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Equity Bank Application
 
Applicant Name:
Date:
Telephone Number:
 
E-mail Address:
E-Mail Address:
Type of employment desired:


Date you will be available to start work:
Referral Source:



Have you submitted an application here before?
If yes, give date(s) and position(s):
Have you ever been employed here before?
If yes, please provide dates:
Can you sbmit proof of legal employment authorization and identity?
Will you relocate if the job requires it?
Will you travel if the job requires it?
If they have been explainted to you, are you able to meet the attendance requirements of the position?
Will you work overtime if required?
If no, please explain:
Drivers license number (if driving is an essential job duty):
Have you ever been bonded?
Answering "yes" to the following question does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.
Have you ever pled "guilty" or "no contest" to, or been convicted of a criminal offense?
Comments:
Were you ever discharged or forced to resign from any position?
Employment History
May we contact for reference?
Please provide the name of the employer, address, telephone number, immediate supervisor and title, dates of employment, starting and ending compensation, a summary of the type of work performed and responsibilities and reason for leaving.
Employer 1:
Employer 2:
Employer 3:
Employer 4:
Skills and Qualifications:
Summarize any special training, skills, licenses and/or certifcates that may assist you in performing the position for which you are applying.
Computer Skills (Please include software titles and years of experience)
Word Processing:
Spreadsheets:
Presentations:
E-Mail:
Internet:
Other Computer Skills or Software:
Educational History
Starting with your most recent school attended, please provide the name of the school (including city & state), years completed, Certifications, GPA and the major and minor.
High School:
College:
Graduate School:
Other School or Training:
References
List 3 references names, telephone numbers, and years known (include only individuals familiar with your work ability. Do not include relatives or names of supervisors listed above in the employment history).
Reference 1:
Reference 2:
Reference 3:
Related Information
To what job-related organizations (professional, trade, etc.) do you belong? Please exclude memberships that would reveal race, color, religion, sex, national origin, citizenship, age, mental or physical disabilities or any other protected status.
List special accomplishments, publications, awards, etc. Please exclude memberships that would reveal race, color, religion, sex, national origin, citizenship, age, mental or physical disabilities or any other protected status.
In your current or prior job, have you ever written instructions or directions to be followed by employees or customers?
If yes, please explain:
Is there any other job-related information you want us to know about you?
Applicant Signature
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