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R Bank | Employment Application
Submitter Information (Required)
First Name
(required)
Last Name
(required)
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Personal Information
Application Date (required)
How Did You Find Us?
First NameMiddle InitialLast Name

 
Primary PhoneYour E-mail Address

 
Address Information (required)
Are you 16 years of age or older? (required)
Employment Desired
PositionDate available to startWage/Salary Desired

 
Are you currently employed? (required)
May we contact your present employer? (required)
If no, explain
Have you ever applied with us before? (required)
If yes, where?When?

 
Were you offered a Position?
Education
High School
NameLocation

 
Years Completed (required)
Graduated
College-If no, enter "N/A"
NameLocation

 
Years Completed
Graduated (required)
Degree (required)
Business, Trade, or Correspondence School-If none, enter "N/A"
NameLocation

 
Years Completed (required)
Graduaated
Degree or Certificate
Other Study or Research
Job-related skills typing, etc., (required)

List your last four employers, starting with the most recent first.

Employment
Employer 1
Name (required)
Address
City & State (required)
Phone Number (required)
Start Date (required)
End Date (required)
Position (required)
Ending Salary/Wage (required)
Reason For Leaving (required)
Employer 2
Name (required)
Phone Number (required)
Address
City & State (required)
Start Date (required)
End Date (required)
Position (required)
Ending Salary/Wage (required)
Reason For Leaving (required)
Employer 3
Name (required)
Phone Number (required)
Address
City & State (required)
Start Date (required)
End Date (required)
Position (required)
Ending Salary/Wage (required)
Reason For Leaving (required)
Professional Reference 1
Name (required)
Phone No. (required)
Company (required)
Relationship (required)
Professional Reference 2
Name (required)
Phone No. (required)
Company (required)
Relationship (required)
Professional Reference 3
Name (required)
Phone No. (required)
Company (required)
Relationship (required)
Do you have the legal right to work in the U.S.? (required)
If hired, it will be necessary for you to promptly submit documentation of your identity and right to work in the U.S. List any days or hours when you are not available to work
Have you ever been convicted of a crime?
Note that a criminal record will not necessarily prevent employment. We will consider the nature of the event and relevant circumstances. If yes, describe the facts and circumstances and give the dates and locations.
Have you ever been discharged or asked to resign from a position? (required)
Please provide a detailed explanation of all prior disciplinary problems/actions.
AUTHORIZATION

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.

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Resume (required)
 
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