Employment Application

Required Field

Applicant

First Name Middle Initial Last Name Suffix Home Address City State Zip Code

Have you lived here for two or more years?

Yes
No

Previous Home Address City State Zip Code Daytime Phone Number Home Phone Number E-mail Address Please do NOT email me important news and updates.

How would you prefer to be contacted?

Home Phone
Daytime Phone
Email
Other
Other Preference

Referred By

Are you over 18 years of age?

Yes
No

Are you fluent in any language(s) other than English

Yes
No
What other languages do you speak?

Job Specific Information

Position Applying For

Which branch location(s) are you applying for?

Any
Morristown
Main - Greeneville
Jonesborough
Bypass - Greenville
Johnson City
Southwest - Greenville
Cleveland

What is your employment preference?

Any
Full-Time
Part-Time
Peak-Time
Temporary or Seasonal employment

Desired Pay Rate Rate Per (Hour, Month, or Year) Date Available to Begin Work

What days/hours are you able to work?

Time AM
Time PM

Monday from
to

Tuesday from
to

Wednesday from
to

Thursday from
to

Friday from
to

Saturday from
to

Are you willing to work overtime if requested to do so?

Yes
No

Are you an experienced operator of any of the following? (Select all that apply)

If other please explain List any personal characteristics, skills, attitudes, or achievements which you feel would qualify you for this position.

Education History

High School

Name Address City State Zip Code Major

What was your last year completed?

1
2
3
4

Did you graduate?

Yes
No

Degree/Diploma

Business/Trade School

Name Address City State Zip Code Major

What was your last year completed?

1
2
3
4

Did you graduate?

Yes
No

Degree/Diploma

College

Name Address City State Zip Code Major

What was your last year completed?

1
2
3
4

Did you graduate?

Yes
No

Degree/Diploma

Graduate Studies

Name Address City State Zip Code Major

What was your last year completed?

1
2
3
4

Did you graduate?

Yes
No

Degree/Diploma

Other

Name Address City State Zip Code Major

What was your last year completed?

1
2
3
4

Did you graduate?

Yes
No

Degree/Diploma

Employment History

Have you been employed before?

Yes
No

Starting with the present or most recent, list all previous employers. Include self-employment, military service, summer and part-time jobs.

Employer

Employer Name Address City State Zip Code Last Position Held Employment Start Date Employment End Date (Today's date if current employer) Reason for Leaving Job Duties Name and Title of Supervisor Phone Number E-mail

May we contact this employer?

Yes
No

 Add Another Employer

References

List the names of persons not related to you, who know of your work or qualifications.

Reference 1

First Name Last Name Phone Number

Reference 2

First Name Last Name Phone Number

Reference 3

First Name Last Name Phone Number

Endorsement

I certify that the facts set forth in this application are true, correct and complete without misrepresentations or omissions of any kind whatsoever. I understand that if any of the information on this application form is discovered to be incorrect, false or misleading or if there are any misrepresentations or omissions of and kind whatsoever, then Andrew Johnson Bank may deny me employment or terminate my employment, and I agree that Andrew Johnson Bank shall not be liable in any respect if it does so. I understand that if I am employed by Andrew Johnson Bank, any such employment is not binding on either party for any specific period of time. I further understand that no representative of Andrew Johnson Bank, other than the CEO or President, with approval from the Board of Directors, has any authority to enter into any agreement for employment for any specified period of time. Any such agreement must be in writing and signed by such officer. I understand that any other written or oral statement to the contrary, even if made by a supervisor, manager or officer of Andrew Johnson Bank, is invalid and should not be relied on by me. I understand that if employed I will be an employee-at-will and that either Andrew Johnson Bank or I may terminate that employment relationship at any time, for any reason, with or without notice.

I acknowledge that I have read and understand the Employee Application Authorization. Applicant's Signature Date