Member FDIC | Equal Housing Lender

Privacy & Security

Employment Application
Submitter Information (Required)
First Name
(required)
Last Name
(required)
Resolve the errors marked in red before submitting again.

Privacy Policy:
Our privacy policy protects the privacy of your personally-identifying information that you provide us online.

Security Notice:
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Instructions:
1. Review or print this application and gather the information you'll need.
2. Complete application on-line and click "Submit Application" or print fax it to 325-942-7017
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Texas State Bank provides equal employment opportunity without regard to race, color, religion, sex, age, national origin, marital status or physical or mental disability. Consistent with the Americans With Disabilities Act, applicants may request reasonable accommodations needed to participate in the application process.

Personal Information
Application Date
First NameMiddle InitialLast Name

 
Social Security No.Home PhoneYour E-mail Address

 
Address Information
Are you 18 years of age or older?
If not, do you have a valid work permit?
Employment Desired
PositionDate you can startWage/Salary Desired

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

 
Were you offered a Position?
Have you been employed with us before?
Can you travel if a job requires it?
Are you available to work full time?
Are you available to work part time?
Education
High School
NameLocation

 
Years Completed
Graduated
Subjects Studied
College
NameLocation

 
Years Completed
Graduated
Subjects Studied
Business, Trade, or Correspondence School
NameLocation

 
Years Completed
Graduated
Subjects Studied
Other Study or Research
Please list skills or knowledge relative to your ability to perform the functions of the position, such as computer experience, etc.

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

Employment
Employer 1
Name
Address
Start Date
End Date
Position
Ending Salary/Wage
Reason For Leaving
Supervisor
Telephone
Employer 2
Name
Address
Start Date
End Date
Position
Ending Salary/Wage
Reason For Leaving
Supervisor
Telephone
Employer 3
Name
Address
Start Date
End Date
Position
Ending Salary/Wage
Reason For Leaving
Supervisor
Telephone
Reference 1
Name
Phone No.
Business Name
Position or Occupation
Reference 2
Name
Phone No.
Business Name
Position or Occupation
Reference 3
Name
Phone No.
Business Name
Position or Occupation
Do you have the legal right to work in the U.S.?
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?
Please provide a detailed explanation of all prior disciplinary problems/actions.
AUTHORIZATION

I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge.

I understand that if Texas State Bank hires me, I will be required to attest to my identity and employment eligibility, and to present documents confirming my identity and employment eligibility. I understand that I cannot be hired if I cannot comply with these requirements.

I understand that any employment is conditioned on a background check. I authorize Texas State Bank to thoroughly investigate all statements contained in my application or resume. Furthermore, I authorize my former employers and references to disclose information regarding my former employment, character, and general reputation to Texas State Bank, without giving me prior notice of such disclosure. In addition, I release Texas State Bank, any former employers, and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.

I understand and agree that nothing contained in this application, or conveyed during my interview, is intended to create an employment contract. I further understand and agree that if I am hired, my employment will be "at will" and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of either myself or Texas State Bank.

I confirm that no promise regarding employment has been made to me and I understand that no such promise or commitment will be binding on Texas State Bank unless it is in writing and signed by an officer of Texas State Bank.

If you decide to engage an investigative consumer reporting agency to report on my credit and personal history, I authorize you to do so.

I understand that filling out this form does not indicate there is a position open and does not obligate Texas State Bank to hire me. If hired, I agree to abide by all company work rules, policies and procedures. Texas State Bank retains the right to revise its policies or procedures, in whole or in part, at any time.

 

(required)
Applicant Data Form Pre and Post Offer

Texas State Bank is subject to Executive Order 11246, which requires government contractors to ensure nondiscrimination and take affirmative action in employment to employ and advance qualified individuals without regard to sex, gender identity, sexual orientation, race, color, religious creed, and national origin.  As a government contractor, we are required to report certain data regarding our applicants and employees to the government.

In order to comply with these requirements, we are required to ask you if you want to provide information regarding your gender, race, and ethnicity.  In answering the questions regarding your race/ethnicity, please use the race/ethnicity definitions established by the federal government listed below.  Submission of this information is voluntary, and failure to provide it will not subject you to any adverse treatment.  The information provided will be maintained confidentially and used only in ways that are consistent with applicable law. 

Your cooperation is appreciated.

Position(s) Applied For
How did you learn of this vacancy?
Indicate Gender
Indicate Ethnic Group
Indicate Your Race

Ethnicity and Race Categories

Descriptions

Hispanic or Latino

A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.

White (Not Hispanic or Latino)

A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.)

Black or African-American

(Not Hispanic or Latino)

A person having origins in any of the black racial groups of Africa.

Asian

(Not Hispanic or Latino)

A person with origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)

A person having origins in any of the people of Hawaii, Guam, Samoa, or other Pacific Islands.

American Indian or Alaskan Native (Not Hispanic or Latino)

A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.

Two or More Races

(Not Hispanic or Latino)

All persons who identify with more than one of the above five races.

 

Texas Bank is an equal opportunity corporation and does not discriminate on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected Veteran status, or any other characteristic protected by law with regard to any employment practices, including recruitment, advertising, job application procedures, hiring, and/or other terms, conditions, or privileges of employment, provided the individual is qualified, with or without reasonable accommodations, to perform the essential functions of the job.  Individuals who may have inquiries regarding the Company’s policy and procedures should contact Cindy Ringer, Senior Vice President at 325-949-3721.

Protected Veteran Status

Voluntary Self-Identification of “Protected” Veteran Status

Why Are You Being Asked to Complete This Form?

This employer is a Government contractor 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). VEVRAA requires Government contractors to take affirmative action to employ and advance in employment protected veterans. To help us measure the effectiveness of our outreach and recruitment efforts of veterans, we are asking you to tell us if you are a veteran covered by VEVRAA. Completing this form is completely voluntary, but we hope you fill it out. Any answer you give will be kept private and will not be used against you in any way.

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.

How Do You Know if You Are a Veteran Protected by VEVRAA?

Contrary to the name, VEVRAA does not just cover Vietnam Era veterans. It covers several categories of veterans from World War II, the Korean conflict, the Vietnam era, and the Persian Gulf War which is defined as occurring from August 2, 1990 to the present.

What Categories of Veterans Are “Protected” by VEVRAA?

“Protected” veterans include the following categories: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. These categories are defined below.

  1. 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.
  2. 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.

  3. 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.

  4. 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.

 

If you believe you belong to any of the categories of protected veterans please indicate by checking the appropriate box below. 
Your Name
Today's Date

Reasonable Accommodation Needs: If you need any reasonable accommodations to complete this Application Form or other elements of the application process, please let us know. We will attempt to assist you in applying for a job with our company. 

Employment-At-Will: I understand and agree that my employment will be at will and may be terminated by me or the Employer at any time for any cause or no cause. I understand and agree that all benefits, programs, rules and policies of the Employer are subject to exceptions or change at will at any time as decided by the Employer.  Also, it is understood that your completing this application does not guarantee you a job with the company. 

Confidentiality and Trade Secrets: I agree that except at the request and for the benefit of the Employer, I will not disclose to anyone or use for my own purposes any of the Employer's confidential or proprietary information, either during or after my employment. I understand and agree that the Employer's trade secrets, bidding, costs, pricing and marketing information and techniques, designs, methods of engineering and production, financial and market information, computer software, sources of supply, customer names and information and employee names and information are confidential and proprietary information of the Employer; I also agree that I will not make written or other copies of notes regarding these matters except as necessary to perform my job, and I agree that if my employment with the Employer ends, I will deliver to the Employer all material of any kind that I have relating to the Employer, including any such copies or notes. I also agree that I will disclose and assign to the Employer any invention, design or process which I conceive or develop while employed by the Employer relating to the Employer's business or to any product or service offered or being developed by the Employer, and that all such designs or conceptions shall be the property of the Employer. 

Searches and Inspections: I agree that Texas State Bank, and subsidiaries may conduct reasonable inspections of any lockers, desks, hardware, software or other Employer property I may be using, and of any of my own property I bring onto the Employer's premises (Including vehicles, packages and purses) at any time, and I waive and promise not to make any claims against the Employer (or its employees, directors, owners or agents) relating to such inspection.  

 

Truth/Accuracy/Completeness: I certify that the facts contained in this application are true and complete. I understand that any false statement(s) in this application shall be the basis for my rejection or dismissal from employment.  Resumes will not be accepted in lieu of a completed Application Form.

This application is to be completed in its entirety.  That means that there will be NO BLANK SPACES.  If a question or section does not apply to you or the job you are applying for, then write in the area/section “not applicable” or “N/A” so that we will understand your answer. If you leave any spaces/sections blank the application will be incomplete and invalid.  We do not accept incomplete applications.  

Authorization and Waiver: The State of Texas allows an employer to obtain information about a person’s “job performance.”  "Job performance" means the manner in which an employee performs a position of employment and includes an analysis of the employee's attendance at work, attitudes, effort, knowledge, behaviors, and skills.

I authorize and request my former employers, references, educational institutions, and any credit agencies or reporting services which have information about me, to give the Company and subsidiaries any and all information and opinions about me in their possession and which may lawfully be disclosed.

I hereby waive written notice of such release of information and opinions, and I release such former employers, references, educational institutions, and credit agencies or reporting services from any liability or claim relating to such release of information and opinions. I also authorize and request federal, state, and local governmental agencies to release to subsidiaries any information requested concerning any criminal convictions on my record. A photocopy of this signed authorization and waiver shall be valid as an original.

If given a bona fide qualified-conditional job offer, I also authorize the Company to seek, if they desire, medical and health background information on me that could be pertinent to the job(s) I am interested in.

I understand that an offer of employment and continued employment with the Company is contingent upon my furnishing satisfactory proof of my authorization to work in the United States.

Also, I understand the Company has/may adopt a Binding Arbitration Agreement to resolve any disputes concerning complaints I have about my employment or terms of my employment.  I agree to abide by the Company’s Binding Arbitration Agreement and waive my right to trial to resolve these issues.  I understand that having a job with the Company is consideration for agreeing to this.  In addition, the Binding Arbitration Agreement will be for my benefit and the Company’s since it will save us both time and money to resolve issues.  

 

Drug Testing and Physical Examinations: I hereby give my consent to Texas State Bank and its agents or independent contractors, to perform appropriate tests or examinations on me for alcohol, illegal drugs, and/or other pre-employment tests, including a pre-employment physical examination, with the results of these tests or examinations to be released Texas State Bank  for whatever use it deems fair and appropriate under the circumstances.  

 

Monitoring Activity: I understand the Company may monitor certain employee activity. Particularly communications and the use of communication devices. Use of such communication devices as these may be monitored: telephones, fax machines, computers, e-mails, web pages, cell phones and pagers.  

 

Equal Employment Opportunity Employer: We believe firmly in providing equal employment opportunities to those who apply for a job with us.  We will not discriminate in recruitment, processing applications, interviews, hiring, promotions.  We will not discriminate on the basis of: race, color, sex, gender, age, religion, national origin, ancestry, marital status, veteran status, parenthood, or physical and mental disability disclosed to us (with or without reasonable accommodation). 

 

Agreement