Employment Application/background Check Disclosure And Authorization Form/etc.
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5EMPLOYMENT APPLICATION
PERSONAL
PLEASE PRINT:
Last Name:
First Name
Middle Name:
Date:
Street Address:
City/Zip Code:
State:
County:
Social Security #
Primary Phone Number:
Alternate Phone Number:
E-Mail Address:
(
)
(
)
Position Applied for:
Expected Salary:
Date Available for Employment:
How were you referred to Bandera First State Bank?
Days of week available to work:
Hrs. Available?
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Agency
Direct Contact
Ad
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□
Yes
No
Have you ever applied, or been employed by Texas Hill Country Bank?
If yes, When?
Position Held:
Are you 18 years or older?
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Yes
No
Are you eligible for
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PROOF OF U.S. CITIZENSHIP/IMMIGRATION STATUS WILL BE REQUIRED UPON
No
Yes
EMPLOYMENT.
employment in the U.S.?
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□
Yes
No
Have you ever been convicted of a felony?
Date of Offense:
If yes, what was the nature and disposition of offense?
EDUCATION HISTORY
Type of
School Name/Location:
Number of
Diploma/Degree/Certificate
Field of Study:
School
City/State
Years
Granted:
Completed:
High
School
College
Other
Additional
Education
******* Special Honors/Memberships/Scholarships/Qualifications.*******
Employment Application 01/2012
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Parent category: Business