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AT WILL EMPLOYMENT APPLICATION

(Void after 90 days)

Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin, disability, veteran status, and any other protected category under local, state, or federal law.

PERSONAL

Location(s) Preferred:

Are you currently authorized to be employed
in the U.S. on a full-time basis?

If you are selected for hire, you will be required to provide documentary evidence of your identity and eligibility to work in the United States.
NOTICE: Maries County Bancorp, Inc. does conduct a pre-employment drug screening, criminal and background investigation.

Will you work overtime if asked?

Are you over 18 years of age?

EDUCATION

School

Name and Location of School

Course of Study

No. of Years Completed

Did you Graduate?

Degree or
Diploma & GPA

Graduate

College

Business/Trade/
Technical

High School

Do you intend to continue your education?

Employment Record

List last four (4) employers, starting with present or most recent. Please fully complete and do not use the term "See Resume."

Dates Employed

Hourly Rate/Salary

Dates Employed

Hourly Rate/Salary

Dates Employed

Hourly Rate/Salary

Dates Employed

Hourly Rate/Salary

GENERAL INFORMATION

References

Give the names of three persons not related to you, who are familiar with your work performance and have known you for at least one (1) year. Include the name of at least one supervisor.

Name

Address

Phone

Relationship

Supervisor

APPLICANT'S REPRESENTATIONS FOR EMPLOYMENT

Should I be employed by the Bank, I agree to conform to the Bank's rules and regulations, and agree that as an at will employee, my employment and compensation can be terminated, at any time, for any or no reason, with or without notice, at the option of either the Bank or myself.


I authorize persons, schools, current employer and previous employers, and organizations named in this application to provide the Bank with any relevant information that may be requested. I further release all parties providing information from any and all liability or claims for damanges, whatsoever that may result from this information's release, disclosure, maintenance, or use.


I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentation are discovered, my application may be rejected or if employed, my employment may be terminated. I give you the right to investigate all statements above.


I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state, or federal law.


I understand that this application remains current for only 90 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.


I understand that employees may be terminated with or without cause and with or without notice at any time. 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, except as required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration.


I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 form in this regard.


 

Maries County Bancorp, Inc.
has a Drug Free
Work Environment
in all bank buildings
and on the premises
Thank you for your cooperation