Member FDIC | Equal Housing Lender
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First Name | Middle Initial | Last Name | |
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Primary Phone | Your E-mail Address | |
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Position | Date available to start | Wage/Salary Desired | |
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If yes, where? | When? | |
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Name | Location | |
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Name | Location | |
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Name | Location | |
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List your last four employers, starting with the most recent first.
I AUTHORIZE any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education, or any other information they may have with regard to any of the subjects covered by this application, and I release such parties from all liability from any damages which may result from furnishing such information to you.
I CERTIFY that the above answers are true and complete to the best of my knowledge. I authorize R Bank, to investigate any statement contained in this application, as necessary to determine my qualifications. I understand that this application is not and is not intended to be any kind of contract or agreement. In the event of employment, I understand that any false or misleading information given in my application, correspondence, discussions or interview may result in refusal to hire or immediate termination if hired. I understand also, that I am required to abide by all rules, regulations, and policies of R Bank.
R Bank is subject to Executive Order 11246 and to the Vietnam Era Veterans’ Readjustment Assistance Act of 1974 (VEVRAA). It is the policy of R Bank to provide equal employment opportunity to all qualified applicants for employment without regard to race, color, religion, national origin, sex, age, veteran status or disability. Various agencies of the government require employers to invite applicants to identify themselves, as indicated below, in order to comply with government reporting requirements and in order to ensure equal employment opportunity.
COMPLETION OF THIS FORM IS VOLUNTARY AND IN NO WAY AFFECTS THE DECISION REGARDING YOUR EMPLOYMENT APPLICATION. THIS FORM IS CONFIDENTIAL AND WILL BE MAINTAINED SEPARATELY FROM YOUR APPLICATION FORM.
• Disabled Veteran – a veteran of the U.S. military, ground, naval, or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service – connected disability.
• Recently Separated Veteran – a veteran during the three-year period beginning on the date of discharge or release from active duty in the U.S. military, ground, naval, or air service.
• Active Duty Wartime or Campaign Badge Veteran – a veteran who served on active duty in the U.S. military, ground, naval, or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
• Armed Forces Service Medal Veteran – a veteran who, while serving on active duty in the U.S. military, ground, naval, or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.