Lighthouse Group, Inc. is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, religion, gender, national, origin, age, sex, marital status, height, weight, disability, handicap, veteran status or any other status protected under local, state, or federal laws.

Applicant's Certification and Agreement

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Lighthouse-Keuning Insurance Group, Inc. to verify their accuracy and to obtain reference information on my work performance. I hereby release Lighthouse- Keuning Insurance Group, Inc. from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.

I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.

I understand that if I have a protected disability that affects my ability to do the job I seek, I may ask my employer to attempt to make a reasonable accommodation for it. I must make my request in writing to the personnel department as soon as possible, and under the Michigan Persons with Disabilities Civil Rights Act, such notice must be given no later than 182 days after the date I know or reasonably should know that accommodation is needed.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. I understand that one of these policies includes my obligation to preserve the confidentiality of customer information and data, which is a trade secret of the Employer and may not be used for the benefit of anyone other than the Employer. However, I further understand that neither the policies, rules, regulations of employment nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.

I authorize the references listed in this application for Employment and any prior employer, educational institution, or any other persons or organizations to give this Company any and all information concerning my previous employment/educational accomplishments, disciplinary information, or any other pertinent information they may have. I understand that such information may contain my social security number. I release all parties from all liability for any damage that may result from furnishing that information to this Company. In addition, I hereby waive written notice that employment information is being provided by any person or organization.

By signing below I acknowledge that I have read, understood and agree to the above statement.