Willis or any of its affiliates?

Yes No

If yes, give location of office and dates of service: from to

Can you, with or without reasonable accommodation, perform the essential
functions of this job? If not, please explain.

Yes No

Application Details

Do you know someone within Willis? (Please Indicate)

How did you hear about Willis?	College Website & Experience	Website
	Personal	Other (Please Specify)

References

Provide the names and contact details for two references who can speak to your academic and/or work performance.

Reference 1

Reference 2

Name

Reference Type

Address

Zip Code

Daytime Phone Number

Education

Higher Education Confirmation of GPA will be required during interview process
College Attended	Degree Major	Type of Degree	GPA Awarded/Expected ±	Dates Attended	Anticipated Graduation Date

Secondary Education/High School

Name

Address

Zip Code

Work Experience

Give details of employment, including summer work / internships or part time employment
Dates	Organization	Description

Other Details

Languages
Please indicate your degree of fluency in any language spoken Working Knowledge (WK) - The ability to converse on a social and practical basis. Fluent (F) – The ability to converse confidently and fluently with fellow professionals on a range of topics.
Language	Rating	Language	Rating

Software Applications

Software/ Programs	Level (Advanced, Intermediate, Basic)

Criminal Convictions

Have you been convicted of a felony in the last 7 years? Please explain.

Extracurricular Activities & Recognitions

Please indicate any personal achievements, extracurricular activities or recognitions in support of your application with Willis.

Professional Profile

Describe a situation when you needed to establish a strong relationship with either a client, customer, professor, or team member in order to achieve a goal. What steps did you take?

Voluntary Information

Gender
Racial / Ethnic Group
Have you served in the US Armed Services?
If yes, what branch of the service
Date Entered Service
Date Discharged from Service

Applicant Statement

It is understood and agreed the information that I have provided on this application is true and complete to the best of my knowledge. Any misrepresentation or omission of any fact in my application, resume, or any other materials, or during any interview can be justification for refusal of employment, or if employed, termination from Willis’ employ.

I give Willis the right to investigate all references, including past employers, and to secure additional information about me, if job-related. In connection with your application, certain positions require an investigative report which may include credit report, criminal record report, and a motor vehicle report. I hereby release Willis and its representatives from liability for seeking such information as well as all those who furnish such information.

I understand that Willis is an Equal Opportunity Employer. Willis does not discriminate in employment and no question on this application is to be used for the purpose of limiting or excluding any applicant’s consideration for employment on basis prohibited by local, state or federal law.

In consideration of my employment, I agree to comply with the policies, rules, regulations and procedures of Willis, which are established and maintained from time to time. I understand that my employment at Willis is “at will” , which means that my employment and compensation can be terminated with or without cause or notice, at any time, at the option of either the company or myself.

I AGREE You must agree to this statement

Please ensure that you have answered all of the questions or your application maybe ineligible for consideration