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Application for Employment

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    Personal

    Name*
    Present Address*

    General Information

    Are Any of Your Relatives Presently Employed With This Business Or Its Divisions?*
    Have You Ever Worked For This Business Or Its Divisions Before?*
    Have You Ever Applied For Employment With This Business Or Its Divisions Before?*
    Are You 18 years Of Age Or Older?*
    Only U.S. Citizens Or Aliens Who Have A Legal Right To Work In The U.S. Are Elgible For Employment. Can You, Upon Employment, Provide Genuine Documentation Establishing Your Identity And Elgibility To Be Legally Employed In The United States?*
    Please Check Schedule Availability
    Note: Work Schedules Are Based Upon The Needs Of The Business And May Be Subject To Change On A Weekly Basis
    MM slash DD slash YYYY

    Employer History - Most Recent

    Begin With Your Most Recent Employment (1) And Continue With Past Employment
    Address
    (mm/yyyy)
    (mm/yyyy)
    May We Contact Employer?

    Employer History - Past Employment 1 of 2

    Address
    (mm/yyyy)
    (mm/yyyy)
    May We Contact Employer?

    Employer History - Past Employment 2 of 2

    Address
    (mm/yyyy)
    (mm/yyyy)
    May We Contact Employer?

    Attendance and Punctuality Information

    Consistent attendance and punctuality are essential requirements of every job with this business. Is there anything which would interfere with your regular attendance and punctuality if you are offered a job with this business?

    Education

    Education History - List High School and any post High School education. Click the + button on the far right to add additional high schools, colleges, universities, technical colleges, or trade schools
    Click the + button on the far right to add additional high schools, colleges, universities, technical colleges, or trade schools
    Type of School
    Name & Address of School
    Major Subject
    Highest Grade Or Year Completed
    Degree Earned
     

    Military

    Other Quaifications

    PERSONAL OR BUSINESS REFERENCES

    Add 4 References*
    Click the + button on the right to add additional references
    Name
    Occupation Business Phone Number
    Telephone Number
    Title/Relationship
     

    Notification and Agreement

    Applicant Statement

    I CERTIFY THAT ALL ANSWERS GIVEN BY ME ARE TRUE, ACCURATE AND COMPLETE, I UNDERSTAND THAT THE FALSIFICATION, MISREPRESENTATION OR OMISSION OF FACT ON THIS APPLICATION (OR ANY OTHER ACCOMPANYING OR REQUIRED DOCUMENTS) WILL BE CAUSE FOR DENIAL OF EMPLOYMENT OR IMMEDIATE TERMINATION OF EMPLOYMENT, REGARDLESS OF WHEN OR H0W DISCOVERED.

    Questions regarding this statement should be directed to any employment interviewer before signing. The application will be given every consideration, but its receipt does not imply that the applicant will be employed.

    It is the policy of the company to afford equal opportunity to all employees and applicants for employment without regard to age, race, religion, color, sex, national origin, marital status, expunged juvenile records, or pregnancy, and to afford equal opportunities to disabled veterans, veterans of the Vietnam era, and individuals with a disability, any and other characteristic protected by Federal, State or Local law.

    I authorize the investigation of all statements and information contained in this application. I release from all liability anyone supplying such information and I also release the employer from all liability that might result from making an investigation.

    If hired, I agree to abide by all of the company rules and regulation, and understand that, if employed, my employment may be terminated with or without cause, and with or without notice, at any time, at the option of either the company or me, I further understand that no representation, whether oral or written by any representative or agent of the Company, at any time, can constitute a contract of employment. I understand that the Company and all Plan Administrators shall have the maximum discretion permitted by law to administer, interpret, modify, discontinue, enhance or otherwise change all policies, procedures, benefits or other terms or conditions of employment. No representative or agent of the company, has the authority to enter into any agreement for employment for any specified period of time or to make any change in any policy, procedure, benefit or other term or condition of employment other than in a document signed by the President or Executive Vice President, or to make any agreement contrary to the foregoing.

    I acknowledge that I have read and understand the above statements and hereby grant permission to confirm the information supplied on this application by me
    DO NOT SUBMIT UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT

    Please complete the online application or download the PDF and email your resume to dana.o@ssbkenyon.com or submit to:

    Dana Ostertag
    Security State Bank of Kenyon,
    PO Box G
    Kenyon MN 55946