Employment Application

(Void after 60 days)

All qualified applicants will receive consideration for employment and will not be discriminated against based on their race, gender, disability, veteran status, or other protected classification.

Indicates a required field

Personal

Desired Schedule

Will you work overtime if asked?

Are you currently authorized to be employed in the U.S.?

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: Bank Forward does conduct a pre-employment criminal, credit, and background investigation.

Education

Graduate School

Did you Graduate?

College

Did you Graduate?

Business/Trade/Technical School

Did you Graduate?

High School

Did you Graduate?

Employment Record

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

Employer

Voluntarily or Involuntarily Left Employment?

Hourly Rate/Salary

May we contact this employer?

Add Another Employer Click here to add another employer.

Are you currently employed?

References

Name two additional individuals (not relatives or previous employers) who know your job related strengths and weaknesses.

Reference 1

Reference 2

General Information

Have you previously applied for employment with the Bank?

Have you previously been employed at the Bank?

Are any of your relatives employed by the Bank?

Certification

As a financial institution, Bank Forward has specific policies regarding employee and applicant honesty, performance, conduct and attendance. Additionally, Bank Forward reserves the right to investigate any unethical or illegal activities including, but not limited to, misappropriation of funds, misuse of bank accounts, falsification of records, the use or possession of controlled substances while working or working under the influence of controlled substances, unexcused absences, and the like. According to our policies, involvement in such activities will result in disciplinary actions which could include termination. In some cases, Bank Forward will refer an employee's conduct to the State or Federal government for prosecution.

Please read and initial each paragraph below. If there is any part of the page you do not understand, please discuss it with a Human Resources representative before signing.

I have read, understand and agree with the above information.

Combined disclosure notice and authorization regarding background consumer reports

(Important: Please read carefully before signing.)

The Fair Credit Reporting Act requires that we inform you that a background investigation may be conducted as part of our screening and hiring process. This may include an inquiry to obtain information regarding your character, employment history, general reputation, personal characteristics, police record, education, qualifications, motor vehicle record, mode of living and/or credit and indebtedness. The primary objective of any investigation will be to verify information you provided on your application or during the interview process in connection with your application for and/or continued employment (or contract) with the company. A consumer report and/or an investigative consumer report may be obtained at any time during the application process or during your employment with the company. Upon timely written request to our personnel department, and within 5 days of the request, the name, address and phone number of the reporting agency and the nature and scope of the report (if one is made) will be provided to you. You have the right to request details of the report from the consumer-reporting agency. Before any adverse action is taken, based in whole or in part on the information contained in the consumer report, you will be provided a copy of the report, the name, address and telephone number of the reporting agency, a summary of your rights under the Fair Credit Reporting Act, as well as additional information on your rights under the law.

The items of information requested below are required to process your background investigation. They are intended solely for that purpose and will not be used in a discriminatory manner for the making of business decisions.

(A Copy of ‘A Summary of Your Rights Under the Fair Credit Reporting Act’ is included with this authorization)

Current Address

Previous Address

Previous Address

I hereby authorize This Employer and/or Global Safety Network and their agents, without any reservation, to investigate my background as it pertains to employment history and performance, personal and professional references, educational history, licenses and information contained in public records, including, but not limited to, credit, criminal, motor vehicle data and workers compensation. I hereby release all persons, companies or other entities furnishing such information from liability and responsibility in connection herewith. I further authorize ongoing procurement of the types of reports mentioned herein at any time during my employment (or contract) with the company. A photocopy of this document may be substituted for the original.

MN/CA/OK Residents Only: Do you wish to receive a copy of your consumer report?

Summary of Your Rights (pdf)

Applicant Data Record

Bank Forward (including Insure, Invest, and Tax Forward) is an Equal Opportunity Employer and does not discriminate against employees or applicants for employment on the basis of race, color, religion, sex, national origin, age, veteran status, medical condition or handicap/disability, or any other legally protected status. Solely to help us comply with governmental record keeping, reporting and other legal requirements, we request that you please fill out this Applicant Data Record.

This data is for periodic government reporting and will be kept in a confidential file separate from the Application for Employment. YOUR COOPERATION IS VOLUNTARY and refusal to provide this information will have NO bearing on your application and will not subject you to any adverse treatment.

If you do not wish to complete the form please (1) Complete Section One and (2) Check the “I do not wish to Self-Identify” box below.

Section One

Referal Source

Section Two

Gender (check one)

 

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.

 

Check one of the following Race/Ethnic Groups

If other, check one of the following Race/Ethnic Groups

if ‘Native American Indian/Alaskan Native’, check one of the following Race/Ethnic Groups.

I am a Protected Veteran

 

Disabled Veteran

(i) 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 (ii) a person who was discharged or released from active duty because of a service-connected disability.

Armed Forces Service Medal Veteran

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 (61 Fed. Reg. 1209) at http://www.opm.gov/veterans/html/vgmedal2.asp.

Recently Separated Veterans

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.

Active Duty Wartime or Campaign Medal (Other Protected) Veterans

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. For those with Internet access, the information required to make this determination is available at http://www.opm.gov/veterans/html/vgmedal2.htm. Information also may be obtained by sending an email to helpdesk@vets100.com or by calling (301) 306-6752.

 

  • I am

  • 1. A Disabled Veteran
  • 2. An Armed Forces Service Medal Veteran
  • 3. A Recently Separated Veteran
  • 4. An Active Duty Wartime or Campaign Badge (Other Protected) Veteran

Voluntary Self-Identification of Disability

Why are you being asked to complete this form?

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities. 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:

  • Blindness
  • Deafness
  • Cancer
  • Diabetes
  • Epilepsy
  • Autism
  • Cerebral palsy
  • HIV/AIDS
  • Schizophrenia
  • Muscular dystrophy
  • Bipolar disorder
  • Major depression
  • Multiple sclerosis (MS)
  • Missing limbs or partially missing limbs
  • Post-traumatic stress disorder (PTSD)
  • Obsessive compulsive disorder
  • Impairments requiring the use of a wheelchair
  • Intellectual disability (previously called mental retardation)

Please check one of the boxes below. 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.

Reasonable 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 https://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.


In addition to submitting this application we also need a copy of your resume. Please email your resume to humanresources@bankforward.com.