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Preliminary Employment Application

The First cannot guarantee that this application will not be intercepted by a third party. If you are uncomfortable with completing this application on-line, please print this application, complete it manually and fax it to our Human Resource Department at 215-968-0415 or stop by any branch.

This is a shortened version of our "Application for Employment". If you receive further consideration for employment, you will be expected to complete the Bank's regular "Application for Employment" which will be provided to you at the time of interview.

Position
E-mail Address
Name
Address
Phone (include area code)
Best time to call

Referral Source:

 Employee   Employment Agency  
 Advertisement   Relative
 School   Other  

Have you filled out an application here before?
No   Yes, date

Have you ever been employed here before?
No   Yes, date

Have you ever been discharged or asked to resign from a job?
No   Yes

If yes, give date and nature of circumstances

Are you 18 years of age or over?
No   Yes

Foreign Language Proficiency:

Languages Speak   Write   Read

Hours Available to Work:

Full Time (specify hours)
Part Time (specify hours)
On what date are you available to work?
Can you travel if the job requires it? No   Yes
Do you have the legal right to work in this country? No   Yes

Under the Immigration Reform Control Act of 1986, any new employee (whether US citizen or resident alien) must provide at time of employment proof of identity, such as driver's license with photograph, and authorization to be employed, i.e., birth certificate, Social Security card, US passport, certificate of US citizenship or naturalization, resident alien card. If an employee is unable to do so, the employee will be discharged immediately.

Education

High School Name
City, State
Diploma/Degree
Course of Study
Honors Received
Years Completed 9   10   11   12
College/University
Address
Diploma/Degree
Course of Study  
Honors Received
Years Completed 1   2   3   4   >4

Please indicate if you have any of the following office skills:

10 Key Calculator
Accounting
Proof Machine
Teller System (type)
Typing ( WPM)
Computer (type)
Other
 

Employment Record

List below, beginning with your most recent, present and past employment, including military service for the past ten (10) years. Include summer or part-time employment. For any unemployment or self-employed periods, show dates, earnings (if any) and locations.

Present or last employer
Phone  
Address
Dates Employed to to
Job Title
Duties
Reason for Leaving
Previous employer
Phone
Address
Dates Employed to
Job Title
Duties
Reason for Leaving
Previous employer
Phone
Address
Dates Employed to
Job Title
Duties
Reason for Leaving
Previous employer
Phone
Address
Dates Employed to
Job Title
Duties
Reason for Leaving


Voluntary Self-Identification


The First National Bank and Trust Company of Newtown is an Equal Opportunity/Affirmative Action employer and voluntarily complies with the laws and regulations related to employment and the advancement of employment opportunities for qualified disabled persons, disabled veterans, Vietnam-era veterans, women and members of all minority groups. Any information you provide is strictly voluntary, confidential, and separate from your application.

This information is used for government reporting and Affirmative Action record keeping only. We consider all applicants for positions without regard to race, color, religion, sex, national origin, citizenship, age, mental or physical disabilities, military/veteran status, or any other similarly protected status. Refusal to provide this information will not subject you to adverse treatment.


Gender  
Diversity  
Are you a Veteran?  
In which military era did you serve?  
Are you a disabled veteran?  
Are you an other protected veteran?  

Federal Government Definitions of Affirmative Action Categories


Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.

White (Not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Black or African American (Not Hispanic or Latino) - A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Asian (Not Hispanic or Latino) - 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.

American Indian or Alaska Native (Not Hispanic or Latino) - 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 (Not Hispanic or Latino) - All persons who identify with more than one of the above five races.

By clicking "Submit" I certify that the information provided is true and complete to the best of my knowledge.

Federal and state laws prohibit discrimination on the basis of sex, race, creed, religion, color, national origin, citizenship, sexual orientation, age in accordance with applicable law, handicap, disability, medical condition, marital status, disabled veterans and veterans of the Vietnam era in all practices, privileges, and conditions of employment. First National Bank strictly adheres to these laws and regulations and will consider all applicants for all positions without regard to such factors. In addition, you are not required to answer any questions that you feel are inappropriate.

An Equal Opportunity Employer - M/F/H/V

 


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