Employment Application

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Required fields in bold.

Personal Information

  • Social Security Number

    - -
    OK Social Security Number is required
  • OK Name ( Last, First, M.I. ) is required
  • OK Address 1 is required
  • Optional OK Address 2 is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • Home Phone

    - -
    Optional OK Home Phone is required
  • Cell Phone

    - -
    Optional OK Cell Phone is required
  • OK E-mail Address is required

Employment Desired

  • OK Job Title is required
  • OK Date Available to Start is required
  • OK Salary Desired is required
  • Per

    OK Per is required
  • Location(s) you would accept employment (check all that apply)

    OK Location(s) you would accept employment (check all that apply) is required
  • Available to work (check all that apply)

    OK Available to work (check all that apply) is required
  • Are you employed currently?

    OK Are you employed currently? is required
  • May we contact your present employer?

    OK May we contact your present employer? is required
  • Are you legally eligible for employment in the U.S.? (Proof of U.S. citizenship or immigration status will be required upon employment.)

    OK Are you legally eligible for employment in the U.S.? (Proof of U.S. citizenship or immigration status will be required upon employment.) is required
  • You must be at least 18 years of age or older at time of employment. Are you 18 years of age or older?

    OK You must be at least 18 years of age or older at time of employment. Are you 18 years of age or older? is required
  • Have you ever been convicted or pled Guilty or No Contest to a misdemeanor or felony offense? Include military service convictions. Do not include arrests that have not resulted in criminal conviction.

    OK Have you ever been convicted or pled Guilty or No Contest to a misdemeanor or felony offense? Include military service convictions. Do not include arrests that have not resulted in criminal conviction. is required
  • OK If yes, you may include an explanation is required

Education

    High School

  • OK Name and Location is required
  • Last Year Completed

    OK Last Year Completed is required
  • Graduated?

    OK Graduated? is required
  • If you did not graduate, have you completed your GED?

    OK If you did not graduate, have you completed your GED? is required
  • College or Technical School 1

  • OK Name and Location is required
  • OK Field of Study is required
  • OK Degree is required
  • Currently Enrolled?

    OK Currently Enrolled? is required
  • Last Year Completed

    OK Last Year Completed is required
  • Graduated?

    OK Graduated? is required
  • College or Technical School 2

  • OK Name and Location is required
  • OK Field of Study is required
  • OK Degree is required
  • Currently Enrolled?

    OK Currently Enrolled? is required
  • Last Year Completed

    OK Last Year Completed is required
  • Graduated?

    OK Graduated? is required
  • College or Technical School 3

  • OK Name and Location is required
  • OK Field of Study is required
  • OK Degree is required
  • Currently Enrolled?

    OK Currently Enrolled? is required
  • Last Year Completed

    OK Last Year Completed is required
  • Graduated?

    OK Graduated? is required

General Skills

  • OK Job-related skills (typing, software used, ten-key, driver's license, etc) is required
  • OK Languages spoken is required

Employment History

    List your four employers, starting with the current or most recent one first. (Additional employment may be included with your resume in the following section.)

    Employer 1

  • OK Company Name is required
  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
  • Start Date

    OK Start Date is required
  • End Date

    OK End Date is required
  • OK Position is required
  • OK Salary (upon leaving) is required
  • OK Hours worked per week is required
  • OK Reasons for Leaving is required
  • OK Job responsibilites is required
  • OK Supervisor is required
  • Supervisor's Phone

    - -
    OK Supervisor's Phone is required
  • Employer 2

  • OK Company Name is required
  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
  • Start Date

    OK Start Date is required
  • End Date

    OK End Date is required
  • OK Position is required
  • OK Salary (upon leaving) is required
  • OK Hours worked per week is required
  • OK Reasons for Leaving is required
  • OK Job responsibilites is required
  • OK Supervisor is required
  • Supervisor's Phone

    - -
    OK Supervisor's Phone is required
  • Employer 3

  • OK Company Name is required
  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
  • Start Date

    OK Start Date is required
  • End Date

    OK End Date is required
  • OK Position is required
  • OK Salary (upon leaving) is required
  • OK Hours worked per week is required
  • OK Reasons for Leaving is required
  • OK Job responsibilites is required
  • OK Supervisor is required
  • Supervisor's Phone

    - -
    OK Supervisor's Phone is required
  • Employer 4

  • OK Company Name is required
  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
  • Start Date

    OK Start Date is required
  • End Date

    OK End Date is required
  • OK Position is required
  • OK Salary (upon leaving) is required
  • OK Hours worked per week is required
  • OK Reasons for Leaving is required
  • OK New Paragraph is required
  • OK New Text is required
  • Phone

    - -
    OK Phone is required
  • I hereby give permission to contact the employer(s) listed above concerning my prior employment experience as indicated below:

  • Employer 1?

    OK Employer 1? is required
  • Employer 2?

    OK Employer 2? is required
  • Employer 3?

    OK Employer 3? is required

Employment References

    Three references are required.

  • OK Name is required
  • OK Company is required
  • OK Position is required
  • OK How do you know this person? is required
  • Phone

    - -
    OK Phone is required
  • OK Years Acquainted is required

  • OK Name is required
  • OK Company is required
  • OK Position is required
  • OK How do you know this person? is required
  • Phone

    - -
    OK Phone is required
  • OK Years Acquainted is required

  • OK Name is required
  • OK Company is required
  • OK Position is required
  • OK How do you know this person? is required
  • Phone

    - -
    OK Phone is required
  • OK Years Acquainted is required

    Please read the following disclosure then scroll down to submit this application.

    This application will expire after 30 days or upon the position being filled. If you wish to be considered for another available position thereafter, you must complete a new application.

    If Ouachita Independent Bank hires you, you will be required to attest to your identity and employment eligibility, and to present documents confirming your identity and employment eligibility. You cannot be hired if you cannot comply with these requirements.

    CERTIFICATION & SIGNATURE: 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 any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by Ouachita Independent Bank.

    I hereby authorize Ouachita Independent Bank to thoroughly investigate my references, work records, education, credit history, criminal records, and other matters related to my suitability for employment. I further authorize my current and former employers to disclose to Ouachita Independent Bank any and all letters, reports, reviews, or other information pertaining to my employment with them, without giving me prior notice of such disclosure. In addition, I hereby release Ouachita Independent Bank, my current and former employers, and all other persons, corporations, partnerships, and associates from any and all claims, demands, or liabilities arising out of or in any way related to such disclosures.

    I understand and agree that nothing contained in this application, or conveyed during my interview, is intended to create an employment contract, implied or explicit, between Ouachita Independent Bank and myself. 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 Ouachita Independent Bank. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon Ouachita Independent Bank unless made in writing and signed by the President/CEO of Ouachita Independent Bank.

    If I am offered a position at Ouachita Independent Bank, I agree to submit to a pre-employment examination and drug test, if required, before starting work. If employed, I also agree to submit to drug and alcohol testing at any time deemed appropriate by Ouachita Independent Bank and as permitted by law. I consent to such tests, and I request that the examining doctor disclose to Ouachita Independent Bank the results of the examination, which results shall remain confidential and segregated from my personnel file. I understand that my employment or continued employment, to the extent permitted by law, may be contingent upon satisfactory drug and alcohol tests, and if I am hired, a condition of my employment will be that I abide by Ouachita Independent Bank's Drug and Alcohol policy.

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

    My signature below certifies that I have read and agree to the above application statements, terms and conditions.

  • OK I have read and agree to the above application statements: is required

Comments

  • OK is required
  • Ouachita Independent Bank reserves the right to use the above information to obtain verifications of identity and background before opening any accounts. We may also access information about you from a consumer reporting agency, such as a copy of your credit report, before opening any account. By submitting this form, I/we grant full permission to do so.

  • OK Security Code is required
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