APPLICATION FOR EMPLOYMENT

Transcription

1 APPLICATION FOR EMPLOYMENT Please print legibly Name: Position Applied For: Date of Application: An Equal Opportunity Employer The Institution for Savings is committed to a discrimination-free workplace. The Institution for Savings does not discriminate in employment on account of race, color, religion, national origin, citizenship, ancestry, age, sex (including sexual harassment), sexual orientation, gender identity or expression, marital status, physical or mental disability, genetic information, military service, veteran status, or any other class protected by local, state, or federal law. The Institution for Savings is committed to maintaining a drug-free workplace and meeting its obligations under the Drug-Free Workplace Act of The manufacture, sale, use, possession, dispensation, or distribution of drugs or alcohol by employees on Institution for Savings business or by visitors to the Institution for Savings is prohibited. Your interest in employment at the Institution is sincerely appreciated. Please feel free to attach to this application any additional information that you feel will be helpful in evaluating your qualifications. May, 2018 Page 1

2 General Applicant Information Name: Street First Middle Last City: State: Zip Code: Home Phone Number: Cell Phone Number: Work Phone Number: May we contact you at work? Are you eligible to work in the United States? Verification of authorization to work in the USA will be required should you be hired. How were you referred to us? (please circle appropriate referral source) Advertisement / Employee / Relative / Walk-in / School / Employment Agency / Other Name of source (if applicable): Employment Desired Type of Position Desired: Date Available to Work: Can you work overtime, including weekends? Available to Work: full-time / part-time / temporary Are you able to perform the essential functions of the job for which you are applying, with or without reasonable accommodation? Have you ever been employed by the Institution for Savings? If yes, please list dates of employment. Have you previously applied for a position at the Institution for Savings? If yes, please cite approximate date of application. May, 2018 Page 2

3 Criminal Record An applicant for employment with a sealed record on file with the Commissioner of Probation may answer no record with respect to an inquiry herein relative to prior arrests, criminal court appearances or convictions. In addition, any applicant for employment may answer no record with respect to inquiry relative to prior arrests, court appearances, and adjudication in all cases of delinquency or as a child in need of services, which did not result in complaint transferred to the Superior Court for criminal prosecution. A conviction record will not necessarily be a bar to employment. Factors such as age at time of the offense, seriousness, and nature of the violation and rehabilitation will be taken into account. 1. Have you been convicted of a felony involving money laundering, dishonesty, breach of trust, or the illegal manufacture, sale, distribution of, or trafficking of a controlled substance? If yes, please explain: 2. Within the last five years, have you been convicted of, or released from incarceration for a misdemeanor involving money laundering, dishonesty, breach of trust, or the illegal manufacture, sale, distribution of, or trafficking of a controlled substance, which was not a first offense for drunkenness, simple assault, minor traffic violations, affray, or disturbance of the peace? If yes, please explain May, 2018 Page 3

4 Employment History Include at least your last seven (7) years of employment, including periods of unemployment, starting with the most recent and working backwards in time. Please include self-employment, military service, summer and part-time employment, and any verified volunteer work. Employer Name: Employer Name: May, 2018 Page 4

5 Employer Name: Employer Name: May, 2018 Page 5

6 Employer Name: Educational Background School High School College or University Graduate School Other Education Address Number of years attended Degree or Certificate Major field of study Scholastic Honors or Offices held Are you planning to pursue further studies? If Yes, where and what courses? List any additional information about your academic career or training that you would like us to consider. May, 2018 Page 6

7 Use the following space to describe your interest in banking and the skills and aptitudes that you feel qualify you for a position at the Institution for Savings. If you need more space, please continue on a separate sheet. Professional References Name Reference #1 Reference #2 Reference #3 Title Company Address Phone Number Relationship May we contact your present supervisor/employer? May we contact your previous employers? May, 2018 Page 7

8 Please read carefully before signing In processing this employment application, the Institution for Savings may request that an investigative consumer report be prepared, which may include information as to your character, general reputation, personal characteristics, and mode of living. You have the right to request that the Bank completely and accurately disclose to you the nature and the scope of the investigation requested. Such a request must be made in writing to the Vice President of Human Resources within a reasonable amount of time after you complete this application. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. If the Institution for Savings hires you, the employment relationship between you and the Institution for Savings may be terminated with or without cause and with or without notice, at any time, either by you or by the Institution for Savings. No supervisor or manager of the Institution for Savings has authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing without the consent of the President. You also understand that neither this application nor any other personnel forms or handbooks constitute an employment contract. I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that if I provide inaccurate information or if I conceal relevant information in this application or in an interview, I may not be hired or, if employed, it shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, and I release all parties from any liability for any damage that may result from furnishing the information to you. Date: Signature: Do Not Write Below This Line Letter Sent Called Interviewed Second interview Offer of employment extended Personnel Action Taken: May, 2018 Page 8