Fillable Printable Bank Job Application Form - IBC BANK
Fillable Printable Bank Job Application Form - IBC BANK
Bank Job Application Form - IBC BANK
INTERNATIONAL
BANCSHARES CORPORATION
International Bancshares Corporation is an Equal Opportunity
Affirmative Action Employer.
REVISED 03/2015
INTERNATIONAL
BANCSHARES CORPORATION
APPLICATION FOR EMPLOYMENT
PLEASE PRINT OR TYPE
THE INFORMATION GIVEN ON THIS FORM IS FOR USE BY THE INTERNATIONAL BANCSHARES CORP.
ANSWER EACH QUESTION FULLY AND ACCURATELY. THE USE OF THIS FORM DOES NOT INDICATE
THAT THERE ARE ANY POSITIONS OPEN AND DOES NOT IN ANY WAY OBLIGATE IBC. THIS
APPLICATION WILL BE KEPT ACTIVE FOR 60 DAYS. INTERNATIONAL BANCSHARES CORPORATION
IS AN
EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER.
IDENTIFICATION
NAME (LAST, FIRST, MIDDLE)
APPLICATION DATE
ADDRESS (INCLUDE ZIP)
CITY
STATE
ZIP
PHONE NUMBER (INCLUDE AREA CODE)
HOME
WORK
OR
ARE YOU AUTHORIZED TO WORK IN THE U.S.?
❑
Yes
❑
No
EVER APPLIED OR BEEN EMPLOYED BY A
IBC
BANCORPORATION MEMBER?
❑
Yes
❑
No
IF YES, WHERE WHEN
PERSONAL
POSITION DESIRED
EMPLOYMENT DESIRED
❑
Full Time
❑
Regular
❑
Part Time
❑
Temporary
SALARY DESIRED
DATE AVAILABLE
WILL YOU PERFORM
SHIFT WORK?
❑
Yes
❑
No
LIST OFFICE AND COMPUTER PROGRAM SKILLS
WHO REFERRED YOU TO
IBC
?
❑
FRIEND WHO WORKS AT
IBC
?
NAME
❑
RELATIVE WHO WORKS AT
IBC
?
NAME
❑
NEWSPAPER
NAME OF NEWSPAPER
❑
AGENCY - NAME
❑
OTHER - EXPLAIN
EMAIL ADDRESS
FOREIGN LANGUAGE SKILLS
SPEAK READ WRITE
HAVE YOU EVER BEEN BONDED?
❑
Yes
❑
No
HAVE YOU EVER BEEN REFUSED A BOND?
❑
Yes
❑
No
EDUCATION
SCHOOL NAME & LOCATION
MAJOR / MINOR
DEGREE
GRADE AVERAGE
OVERALL
MAJOR
HIGH SCHOOL *
DIPLOMA?
❑
Yes
❑
No
COLLEGE **
❑
Yes
❑
No
GRADUATE
OTHER (INCLUDE SPECIAL TRAINING, COURSES &
A
PPRENTICESHIPS COMPLETED)
EXPLAIN ANY PLANS YOU HAVE FOR FURTHER STUDY
*
IF NOT A HIGH SCHOOL GRADUATE, INSERT NUMBER OF SCHOOL YEARS COMPLETED
* *
IF NO DEGREE HAS BEEN OBTAINED, INSERT NUMBER OF COLLEGE CREDIT HOURS COMPLETED
REFERENCES
PERSONS FAMILIAR WITH YOUR WORK OR ACADEMIC BACKGROUND
NAME POSITION & COMPANY LOCATION PHONE
FRIENDS OR RELATIVES WHO ARE EMPLOYEES OF THIS ORGANIZATION OR ANY BANK
NAME RELATIONSHIP POSITION & COMPANY LOCATION
IBC-0280-01
REVISED 03/2015
EMPLOYMENT DATA
LIST OF EMPLOYERS BEGINNING WITH PRESENT OR MOST RECENT
NAME OF EMPLOYER
LOCATION EMPLOYED
PHONE
FROM-MO/YR
TO-MO/YR
YOUR TITLE
SUPERVISOR AND TITLE
STARTING SALARY
FINAL SALARY
MAY WE CONTACT
THIS EMPLOYER?
Yes No
REASON(S) FOR LEAVING
DESCRIBE YOUR PRINCIPAL RESPONSIBILITIES
NAME OF EMPLOYER
LOCATION EMPLOYED
PHONE
FROM-MO/YR
TO-MO/YR
YOUR TITLE
SUPERVISOR AND TITLE
STARTING SALARY
FINAL SALARY
MAY WE CONTACT
THIS EMPLOYER?
Yes No
REASON(S) FOR LEAVING
DESCRIBE YOUR PRINCIPAL RESPONSIBILITIES
NAME OF EMPLOYER
LOCATION EMPLOYED
PHONE
FROM-MO/YR
TO-MO/YR
YOUR TITLE
SUPERVISOR AND TITLE
STARTING SALARY
FINAL SALARY
MAY WE CONTACT
THIS EMPLOYER?
Yes No
REASON(S) FOR LEAVING
DESCRIBE YOUR PRINCIPAL RESPONSIBILITIES
NAME OF EMPLOYER
LOCATION EMPLOYED
PHONE
FROM-MO/YR
TO-MO/YR
YOUR TITLE
SUPERVISOR AND TITLE
STARTING SALARY
FINAL SALARY
MAY WE CONTACT
THIS
EMPLOYER?
Yes No
REASON(S) FOR LEAVING
DESCRIBE YOUR PRINCIPAL RESPONSIBILITIES
OTHER EMPLOYERS WITHIN THE PAST 10 YEARS, IF APPLICABLE
NAME OF EMPLOYER
DATES
POSITION
FROM
TO
I certify that the foregoing statements are true, complete and correct. I understand that the falsification or material omission of any of the information requested on this form
or during my pre-employment interview will result in rejection of this application or, if discovered during my employment, may result in my dismissal. I authorize each person
and entity identified above to disclose to the bank any and all information they may have concerning me, including my past performance, employment record and character. I
expressly release these persons from any and all liability for furnishing responses to these inquiries.
I authorize the bank to investigate my credit, my employment and personal background. If I am denied employment as a result of a credit report, the bank will inform me of
this reason and the name and address of the reporting agency that supplied the report.
I understand and agree that from time to time the bank may require me to submit to a drug and/or alcohol test, and that refusal to submit to such test will be grounds for
refusal to hire me or termination of my employment if already hired.
I agree that, if my position requires me to use a motor vehicle, I will maintain a safe driving record, both on and off the job, and a valid appropriate driver’s license, as a
condition of my continued employment.
I further agree that, upon request at any time, I will submit to a physical examination by a bank physician, as a condition of my initial or continued employment. Any such
testing or examination will be at the bank’s expense, and in compliance with applicable law.
I understand and agree that all disputes between IBC and me concerning my application for employment, my employment, if any, or the termination thereof will be submitted
to arbitration in accordance with the IBC Dispute Resolution Policy and the National Rules for the Resolution of Employment Disputes of the American Arbitration
Association which are in effect at the time the dispute arises.
If I am employed by the bank, then regardless of the stated frequency of payment of my wages or salary (e.g., per month, per year), the bank may terminate my employment
at any time, with or without cause or prior notice, and no promises to the contrary shall be binding upon the Bank unless committed to writing in an otherwise enforceable
agreement signed by the appropriate bank official. If employed, I agree to comply with all rules and regulations of the bank at present and as modified from time to time
during my employment including, without limitation, the agreement to arbitrate any disputes between me and the bank.
I agree to participate in IBC’s interview panel and activity interview. I understand and consent to the use of the videotaping by IBC. I understand that the information and
videotape is for interviewing purposes only and that my name and image will not be used for any other purpose. I relinquish any rights to the videotape and understand the
videotape may be copied and used by IBC. I understand that I can elect not to participate in this interview process. I agree to immediately raise any concerns or areas of
discomfort with the HR Manager.
APPLICANT’S SI
GNATURE
______________________________________________________________________________________________________________
IBC-0280-01
REVISED 03/2015
I certify that the foregoing statements are true, complete and correct. I understand that the falsification or material omission of any of the information requested
on this form or during my pre-employment interview will result in rejection of this application or, if discovered during my employment, may result in my dismissal.
I authorize each person and entity identified above to disclose to the bank any and all information they may have concerning me, including my past performance,
employment record and character. I expressly release these persons from any and all liability for furnishing responses to these inquiries.
I authorize the bank to investigate my credit, my employment and personal background. If I am denied employment as a result of a credit report, the bank will
inform me of this reason and the name and address of the reporting agency that supplied the report.
I understand and agree that from time to time the bank may require me to submit to a drug and/or alcohol test, and that refusal to submit to such test will be
grounds for refusal to hire me or termination of my employment if already hired.
I agree that, if my position requires me to use a motor vehicle, I will maintain a safe driving record, both on and off the job, and a valid appropriate driver’s license,
as a condition of my continued employment.
I further agree that, upon request at any time, I will submit to a physical examination by a bank physician, as a condition of my initial or continued employment.
Any such testing or examination will be at the bank’s expense, and in compliance with applicable law.
I understand and agree that all disputes between IBC and me concerning my application for employment, my employment, if any, or the termination thereof will be
submitted to arbitration in accordance with the IBC’s Open Door Policy, a copy of which is available for my review prior to signing this application. I further agree that
I will not bring a claim or a dispute against IBC in a representative, collective or class actions, nor will I join such an action and I waive my right to do so in the future.
If I am employed by the bank, then regardless of the stated frequency of payment of my wages or salary (e.g., per month, per year), the bank may terminate my
employment at any time, with or without cause or prior notice, and no promises to the contrary shall be binding upon the Bank unless committed to writing in an
otherwise enforceable agreement signed by the appropriate bank official. If employed, I agree to comply with all rules and regulations of the bank at present and
as modified from time to time during my employment including, without limitation, the agreement to arbitrate any disputes between me and the bank.
I agree to participate in IBC’s interview panel and activity interview. I understand and consent to the use of the videotaping by IBC. I understand that the information
and videotape is for interviewing purposes only and that my name and image will not be used for any other purpose. I relinquish any rights to the videotape and
understand the videotape may be copied and used by IBC. I understand that I can elect not to participate in this interview process. I agree to immediately raise
any concerns or areas of discomfort with the HR Manager.
REVISED 03/2015
INTERNATIONAL
BANCSHARES CORPORATION
APPLICATION FOR EMPLOYMENT
PLEASE PRINT OR TYPE
THE INFORMATION GIVEN ON THIS FORM IS FOR USE BY THE INTERNATIONAL BANCSHARES CORP.
ANSWER EACH QUESTION FULLY AND ACCURATELY. THE USE OF THIS FORM DOES NOT INDICATE
THAT THERE ARE ANY POSITIONS OPEN AND DOES NOT IN ANY WAY OBLIGATE IBC. THIS
APPLICATION WILL BE KEPT ACTIVE FOR 60 DAYS. INTERNATIONAL BANCSHARES CORPORATION
IS AN
EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER.
IDENTIFICATION
NAME (LAST, FIRST, MIDDLE)
APPLICATION DATE
ADDRESS (INCLUDE ZIP)
CITY
STATE
ZIP
PHONE NUMBER (INCLUDE AREA CODE)
HOME
WORK
OR
ARE YOU AUTHORIZED TO WORK IN THE U.S.?
❑
Yes
❑
No
EVER APPLIED OR BEEN EMPLOYED BY A
IBC
BANCORPORATION MEMBER?
❑
Yes
❑
No
IF YES, WHERE WHEN
PERSONAL
POSITION DESIRED
EMPLOYMENT DESIRED
❑
Full Time
❑
Regular
❑
Part Time
❑
Temporary
SALARY DESIRED
DATE AVAILABLE
WILL YOU PERFORM
SHIFT WORK?
❑
Yes
❑
No
LIST OFFICE AND COMPUTER PROGRAM SKILLS
WHO REFERRED YOU TO
IBC
?
❑
FRIEND WHO WORKS AT
IBC
?
NAME
❑
RELATIVE WHO WORKS AT
IBC
?
NAME
❑
NEWSPAPER
NAME OF NEWSPAPER
❑
AGENCY - NAME
❑
OTHER - EXPLAIN
EMAIL ADDRESS
FOREIGN LANGUAGE SKILLS
SPEAK READ WRITE
HAVE YOU EVER BEEN BONDED?
❑
Yes
❑
No
HAVE YOU EVER BEEN REFUSED A BOND?
❑
Yes
❑
No
EDUCATION
SCHOOL NAME & LOCATION
MAJOR / MINOR
DEGREE
GRADE AVERAGE
OVERALL
MAJOR
HIGH SCHOOL *
DIPLOMA?
❑
Yes
❑
No
COLLEGE **
❑
Yes
❑
No
GRADUATE
OTHER (INCLUDE SPECIAL TRAINING, COURSES &
A
PPRENTICESHIPS COMPLETED)
EXPLAIN ANY PLANS YOU HAVE FOR FURTHER STUDY
*
IF NOT A HIGH SCHOOL GRADUATE, INSERT NUMBER OF SCHOOL YEARS COMPLETED
* *
IF NO DEGREE HAS BEEN OBTAINED, INSERT NUMBER OF COLLEGE CREDIT HOURS COMPLETED
REFERENCES
PERSONS FAMILIAR WITH YOUR WORK OR ACADEMIC BACKGROUND
NAME
POSITION & COMPANY
LOCATION
PHONE
FRIENDS OR RELATIVES WHO ARE EMPLOYEES OF THIS ORGANIZATION OR ANY BANK
NAME
RELATIONSHIP POSITION & COMPANY
LOCATION
IBC-0280-01
REVISED 03/2015
EMPLOYMENT DATA
LIST OF EMPLOYERS BEGINNING WITH PRESENT OR MOST RECENT
NAME OF EMPLOYER
LOCATION EMPLOYED
PHONE
FROM-MO/YR
TO-MO/YR
YOUR TITLE
SUPERVISOR AND TITLE
STARTING SALARY
FINAL SALARY
MAY WE CONTACT
THIS EMPLOYER?
Yes No
REASON(S) FOR LEAVING
DESCRIBE YOUR PRINCIPAL RESPONSIBILITIES
NAME OF EMPLOYER
LOCATION EMPLOYED
PHONE
FROM-MO/YR
TO-MO/YR
YOUR TITLE
SUPERVISOR AND TITLE
STARTING SALARY
FINAL SALARY
MAY WE CONTACT
THIS EMPLOYER?
Yes No
REASON(S) FOR LEAVING
DESCRIBE YOUR PRINCIPAL RESPONSIBILITIES
NAME OF EMPLOYER
LOCATION EMPLOYED
PHONE
FROM-MO/YR
TO-MO/YR
YOUR TITLE
SUPERVISOR AND TITLE
STARTING SALARY
FINAL SALARY
MAY WE CONTACT
THIS EMPLOYER?
Yes No
REASON(S) FOR LEAVING
DESCRIBE YOUR PRINCIPAL RESPONSIBILITIES
NAME OF EMPLOYER
LOCATION EMPLOYED
PHONE
FROM-MO/YR
TO-MO/YR
YOUR TITLE
SUPERVISOR AND TITLE
STARTING SALARY
FINAL SALARY
MAY WE CONTACT
THIS
EMPLOYER?
Yes No
REASON(S) FOR LEAVING
DESCRIBE YOUR PRINCIPAL RESPONSIBILITIES
OTHER EMPLOYERS WITHIN THE PAST 10 YEARS, IF APPLICABLE
NAME OF EMPLOYER
DATES
POSITION
FROM
TO
I certify that the foregoing statements are true, complete and correct. I understand that the falsification or material omission of any of the information requested on this form
or during my pre-employment interview will result in rejection of this application or, if discovered during my employment, may result in my dismissal. I authorize each person
and entity identified above to disclose to the bank any and all information they may have concerning me, including my past performance, employment record and character. I
expressly release these persons from any and all liability for furnishing responses to these inquiries.
I authorize the bank to investigate my credit, my employment and personal background. If I am denied employment as a result of a credit report, the bank will inform me of
this reason and the name and address of the reporting agency that supplied the report.
I understand and agree that from time to time the bank may require me to submit to a drug and/or alcohol test, and that refusal to submit to such test will be grounds for
refusal to hire me or termination of my employment if already hired.
I agree that, if my position requires me to use a motor vehicle, I will maintain a safe driving record, both on and off the job, and a valid appropriate driver’s license, as a
condition of my continued employment.
I further agree that, upon request at any time, I will submit to a physical examination by a bank physician, as a condition of my initial or continued employment. Any such
testing or examination will be at the bank’s expense, and in compliance with applicable law.
I understand and agree that all disputes between IBC and me concerning my application for employment, my employment, if any, or the termination thereof will be submitted
to arbitration in accordance with the IBC Dispute Resolution Policy and the National Rules for the Resolution of Employment Disputes of the American Arbitration
Association which are in effect at the time the dispute arises.
If I am employed by the bank, then regardless of the stated frequency of payment of my wages or salary (e.g., per month, per year), the bank may terminate my employment
at any time, with or without cause or prior notice, and no promises to the contrary shall be binding upon the Bank unless committed to writing in an otherwise enforceable
agreement signed by the appropriate bank official. If employed, I agree to comply with all rules and regulations of the bank at present and as modified from time to time
during my employment including, without limitation, the agreement to arbitrate any disputes between me and the bank.
I agree to participate in IBC’s interview panel and activity interview. I understand and consent to the use of the videotaping by IBC. I understand that the information and
videotape is for interviewing purposes only and that my name and image will not be used for any other purpose. I relinquish any rights to the videotape and understand the
videotape may be copied and used by IBC. I understand that I can elect not to participate in this interview process. I agree to immediately raise any concerns or areas of
discomfort with the HR Manager.
APPLICANT’S SIGNATURE
______________________________________________________________________________________________________________
IBC-0280-01
REVISED 03/2015
I certify that the foregoing statements are true, complete and correct. I understand that the falsification or material omission of any of the information requested
on this form or during my pre-employment interview will result in rejection of this application or, if discovered during my employment, may result in my dismissal.
I authorize each person and entity identified above to disclose to the bank any and all information they may have concerning me, including my past performance,
employment record and character. I expressly release these persons from any and all liability for furnishing responses to these inquiries.
I authorize the bank to investigate my credit, my employment and personal background. If I am denied employment as a result of a credit report, the bank will
inform me of this reason and the name and address of the reporting agency that supplied the report.
I understand and agree that from time to time the bank may require me to submit to a drug and/or alcohol test, and that refusal to submit to such test will be
grounds for refusal to hire me or termination of my employment if already hired.
I agree that, if my position requires me to use a motor vehicle, I will maintain a safe driving record, both on and off the job, and a valid appropriate driver’s license,
as a condition of my continued employment.
I further agree that, upon request at any time, I will submit to a physical examination by a bank physician, as a condition of my initial or continued employment.
Any such testing or examination will be at the bank’s expense, and in compliance with applicable law.
I understand and agree that all disputes between IBC and me concerning my application for employment, my employment, if any, or the termination thereof will be
submitted to arbitration in accordance with the IBC’s Open Door Policy, a copy of which is available for my review prior to signing this application. I further agree that
I will not bring a claim or a dispute against IBC in a representative, collective or class actions, nor will I join such an action and I waive my right to do so in the future.
If I am employed by the bank, then regardless of the stated frequency of payment of my wages or salary (e.g., per month, per year), the bank may terminate my
employment at any time, with or without cause or prior notice, and no promises to the contrary shall be binding upon the Bank unless committed to writing in an
otherwise enforceable agreement signed by the appropriate bank official. If employed, I agree to comply with all rules and regulations of the bank at present and
as modified from time to time during my employment including, without limitation, the agreement to arbitrate any disputes between me and the bank.
I agree to participate in IBC’s interview panel and activity interview. I understand and consent to the use of the videotaping by IBC. I understand that the information
and videotape is for interviewing purposes only and that my name and image will not be used for any other purpose. I relinquish any rights to the videotape and
understand the videotape may be copied and used by IBC. I understand that I can elect not to participate in this interview process. I agree to immediately raise
any concerns or areas of discomfort with the HR Manager.
This page intentionally left blank.
Name
Position Desired
Are you looking for Part Time Full Time
*Are you currently attending school?
Yes No
*Do you plan to attend school? Yes No
Monday Monday
Tuesday Tuesday
Wednesday Wednesday
Thursday Thursday
Friday Friday
Saturday Saturday
Sunday Sunday
How far are you willing to travel?
What is the closest branch to you?
*If you are currently enrolled in school or
plan to attend school, please list your
school schedule
Please list your AVAILABILITY below
Schedule Availability
Page 1 of 8 Revised 03/2015
INTERNATIONAL
BANCSHARES CORPORATION
Page 2 of 8 Revised 03/2015
OFFICE SKILLS INFORMATION SHEET FOR APPLICANTS
To all applicants for office positions at IBC:
Please complete the following questionnaire regarding your office skills. Please answer all
questions and note you may be tested on these skills.
Word
Speed _________
Are you able to format business letter? Yes No
Are you able to create envelopes? Yes No
Are you able to insert tables into a Word document Yes No
Excel
Have you created spreadsheets which include formulas? Yes No
Are you able to add a header to and excel document? Yes No
Are you able to hide rows/columns in an excel document? Yes No
Are you able to sort data on a spreadsheet? Yes No
PowerPoint
Are you able to create new presentations? Yes No
Are you able to change the background of your presentations? Yes No
Are you able to add Speaker notes? Yes No
Are you able to insert and modify graphics? Yes No
Ten Key Calculator
Level of experience? Minimal Moderate High
INTERNATIONAL
BANCSHARES CORPORATION
Voluntary Self-Identification of Disability
FormCC-305
OMB Control Number 1250-0005
Expires ϭͬϯϭͬϮϬϭϳ
WĂŐĞϭŽĨϮ
Why are you being asked to compl et e this form?
Because we do business with the government, we must reach out to, hire, and provide equal opportunity to
qualified people with disabilities.
i
To help us measure how well we are doing, we are asking you to tell us if
you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will
choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used
against you in any way.
If you already work for us, your answer will not be used against you in any way. Because a person may
become disabled at any time, we are required to ask all of our employees to update their information every five
years. You may voluntarily self-identify as having a disability on this form without fear of any punishment
because you did not identify as having a disability earlier.
How do I know if I have a disability?
You are considered to have a disability if you have a physical or mental impairment or medical condition that
substantially limits a major life activity, or if you have a history or record of such an impairment or medical
condition.
Disabilities include, but are not limited to:
x Blindness x Autism x Bipolar disorder x Post-traumatic stress disorder (PTSD)
x Deafness x Cerebral palsy x Major depression x Obsessive compulsive disorder
x Cancer x HIV/AIDS x Multiple sclerosis (MS) x Impairments requiring the use of a wheelchair
x Diabetes x Schizophrenia x Missing limbs or x Intellectual disability (previously called mental
x Epilepsy x Muscular
partially missing limbs retardation)
dystrophy
Please check one of the boxes below:
______________________________ ____________________
Your Name Today’s Date
YES, I HAVE A DISABILITY (or previously had a disability)
NO, I DON’T HAVE A DISABILITY
I DON’T WISH TO ANSWER
Voluntary Self-Identification of Disability
FormCC-305
OMB Control Number 1250-0005
Expires ϭͬϯϭͬϮϬϭϳ
WĂŐĞϮŽĨϮ
Reasonabl e Accommodation Notice
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities.
Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples
of reasonable accommodation include making a change to the application process or work procedures,
providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.
i
Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal
employment obligations of Federal contractors, visit the U.S. Department of Labor’s Office of Federal Contract
Compliance Programs (OFCCP) website at
www.dol.gov/ofccp
.
PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond
to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5
minutes to complete.
Page 5 of 8
Invitation to Self-Identify as a Protected Veteran
This employer is a Government contractor subject to the Vietnam Era Veterans' Readjustment Assistance
Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA), which requires
Government contractors to take affirmative action to employ and advance in employment: (1.) disabled
veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4)
Armed Forces service medal veterans. These classifications are defined as follows:
x A "disabled veteran" is one of the following:
x a veteran of the U.S. military, ground, naval or air service who is entitled to compensation
(or who but for the receipt of military retired pay would be entitled to compensation) under
laws administered by the Secretary of Veterans Affairs; or
x a person who was discharged or released from active duty because of a service-
connected disability.
x A "recently separated veteran" means any veteran during the three-year period beginning on the
date of such veteran's discharge or release from active duty in the U.S. military, ground, naval,
or air service.
x An "active duty wartime or campaign badge veteran" means a veteran who served on active duty
in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for
which a campaign badge has been authorized under the laws administered by the Department of
Defense.
x An "Armed forces service medal veteran" means a veteran who, while serving on active duty in
the U.S. military, ground, naval or air service, participated in a United States military operation
for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.
Protected veterans may have additional rights under USERRA - the Uniformed Services Employment and
Reemployment Rights Act. In particular, if you were absent from employment in order to perform service in the
uniformed service, you may be entitled to be reemployed by your employer in the position you would have
obtained with reasonable certainty if not for the absence due to service. For more information, call the U.S.
Department of Labor’s Veterans Employment and Training Service (VETS), toll-free, at: 1-866-4-USA-DOL.
If you believe you belong to any of the categories of protected veterans listed above, please indicate by
checking the appropriate box below. As a Government contractor subject to VEVRAA, we request this
information in order to measure the effectiveness of the outreach and positive recruitment efforts we
undertake pursuant to VEVRAA.
[ ] I IDENTIFY AS ONE OR MORE OF THE CLASSIFICATIONS OF PROTECTED VETERAN
LISTED ABOVE.
[ ] I AM NOT A PROTECTED VETERAN.
__________________________________________ ____________________________
NAME DATE
INTERNATIONAL
BANCSHARES CORPORATION
REVISED 03/2015
Page 6 of 8
VOLUNTARY DISCLOSURE OF AFFIRMATIVE ACTION INFORMATION
Declining to respond will not affect your application. Any information that you provide will be held in confidence
and will not be shared with hiring officials. It will be handled in accordance with Executive Order 11246, the
Veteran's Readjustment Assistance Act, the Veteran's Opportunities Act, Sections 503 and 504 of the
Rehabilitation Act of 1973, the Americans with Disabilities Act and any other applicable state and local laws.
Name of Applicant:
Position Applied For:
(Please Print)
Gender:
Male
Female
Ethnic Category: Please check only one box.
INTERNATIONAL BANCSHARES CORP. AND ITS MEMBER ORGANIZATIONS ARE EQUAL OPPORTUNITY EMPLOYERS.
Whether or not the information above is provided, please sign and date this form.
Signature of Applicant Date
Hispanic or Latino, Regardless of Race: All persons of Mexican, Puerto Rican, Cuban, Central American,
South American, or other Spanish culture or origin
All other Categories Not Hispanic or Latino
Two or More Races
American Indian or Alaskan Native: Persons having origins in any of the original peoples of North
America, and who maintain cultural identification through tribal affiliation or community recognition
Black or African American: Persons having origins in any of the Black racial groups in Africa
White: Persons of Canadian, German, Italian, Polish, and other similar descent
Asian: Persons of Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, and other similar
descent
Native Hawaiian or Other Pacific Islander: Persons of Native Hawaiian, Guamanian, Chamorro,
Samoan, and other similar descent
INTERNATIONAL
BANCSHARES CORPORATION
REVISED 03/2015
Page 7 of 8 Revised 03/2015
REQUIRED INFORMATION FOR CRIMINAL HISTORY CHECK AND/OR DRIVING RECORDS CHECK
PLEASE PRINT LEGIBLY IN BLACK INK
Name of Applicant/Employee:
(Last, First, Middle)
Date of Birth:
Social Security Number:
Have you ever been convicted of, pled guilty or no lo contendere (no
contest), or received deferred adjudication relating to any charge?
YES
NO
1. CRIMINAL HISTORY CHECK
If you have any criminal convictions, please provide the date, place and nature of conviction(s) here:
CURRENT AND FORMER ADDRESSES:
(Please provide the requested information for all places you have lived from age 18 to present.
City/State/Zip
County (if known)
Years Lived There
2. DRIVING RECORD CHECK: (if driving is a requirement of the position, Applicant/Employee must complete the
following)
Driver’s License Number:
State:
Expiration Date:
Have you ever held a driver’s license in any other state?
YES
NO
If yes, what state(s)?
Dates Held:
I acknowledge that I have received a copy of a "Summary of Your Rights under the Fair Credit Reporting Act." I
certify that the information given by me in the employment application process and stated on this form is true and
correct to the best of my knowledge. I understand and agree that any omission or misrepresentation by me shall
be grounds for denial of employment, or, if hired, termination of my employment.
Conviction will not necessarily bar employment. Consideration will be given to the nature of the crime, its
seriousness, time since conviction, age at time of offense, rehabilitation, and position for which you are applying.
Signature of Applicant/Employee
Date
Have you been known by any other names?
YES
NO
If yes, please list:
INTERNATIONAL
BANCSHARES CORPORATION
INTERNATIONAL
BANCSHARES CORPORATION
