FNB Employment Application – First National Bank of McConnelsville

Job Application

We consider applications for all positions without regard to race, color, religion, creed, sex (including pregnancy, sexual orientation and gender identity), national origin, age, disability, citizenship status, genetic information or any other legally protected status.

Position(s) Applied For

Date of Application

How Did You Find Us?

First Name

Middle Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Telephone

Social Security Number (voluntarily)

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Yes

Have you ever filed an application with us before?

Yes

If yes, please give date:

Have you ever been employed with us before?

Yes

If yes, please give date:

Do any of your friends or relatives, other than spouse, work here?

Yes

Are you currently employed?

Yes

May we contact your present employer?

Yes

Are you lawfully authorized to work in the United States?

Yes

Date available for work?

What is your desired salary range?

Are you available to work:

Full-Time

Part-Time

Temporary

Name of School:

Course of Study:

Number of years completed:

Address of School:

Diploma Degree:

Yes

Describe any specialized training, apprenticeship, skills and extra-curricular activities:

Describe job-related training received in the United States military:

Employment Experience

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, creed, sex (including pregnancy, sexual orientation and gender identity), national origin, age, disability, citizenship status, genetic information or any other legally protected status.

1.) Employer

Date Started

Date Ended

Job Title

Address

Telephone Number

Work Performed

Supervisor

Reason for Leaving

2.) Employer

Date Started

Date Ended

Job Title

Address

Telephone Number

Work Performed

Supervisor

Reason for Leaving

3.) Employer

Date Started

Date Ended

Job Title

Address

Telephone Number

Work Performed

Supervisor

Reason for Leaving

4.) Employer

Date Started

Date Ended

Job Title

Address

Telephone Number

Work Performed

Supervisor

Reason for Leaving

List professional, trade, business or civic activities and offices held.

You may exclude membership which would reveal sex (including pregnancy, sexual orientation and gender identity), race, color, citizenship status and genetic information, religion, national origin, age, creed, disability or other protected status:

Additional Information

Other Qualifications

Summarize special job-related skills and qualifications acquired from employment or other experience

Note to Applicants:

DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN
INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.

Can you perform the essential functions of the job, for which you are applying, either with or without a reasonable accommodation?

Yes

References

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Telephone Number

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Telephone Number

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Telephone Number

Applicant's Statement

I certify that answers given herein are true and complete.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

Signature of Applicant

Date