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Oregon Pacific Bank Online Employment Application
Submitter Information (Required)
First Name (required)
Last Name (required)
File Upload Form. Follow these instructions to upload files.

  1. Click to select a file for upload. For large files, this process may take a couple of minutes.

  2. If you accidentally select the wrong file, click the red "DELETE FILE" next to its name to remove it.

  3. Your files will be attached to this form when submitting.

  4. Allowed File Types: JPG, JPEG, GIF, PDF, PNG, SVG, TIF, TIFF, TXT, Office Docs (Word, Excel, PowerPoint).

Resolve the errors marked in red before submitting again.

Please complete our online employment application to be considered for any open positions. Oregon Pacific Bank does not accept unsolicited applications. Thank you!

Employment Application
Position applied for
Req #Position Title
(required) (required)
Date of applicationWhere did you learn about this position?
(required) (required)
Applicant Information
Physical Address (required)
Mailing Address if different than physical
Email AddressHome PhoneCell Phone

Have you ever filed an application with us before? (required)
Do any of your friends or relatives, other than spouse, work here? (required)
Are you currently employed? (required)
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? (required)
Proof of citizenship or immigration status will be required upon employment.
Date available for work (required)
What is your desired pay range?
Work day availability




Are you currently in “lay-off” status and subject to recall? (required)
Can you travel if the job requires it? (required)
At any time, have you been convicted of a felony that pertains to cash handling, check fraud, account embezzlement, or theft? (required)
Or, have you ever entered into a pretrial diversion program in connection with a prosecution of such offense? (required)
Formal Education History
Name of SchoolAddress of SchoolCourse of StudyYears CompletedDiploma Degree





Describe any specialized training, apprenticeship, job-related skills, and qualifications from employment or other experience
Employment History
Employer 1
Name of Employer
Job Title
Duties Performed
SupervisorContact Information


May we contact your supervisor?
Dates employed
Start dateEnd date


Reason For Leaving
Employer 2
Name of Employer
Job Title
Duties Performed
SupervisorContact Information


May we contact your supervisor?
Dates Employed
Start dateEnd date


Reason For Leaving
Employer 3
Name of Employer
Job Title
Duties Performed
SupervisorContact Information


May we contact your supervisor?
Dates Employed
Start dateEnd date


Reason For Leaving
Skills and Additional Experience
List skills in which you are proficient as relevant to this position
List professional, trade, business, or civic activities and offices held
Reference 1 Information
First NameLast NameContact InformationRelation




Reference 1 Address
Reference 2 Information
First NameLast NameContact InformationRelation




Reference 2 Address
Reference 3 Information
First NameLast NameContact InformationRelation




Reference 3 Address
Additional documentation
Cover Letter (required)
Upload your cover letter here
Resume (required)
Upload your current resume here

*A Resume and Cover Letter MUST accompany this application to be considered complete*

  • 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.
  • 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. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.
  • In the event of employment, I understand that material omissions or 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 regulation of the employer.
Equal Employment Opportunity

Oregon Pacific Bank is an equal opportunity employer and as such, we consider individuals for employment according to their abilities and performance. Employment decisions are made without regard to race, color, religion, national origin, disability, age, sex, genetics, marital status, status as a protected veteran, or any other classification protected by law. All employment requirements mandated by State and Federal regulations will be observed. Interviews are given on a competitive basis, using job-related factors, after a written application and resume have been received and reviewed. Because of the number of applications received, not everyone who applies for a vacant position will be interviewed. No application will be rejected as a result of a disability that, with reasonable accommodation, does not prevent performance of the essential job duties.

Oregon Pacific Bank is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, we invite employees to voluntarily self-identify their race or ethnicity.

Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions of the applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, this data will not identify any specific individual. These survey forms will be kept in a separate file and are not part of your personnel file.

Equal Employment Opportunity Self Identification
(required) (required)
Voluntary Self-Identification of Disability

Form CC-305
OMB Control Number 1250-0005
Expires 1/31/2020

Why are you being asked to complete this form?

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities.* To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.

If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.

Disabilities include, but are not limited to:
•    Blindness
•    Deafness
•    Cancer
•    Diabetes
•    Epilepsy
•    Autism
•    Cerebral palsy
•    Schizophrenia
•    Muscular dystrophy
•    Bipolar disorder
•    Major depression
•    Multiple sclerosis (MS)
•    Missing limbs or partially missing limbs
•    Post-traumatic stress disorder (PTSD)
•    Obsessive compulsive disorder
•    Impairments requiring the use of a wheelchair
•    Intellectual disability (previously called mental retardation)

Voluntary Self-Identification of Disability Questionnaire
(required) (required) (required)
Please check one of the following: (required)
Reasonable Accommodation Notice

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 format, using a sign language interpreter, or using specialized equipment.

*Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

Voluntary Self-Identification as a Protected Veteran

Why are you being asked to complete this form?

Because we do business with the government, we are subject to the Vietnam Era Veterans’ Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA), which requires Government contractors to take affirmative action to employ and advance in employment: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. These classifications are defined as follows:

  • A “disabled veteran” is one of the following:
    • 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
    • A “recently separated veteran” means any veteran during the three-year period beginning on the date of such veteran’s discharge or release from active duty in the U.S. military, ground, naval, or air service.
    •  An “active duty wartime or campaign badge veteran” means 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.
    •  An “Armed forces service medal veteran” means 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.
Protected Veteran Self-identification Form
Identify as a protected veteran listed above. (required)
If you believe you belong to any of the categories of protected veterans, please indicate by checking the appropriate box below. We request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA.
First NameLast NameDate
(required) (required) (required)
Position applied forJob Req #
(required) (required)