Fillable Printable Bank Job Application Form - Union Bank
Fillable Printable Bank Job Application Form - Union Bank
Bank Job Application Form - Union Bank
All applications must be signed and delivered to Union
Bank. Applications that are submitted electronically or
otherwise without a signature will not be accepted.
Application for Employment
Union Bank is an
equal opportunity
employer and does
not discriminate in
hiring or
employment on
the basis of age,
color, handicap,
marital status,
national origin,
race, religion, sex,
sexual orientation,
veteran status or
other protected
characteristic.
Due to passage of
the Immigration
Reform and
Control Act of
1986, all new
employees are
required to provide
proof of identity
and employment
eligibility within 72
hours from date of
hire. Common and
acceptable forms
of identity and
employment
eligibility include:
passports, valid
driver’s licenses,
social security
cards, voter
registration cards
and birth
certificates issued
by state, county or
municipal
authority bearing a
seal or other
certification.
Instructions
Read the section below carefully before completing this application. Please print and
answer all questions completely and accurately. A resume may be attached, but does
not substitute for the completion of this application. Also:
If section does not apply, enter N/A
Note the conditions of employment on page 4
Note the requirement for proof of citizenship on page 1
Personal and General Information
Date
Name Social Security Number
Current Address
City, State, Zip
How Long?
Home Phone Number Work Phone Number
Cell Phone Number
E-Mail Address
Previous Address
City, State, Zip
How Long?
For the purpose of verifying prior employment and educational background, please indicate if you worked or attended
school under any other name:
If yes, give name:
Referral Source:
Advertisement Where did you see our ad?
Current or Former Employee Name:
School Referral School Name:
College Recruitment College Name:
Employment Agency Agency Name:
Walk In
Other Please describe:
Does your present employer know of your plans to change
employment?
Yes No
May we contact your present employer?
Yes No
Have you previously applied for employment or been employed with Union Bank?
Yes No
If yes, previous job title:
Supervisor: Department:
Dates previously Employed or Applied:
Are you related to any employees of Union Bank?
Yes No
Name / Relation
P a g e | 2
APPLICATION FOR EMPLOYMENT
Position Requirements
Desired Salary: $
Desired Status: Full-Time Part-Time Temporary
Will Travel if required or requested? Yes No Will work weekends if required or requested? Yes No
Will work over-time if required or requested? Yes No Will work holidays if required or requested? Yes No
Will work varying shifts if required or requested? Yes No
Educational Background
Name and Location of School GPA Number of
Years Attended
High School Did you graduate?
Yes No
If no, enter number of
years completed:
College/University Did you graduate?
Yes No
If no, enter number of
hours completed:
Major/Minor
College/University Did you graduate?
Yes No
If no, enter number of
hours completed:
Major/Minor
Technical School Did you graduate?
Yes No
Course: Certificate
Graduate School Did you graduate?
Yes No
Field of Study Master
Doctorate
Professional Courses Completed
Skills and Qualifications
Computer Skills Yes No Please describe experience
Personal Computer:
Operating System(s):
Applications (MS Word, Excel, etc.):
Other Skills Yes No Please describe experience
Customer Service
Cash Handling
Math / Accounting
Others
APPLICATION FOR EMPLOYMENT
P a g e | 3
Employment Record
Starting with the most recent employer, list all prior work experience for the last ten years. You may attach extra pages
if necessary.
Include any U.S. Military or National Guard Service.
Company Name Phone # Position From To
Address Supervisor Final Salary
Reason(s) for Leaving: Currently Employed Resigned Terminated
Duties Performed:
Company Name Phone # Position From To
Address Supervisor Final Salary
Reason(s) for Leaving: Currently Employed Resigned Terminated
Duties Performed:
Company Name Phone # Position From To
Address Supervisor Final Salary
Reason(s) for Leaving: Currently Employed Resigned Terminated
Duties Performed:
Please explain any gaps in employment of more than three months:
References
Provide the names and contact information for three non-related individuals who are willing and able to provide a reference regarding your
qualifications for the position for which you are applying.
Name: Name: Name:
Address: Address: Address:
Phone Number: Phone Number: Phone Number:
E-Mail Address: E-Mail Address: E-Mail Address:
Relationship: Relationship: Relationship:
P a g e | 4
APPLICATION FOR EMPLOYMENT
General Information
Please answer all questions listed below
Have you ever been convicted in any court, whether
civilian or military of a violation of the law, excluding
minor traffic offenses?
Yes No
If yes, please provide:
Has a court of law ever withheld adjudication for a crime
for which you were charged?
Yes No
If yes, please provide:
Offense: Offense:
Date: Date:
City and State: City and State:
Disposition of Case: Disposition of Case:
Court Location: Court Location:
Any Rehabilitation: Any Rehabilitation:
Are you awaiting trial for a violation of the law, excluding
minor traffic offenses?
Yes No
If yes, please provide:
Note: Conviction of a crime and/or court’s adjudication of
guilt being withheld and/or the fact that you are
awaiting trial will not necessarily bar you from
employment.
Charge:
Date Charged:
Trial Date:
Court Name and Location:
Conditions of Employment
I certify that each of the answers given in this application is complete and true to the best of my knowledge and I
understand that any misrepresentation or omission may preclude an employment offer or may result in termination of
employment. I understand that as part of the Union Bank selection process I may be requested to complete pre-
employment written or computer skills testing to be considered for the position. I authorize Union Bank to investigate
all statements made in the application process and understand that consideration for employment is contingent on the
completion of satisfactory background investigation. Nothing in this application is intended to create a contract
between Union Bank and me. If hired, I understand and agree that my employment, and the terms and conditions of
my employment, may be terminated or changed by Union Bank at any time with or without notice.
Applicant’s Signature Date
APPLICANT DATA SURVEY
Both applicants and employees are considered and treated without regard to race, color, creed, sex, national origin, ancestry,
age, veteran status, disability, or any other legally protected status.
In an effort to ensure Equal Employment Opportunity (EEO), we ask that you respond to the questions below. Please print
legibly using black ink or type. We appreciate your cooperation.
This data will be kept strictly confidential and totally separate from your Employment Application. Therefore, it will not
influence the employment decision. YOUR COOPERATION IS VOLUNTARY. For questions about this form contact our
Human Resources Department at (802)888-6600 or hr@unionbankvt.com .
Voluntary Survey
Name:
Date:
Position Applied For:
Check One: Male Female
How were you referred to Union Bank (check one)?
Agency Direct Contact Advertisement School Union Bank Employee
Other _____________________________________________________________________________
Name of Referral source above:
Race (please check all that apply)
White – A person having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Black or African American – A person having origins in any of the Black racial groups of Africa.
Hispanic or Latino (White race only) – A person of Mexican, Puerto Rican, Cuban, Central or South American, or other
Spanish culture or origin, and of the white race.
Hispanic or Latino (all other races) – A person of Mexican, Puerto Rican, Cuban, Central or South American, or other
Spanish culture or origin, and of any race other than White.
Asian – A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent
including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and
Vietnam.
Native Hawaiian or Other Pacific Islander – A person having origins in any of the original peoples of Hawaii, Guam,
Samoa, or other Pacific Islands.
American Indian/Alaskan Native – A person having origins in any of the original people of North America and South
America (including Central America), and who maintains tribal affiliation or community attachment.
Veteran Status
(please check all that apply)
Qualified Disabled Veteran – 1) a person entitled to disability compensation under laws administered by the Veteran
Administration for disability rated at 30% or more, or 2) a person whose discharge from active duty was for a disability
incurred or aggravated in the line of duty, and 3) is capable (qualified) of performing a particular job with reasonable
accommodation to his/her disability.
Vietnam Era Veteran – A person who 1) actively served for more than 180 days, any part of which occurred between
august 5, 1964 and May 7, 1975, and was released with other than a dishonorable discharge, or 2) was released from
such active duty for a service-connected disability.
“Other Veteran” – Other Veteran is defined as a veteran who served on active duty during a war or in a campaign or
expedition for which a campaign badge has been authorized. A complete list of campaigns is
at www.opm.gov/veterans/html/vgmedal2.htm
Newly Separated Veteran – Veterans whose discharge date from active duty in the US military occurred in the past 12
months.
