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An Equal Opportunity Employer

It is the policy of First National Bank to afford equal employment opportunities to employ and to advance in employment regardless of a person's age, race, religion, color, national origin, sex, marital status, height, weight, disability, protected veteran status or other protected characteristic. Reasonable accommodation is provided to qualified employees/applicants with disabilities in compliance with state and federal law. Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate form, using a sign language interpreter, or using specialized equipment. If you need a reasonable accommodation in order to complete this application form or any pre-employment tests that may be given, you may voluntarily notify the Human Resources Department.

 

Instructions

The careful completion of this application is an essential step in our consideration of you for employment. You must complete the entire application. Please do not state "See Resume" as a substitute for completing any section of this application. Before you complete and sign this application, please ask the Human Resources Department any questions that you may have.


*Indicates required field. 


Initial Contact Information
Initial Contact Date
Position for which you are applying
Are you applying for full-time or part-time employment?
Are you seeking seasonal work only?
Have you ever applied at First National Bank before?
Will you relocate if job requires it?
Will you work overtime if required?
Are you related to or know anyone who currently works at First National Bank?
Are you presently employed?
Are you subject to recall at another job?
Referral Source (choose the item(s) and name the specific source):
Education History
High School
High School Graduate?
College
College Graduate?
Other
Other School Graduate?
Miscellaneous Information
Are you at least 18 years old?
Can you prove that you have current unrestricted authorization to work in the U.S.?
Have you ever been convicted of a crime, other than a traffic violation or have you agreed to enter into a pretrial program in connection with a prosecution for such offense? Do not answer "yes" for any conviction for which the record has been judicially ordered sealed, expunged, or statutorily eradicated.
Do you plan to continue it if employed by us?
Are you a party to any non-competition, non-solicitation, or other agreement which could restrict your potential activities or employment with us?
Skills & Qualifications
Computer Skills (check the appropriate boxes and include software title and years of experience):
Word Processing:
Email:
Spreadsheet:
Internet:
Presentation:
Other:
Business/Work References
Provide a minimum of 3 business/work references who are not relatives, including names, addresses, occupation, relationship, years known and telephone numbers:
Employment History
List below past and present employment, starting with most recent. Include employment with U.S. military service. Do not skip any employers. 
If you would like to submit a resume in addition to completing the online job application, please submit your resume in one of the following ways: 

Employer
Dates Employed:
to
Employer
Dates Employed:
to
Employer
Dates Employed:
to
If not addressed earlier, have you ever been fired or asked to resign from a job?
Applicant Statement

AFFIRMATION. I affirm that the information provided on this application and otherwise provided during the selection process (and accompanying resume, if any) is true and complete. I also agree that any false information, misrepresentations, or omissions may disqualify me from further consideration for employment and may result in termination of my employment if discovered at a later date.

CRIMINAL HISTORY. In addition, I understand that First National Bank may request a criminal history pertaining to me. If such a check will be required, I understand that I will be provided with additional notices and information about that process and my rights.

I voluntarily give First National Bank the right to make a thorough investigation of my past employment, education, training and references, and any licenses or other information I have provided in support of this application. I agree to cooperate in such investigations. I hereby indemnify, release and forever discharge and hold First National Bank, its agents and all persons, companies, or corporations, supplying this information harmless from any and all claims, demands, judgments, and legal fees arising out of or in connection with this investigation, the results, or any lawful use of the results or disclosure thereto.

I understand that this employment application and any other company documents are not contracts of employment and that any individual who is hired can voluntarily leave employment at will and, further, that employment can be terminated by First National Bank at any time with or without cause. Any oral or written statements to the contrary are hereby expressly disavowed and should not be relied upon by any prospective or existing employee.

I certify that if employed, I will produce documents to establish that I am able to work in the United States of America within the required legal limits, typically three (3) business days, and understand that in accordance with the Immigration Reform and Control Act that I will be required to provide timely documentation of identity and employment eligibility.

As an Equal Opportunity / Affirmative Action Employer, First National Bank will not discriminate in its employment practices due to an applicant's race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, age, national origin, marital status, citizenship, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status; a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to obtain information from all references (personal and professional), employers, public agencies, (criminal background reports) licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non­ defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I have carefully read and understand this authorization form and I have read and understand the "Summary of Your Rights Under the Fair Credit Reporting Act" provided with this form. By my signature below, I consent to the release of consumer and/or investigative consumer reports, including my credit report, to First National Bank.
I understand that, to the extent allowed by law, information contained in my job application or otherwise disclosed to First National Bank by me may be utilized for the purpose of obtaining such consumer reports and/or investigative consumer reports about me for employment related purposes.
I understand that First National Bank may request a consumer report and/or an investigative consumer report about me, to the extent allowed by law, for employment related purposes relating to First National Bank's hiring decision. I hereby authorize First National Bank to obtain consumer reports about me as set forth herein for the purpose of qualifying me for employment, and I release First National Bank from any claim or liability related to obtaining such reports.

BY CHOOSING "ACCEPT AND SIGN" BELOW, I AM AFFIRMING AND ACCEPTING ALL OF THE ABOVE APPLICANT STATEMENT PROVISIONS AND AM ELECTRONICALLY SIGNING MY EMPLOYMENT APPLICATION. I UNDERSTAND MY ELECTRONIC SIGNATURE IS AS BINDING AS MY HANDWRITTEN SIGNATURE. I HAVE CAREFULLY READ AND UNDERSTAND ALL PROVISIONS OF MY EMPLOYMENT APPLICATION INCLUDING EACH PARAGRAPH OF THE APPLICANT STATEMENT.

 

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