First National Bank Application for Employment

THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR 30 DAYS. IF YOU HAVE NOT BEEN EMPLOYED WITHIN 30 DAYS, YOU MUST RE-APPLY IN PERSON OR YOU WILL NOT BE CONSIDERED FOR EMPLOYMENT.

Full Name *

First Name Middle Name Last Name

Position *

Customer Service / Teller (Wynne)

Social Security Number *

Current Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

Area Code Phone Number

Alternate Phone Number

Area Code Phone Number

Email Address

Date of Application *

Are you capable of performing the duties and responsibilities of the position for which you have applied in a reasonable and safe manner *

Yes No

Excessive absenteeism may be grounds for termination. Absences of six (6) days during one year may be considered excessive, depending upon the reason(s) for the absence. Can you meet these standards?

Yes No

Are you related to any current employee of this Bank? If yes, please provide the employee's name. *

Yes No

Family Members Name

Are you legally permitted to work in the United States? Employment will be contingent upon providing proof of citizenship or work authorization. *

Yes No

Do you consistently have reliable transportation to and from work? *

Yes No

Are you over the age of eighteen (18)? *

Yes No

Have you ever worked for First National Bank or any of its branches before? *

Yes No

If yes, list dates and locations:

Have you ever been convicted of a misdemeanor or felony (including but not limited to robbery, embezzlement, forgery, "hot checks", perjury, tax evasion, etc)? *

Yes No

Details of Offense

Have you been known by any other name(s) that we may require to verify your education and employment records furnished in this application? *

Yes No

List of any Aliases or Maiden Names

How did you learn about the position for which you are applying? *

Start date

Month Day Year Date Picker Icon

*

	Name of School	City & State	Major/Degree	Graduate
High School
College
College
Trade/Vo Tech
Business/Other

Describe any specialized training, apprenticeship, skills and extra-curricular activities:

List any scholarships, academic honors or special achievements:

If you have had previous experience in a bank, list bank related courses such as AIB and banking schools that you have successfully completed:

Indicate any office skills you have acquired through training or experience:

List your last four employers starting with current or most recent, include self-employment, military service and part-time jobs. You may also include job-related volunteer activities.

1. Present or Last Employer *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

From: Mo/Yr *

To: Mo/Yr *

Supervisor Name *

Choose One: *

Full-Time Part-Time Temporary

Last Hourly Rate/Salary *

Job Title *

Reason for Leaving *

Description of Duties: *

2. Present or Last Employer

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

From: Mo/Yr

To: Mo/Yr

Supervisor Name

Choose One:

Full-Time Part-Time Temporary

Last Hourly Rate/Salary

Job Title

Reason for Leaving

Description of Duties:

2. Present or Last Employer

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

From: Mo/Yr

To: Mo/Yr

Supervisor Name

Choose One:

Full-Time Part-Time Temporary

Last Hourly Rate/Salary

Job Title

Reason for Leaving

Description of Duties:

3. Present or Last Employer

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

From: Mo/Yr

To: Mo/Yr

Supervisor Name

Choose One:

Full-Time Part-Time Temporary

Last Hourly Rate/Salary

Job Title

Reason for Leaving

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Description of Duties:

4. Present or Last Employer

From: Mo/Yr

To: Mo/Yr

Supervisor Name

Choose One:

Full-Time Part-Time Temporary

Last Hourly Rate/Salary

Job Title

Reason for Leaving

Description of Duties:

Have you ever been asked to leave a job? If yes, explain: *

Branch of Service

Rank:

Period of Duty:

Date of Discharge

Month Day Year Date Picker Icon

Describe your duties and training:

You may exclude memberships which would reveal sex, race, religion, national origin, age, ancestry, disability or other protected status:

Summarize other special skills and qualifications relating to the position for which you are applying:

Full Name *

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

Area Code Phone Number

Full Name *

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

Area Code Phone Number

Full Name

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

Area Code Phone Number

Upload Resume

IN CONNECTION WITH YOUR APPLICATION FOR EMPLOYMENT, YOU MAY BE REQUIRED TO UNDERGO WRITTEN PRE-EMPLOYMENT TESTING. IF YOU ARE ASKED TO TAKE SUCH A TEST AND WOULD LIKE AN ACCOMMODATION IN THIS TESTING PROCESS BECAUSE OF A DISABILITY, PLEASE NOTIFY THE INTERVIEWER AT THE TIME YOU ARE INFORMED THAT A TEST IS REQUIRED.

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY, THEN DATE AND SIGN IN THE SPACE INDICATED BELOW. If you are unable to sign from your smartphone, please print and sign and return application to First National Bank of Wynne (528 E. Merriman Avenue, Wynne, AR 72396). If you have any questions concerning these statements, please ask the interviewer before signing this application.

I certify that all the information I have provided on this application is true and complete to the best of my knowledge. I understand that omitting requested information or giving false information on my application, in my interview(s), or in the process of my pre-employment evaluation may result in rejection of my application or termination, if I am hired.

I authorize investigation of all statements in this application as may be necessary in arriving at an employment decision, including criminal, financial or credit records, through any investigators or credit bureaus/agencies of the Bank's choice. I authroize the companies, educational institutions, or individuals named to provide any information regarding my employment and background, and I release them from all liability resulting from disclosing such information.

I understand the appointments to Bank positions are to be for an initial trial period of three months. If at the end of that time, or sooner, it is the opinion of the Bank that I am not adapted to Bank work, my employment may be terminated without further reason or prejudice to my reputation. I understand that if employed, I will be required to abide by all Bank policies, standards and regulations.

I understand that, as a condition of employment, I may be required to undergo a post-offer pre-employment medical examination. I also understand and agree that, if employed, I may be required to undergo a medical examination at any time at the discretion of the Bank. In connection with any such examination, I agree to provide the Bank's examining physician with access to my medical records as required.

I understand that this application does not represent an offer of, or contract for, employment. I understand that employment with this Bank is "at will" and that no guarantee of employment exists. If employed, I may terminate employment at any time for any reason, and the Bank may terminate my employment at any time, for any reason.

Date *

Month Day Year Date Picker Icon

Signature *

Clear

TO: ALL APPLICANTS FOR EMPLOYMENT

PLEASE READ CAREFULLY BEFORE SIGNING BELOW

In processing my application for employment, I understand that The First National Bank of Wynne may obtain or have prepared a consumer or investigative consumer report of employment purposes, concerning my prior employment, military record, education, credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, criminal background record, or mode of living.

I understand that upon written request to The First National Bank of Wynne, I will be informed whether an investigative consumer report was requested, and given full information as to the nature and scope of this investigation. (I understand that an investigative consumer report is a report in which information concerning my character, general reputation, personal characteristics, or mode of living, is obtained through personal interviews with neighbors, friends, or associates with whom I am acquainted.)

By signing below, I am authorizing the First National Bank of Wynne to obtain a consumer or investigative consumer report on me as part of the Bank's pre-employment background screening process. If I am offered empployment by the First National Bank of Wynne, I further authorize the company to obtain additional consumer or investigative consumer reports on me for employment purposes at any time during my employment.

By my signature below, I also acknowledge that The First National Bank of Wynne has provided me with a summary of my rights under the federal Fair Credit Reporting Act. *See form "A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING" loacted at www.fnbwynneonline.com/home/disclosures/pow/pow12

Date *

Month Day Year Date Picker Icon

Signature *

Clear

First National Bank of Wynne- Application for Employment

Education

Office Skills

Employment Record

Military Service

Civic / Professional / Trade Association Memberships / Activities

References

Fair Credit Reporting Act: Disclosure and Authorization Statement

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