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The State Bank, Fenton, Michigan
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 Employment Opportunities
Home   Employment Opportunities

Thank you for considering a career with our company. Please fill out the application below to be considered for employment.


The State Bank Back is an Equal Opportunity Employer.

 
 
EMPLOYMENT APPLICATION
PERSONAL
 
First Name Last Name Middle Name
   
Social Security No.
Address
Apt. No.
City
State
Zip
Home Phone
Work Phone
Email
 
Are you legally authorized to work in the United States? (Proof of authorization will be required upon employment.) Yes No
If you are under 18 and it is required, can you furnish a work permit? N/A
Yes No
Have you ever been convicted of a crime? (This does not include minor traffic violations) Yes No
If yes, please explain when, where and nature of offense (conviction is not necessarily a disqualification from employment.)
Have you ever been employed by the Bank? Yes No
If yes, when and where?  
Have you ever applied for a position at the Bank? Yes No
If yes, when?  
How did you become aware of this employment opportunity? Advertisement Walk-in Employee Referral Other
Name of Referring Employee:   If other, explain:  

 

EMPLOYMENT DESIRED
 
Position Applied For: Application Date:
Type of Employment Desired? Full time Part Time Other
If part-time, please specify days and hours desired:
Do you have any special training, skills, qualifications or other experiences that relate to the position applied for?
Salary Desired: Date available to start work:
Are you subject to recall with another employer? Yes No

 

EDUCATION AND TRAINING
 
Highest School Year Completed  
(please check one)  
High School
9 10 11 12
College
13 14 15 16
Graduate
17 18 19 20
 
High School Name Graduate? Course of Study? Diploma/GED (Credits or Degree Earned)
High School
Yes   No
High School Address
City
State
Zip
Phone
College Name Graduate? Course of Study? Diploma/GED (Credits or Degree Earned)
College
Yes   No
College Address
City
State
Zip
Phone
Grad School Name Graduate? Course of Study? Diploma/GED (Credits or Degree Earned)
Graduate School
Yes   No
Grad School Address
City
State
Zip
Phone
Other School Name Graduate? Course of Study? Diploma/GED (Credits or Degree Earned)
Other School
Yes    No
Other School Address
City
State
Zip
Phone
 
Did you attend any of these schools under a different name? If yes, please list the name(s).
Are you presently attending school, or do you plan on furthering your education? If so, please specify course and time commitment.

 

EMPLOYMENT HISTORY
 

Please write an accurate record of your work history including any military service, self-employment, part-time, summer, temporary, or volunteer work. List your experience in chronological order with your current or most recent experience first.

1. Employer
Address
City State Zip
Phone
Job Title
Supervisor
Reason for Leaving
Starting Date
Leaving Date
Starting Salary
Final Salary
Work Performed
 
2. Employer
Address
City State Zip
Phone
Job Title
Supervisor
Reason for Leaving
Starting Date
Leaving Date
Starting Salary
Final Salary
Work Performed
 
3. Employer
Address
City State Zip
Phone
Job Title
Supervisor
Reason for Leaving
Starting Date
Leaving Date
Starting Salary
Final Salary
Work Performed
 
4. Employer
Address
City State Zip
Phone
Job Title
Supervisor
Reason for Leaving
Starting Date
Leaving Date
Starting Salary
Final Salary
Work Performed
 
May we contact your present employer? Yes No
May we contact you at your present employer? Yes No
List any other pertinent education, training, courses, certifications, licenses, scholastic honors, awards or publications:
List software, computers, and/or equipment you can operate that are related to the position for which you are applying:
Have you ever had a professional license revoked or suspended? Yes No
If yes, please explain: 
List professional, trade, business, or civic associations of which you are a member and any office held: (Exclude memberships that reveal sex, race, religion, national origin, age, ancestry, or other protected status)

 

PROFESSIONAL REFERENCES
 
List people we can contact whom are able to evaluate and comment on your professional knowledge and ability.
1. Name:
Job Title:
Company:
Phone:
Professional Relationship:
Years of Acquaintance:
2. Name:
Job Title:
Company:
Phone:
Professional Relationship:
Years of Acquaintance:
3. Name:
Job Title:
Company:
Phone:
Professional Relationship:
Years of Acquaintance:
4. Name:
Job Title:
Company:
Phone:
Professional Relationship:
Years of Acquaintance:

 

APPLICANT CERTIFICATION and EMPLOYMENT RELATIONSHIP

I certify that all information I have provided in order to apply for and secure work with the Bank, including this application and accompanying resume, is true, complete and correct. I understand that failure to provide true, accurate and complete information – whether verbal or written – will be grounds for immediate disqualification from employment, or upon subsequent discovery immediate termination from my employment with the Bank.

If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the bank is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are signed by the Bank’s President. Without limiting the above, I further understand that I am required to abide by the rules and policies of the Bank regarding employment.

I also understand that if I have a protected disability that affects my ability to perform the job I seek, I may ask the Bank to attempt to make a reasonable accommodation for it. I must let the Bank know of my need for accommodation as soon as possible.

I authorize a thorough investigation by the Bank and its agents of all statements and references contained in this application and of my employment, education, and military history, including discipline and attendance records, and agree to cooperate in such investigation. I release from all liability and responsibility all persons and corporations requesting or supplying such information and references to the Bank and waive any right to notice of such disclosure.

I acknowledge that the Bank is committed to maintaining a drug-free workplace. I give my consent for the Bank, through an authorized testing service of its choice, to collect blood, urine, hair or saliva samples from me and to conduct any other necessary medical tests to determine the presence of alcohol, drugs, or controlled substances. Further, I give my consent for the release of test results and other relevant medical information to authorized Bank management for appropriate review. If I am accepted for employment by the Bank, I consent to be tested in the above manner during my employment when, in Company’s judgment, such testing is appropriate. I acknowledge that remaining free of illegal drug use and complying with the Company’s substance abuse policy is a condition of my employment.

In exchange for the Bank considering my employment application, and except as prohibited by law, I agree that I must file any and all claims and/or lawsuits against the Bank, and its affiliated or subsidiary companies and entities and their current or former directors, officers, employees or agents, arising out of or pertaining in any way to my employment application, employment, or termination of employment within six (6) months (or shorter period required by law) of the event giving rise to the claim and/or lawsuit. I understand that applicable statutes of limitations may be longer than six (6) months. However, I agree to be bound by this shorter, six (6) month period of limitations and accordingly WAIVE ANY STATUTE OF LIMITATIONS TO THE CONTRARY. This waiver includes, but is not limited to, waiver of statutes of limitation that apply to any state or federal civil rights statutes

I acknowledge that my typed name on the below signature line constitutes my electronic signature. I certify with this electronic signature that I am the applicant for employment listed on this application, that I have read, understand and accept all of the above, and that I represent the information identified above to be true.

 

Signature (Full legal name): Date:

 

FAIR CREDIT REPORTING ACT DISCLOSURE AND AUTHORIZATION

Disclosure
This document discloses to you that a consumer report, which could include your criminal, driving, and credit record, may be obtained for employment purposes as part of the pre-employment background investigation and at any time during your employment.

Authorization
I authorize the procurement of a consumer report by The State Bank as part of the pre-employment background investigation. If hired, I further authorize The State Bank to procure consumer reports at any time during the course of my employment. I acknowledge that covered consumer reports include those containing my criminal, driving, and credit record. Should a consumer report be requested, I understand that I will have the right to demand a complete and accurate disclosure of the nature of the report and a written summary of my rights under the Fair Credit Reporting Act.

I acknowledge that my typed name on the below signature line constitutes my electronic signature. I certify with this electronic signature that I am the applicant for employment listed on this application, that I have read, understand and accept all of the above, and that I represent the information identified above to be true.

 

Signature (Full legal name): Date:

 

Voluntary Self-Identification Survey (Gender/Race/Ethnicity)
 

The State Bank is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, The State Bank invites employees to voluntarily self-identify their gender, race and ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information will be kept confidential and will only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual.

1. What is your gender? Male Female
2. Are you Hispanic or Latino? Yes No
3. If you are NOT Hispanic or Latino, what is your race?
  White (i.e., a person having origins in any of the original peoples of Europe, the Middle East or North Africa)
  Black or African American (i.e., a person having origins in any of the Black racial groups of Africa)
  Asian (i.e., a person having origins in any of the original peoples of the Far East, Southeast Asia, the Indian subcontinent, including China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam)
  Native Hawaiian or other Pacific Islander (i.e., a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands)
  American Indian or Alaskan Native (i.e., a person having origins in any of the original peoples of North and South America (including Central America) and who maintain tribal affiliation or community attachment)
  Two or more races (i.e., all persons who identify with more than one of the above five races)


I acknowledge that my typed name on the below signature line constitutes my electronic signature. I certify with this electronic signature that I am the applicant for employment listed on this application, that I have read, understand and accept all of the above, and that I represent the information identified above to be true.

Signature (Full legal name): Date:
 
If you would like to upload an optional resume or cover letter in Word or PDF format, please browse and upload it here.
Attach File: 
Use the Browse button to attach word or pdf of resume (optional).

 

 


 
 
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