1
Cattle Bank & Trust
Employment Application
Applicant Information
Full Name:
Date:
Last
First
M.I.
Address:
Street Address
Apartment/Unit #
State
ZIP Code
Home Phone:
Cell Phone:
Email Address:
Position Applied for:
Date Available:
How did you find out about this job?
Are you a citizen of the United States?
YES
NO
If no, are you authorized to work in the U.S.?
YES
NO
Previously Employed by the Bank?
YES
NO
If yes, when?
Have you ever pleaded guilty, no contest or been convicted of a felony?
YES
NO
If yes, explain:
Answering “yes” to the previous question does not constitute an automatic rejection for employment. Date of the offense, seriousness and
nature of the violation, rehabilitation and position applied for will be considered.
Education
High School:
Address:
From:
To:
Did you graduate?
YES
NO
College:
Address:
From:
To:
Did you graduate?
YES
NO
Degree:
Vocational or Other Training:
Address:
From:
To:
Did you graduate?
YES
NO
Degree:
References
Please list three professional references.
Full Name:
Relationship:
Address:
Phone:
Full Name:
Relationship:
Address:
Phone:
Full Name:
Relationship:
Address:
Phone:
2
Previous Employment
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
$
Ending Salary:
$
Responsibilities:
From:
To:
Reason for Leaving:
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
$
Ending Salary:
$
Responsibilities:
From:
To:
Reason for Leaving:
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
$
Ending Salary:
$
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous supervisor(s) for a reference?
YES
NO
Disclaimer and Signature
I certify that all the information submitted by me on this application is true and complete, and I
understand that if any false information, omissions, or misrepresentations are discovered, my
application may be rejected, and if I am employed, my employment may be terminated at anytime.
I expressly authorize, without reservation, the employer, its representatives, employees or agents to
contact and obtain information from all references (personal and professional), employers, public
agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all
information provided by me in this application, resume` or job interview. I hereby waive any and all
rights and claims I may have regarding the employer, its agents, employees or representatives, for
seeking, gathering and using truthful and no defamatory information, in a lawful manner, in the
employment process and all other persons, corporations or organizations for furnishing such
information about me.
In consideration of my employment, I agree to conform to the company’s rules and regulations, and I
understand that these rules and/or the employee manual do not form a contract of employment, either
expressed or implied. I also understand that my employment and compensation can be terminated or
changed, with or without cause and with or without notice, at anytime at either my or the bank’s option.
I understand that no bank representative, other than its president, and then only when in writing and
signed by the president, has any authority to enter into any agreement for employment for any specific
period of time, or to make any agreement contrary to the foregoing.
Signature:
Date:
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