Application for Employment

Community Bank and Trust considers all applicants for positions, without regard to race, color, religion, gender, national origin, citizenship, age, disability, marital status, veteran status, or any other similarly protected status. We also comply with all applicable laws governing employment practices and do not discriminate on the basis of unlawful criteria.

Federal and state law obligates us to provide reasonable accommodations to the known disabilities of applicants, unless to do so would pose an undue hardship. Please let us know if you need an accommodation to complete the application or interview process, or to perform any essential elements of the position you are applying for.

DIRECTIONS: Only applications completed in full will be considered.

   Location(s) Preferred:
Neosho, MO Seneca, MO Diamond, MO
Granby, MO Anderson, MO Carthage, MO
Joplin, MO Carl Junction, MO Galena, KS
 
Position Applying for:   
Please be specific.  "Any" is not an acceptable response.
Application Date: Available to Work: Full Time Part Time
       
If you are applying for a part time position, please provide specifics on your available time.
Last Name First Name Middle Name
   
Street Address City State                          Zip
   
E-mail Home Phone         -       Cell Phone Social Security Number
Date Available for Work: Expected Salary:
How did you learn about us?
           
Referred by CBT Employee Name: School
Newspaper Ad Employment Agency Walk-In CBT Website  
Friend/Relative; Name Other;   Specify
Have you ever been fired or asked to resign from a job?   Yes No
Have you ever been employed with us before?   Yes No
If yes, please provide dates of employment;  From to
         
Have you applied with us before?   Yes No
If yes, please provide the date of application.  
         
Are you 18 years of age or older?   Yes No
Do you have any relatives working for Community Bank and Trust?   Yes No
If yes, please provide his/her name(s).  
         
Are you currently authorized for employment in the U.S. without restrictions?   Yes No
Proof of citizenship or immigration status will be required upon employment.        
         
Have you been convicted of a felony within the last seven years?   Yes No
If yes, please explain.        
A conviction record will not necessarily disqualify applicant from employment. Recency, severity and pertinence of the conviction to the job will be considered.
         
Are you a veteran of the U.S. Military Service?   Yes No
If yes, please provide which branch.  
List below professional, trade, business or civic activities.
         
List below job related skills and qualifications acquired from employment or other experiences.
         
List below any honors, awards or certifications you have received while pursuing your education or during your employment.
Please list any other additional information you would like us to consider.
References: List three references other than relatives. References should have some knowledge of your work experience and educational background.
Name City, State Phone
EDUCATION
  School Name City & State Did you graduate?
High School Yes No
College Yes No
If attended, list course of study and degree received.
Graduate Yes No
If attended, list course of study and degree received.
Trade/Other Yes No
If attended, list course of study and degree received.
EMPLOYMENT HISTORY
List three employers or assignments, chronologically (most recent first), and with no omissions, including military experience.
Employer Name
 Address
 City, State & Zip
Employer Phone
 Your Job Title
 Dates Employed
Hourly Rate/Salary
 Supervisor Name
 Reason for Leaving
Work Performed
May we contact? Yes        No  
     
Employer Name
 Address
 City, State & Zip
Employer Phone
 Your Job Title
 Dates Employed
Hourly Rate/Salary
 Supervisor Name
 Reason for Leaving
Work Performed
May we contact? Yes        No
     
Employer Name
 Address
 City, State & Zip
Employer Phone
 Your Job Title
 Dates Employed
Hourly Rate/Salary
 Supervisor Name
 Reason for Leaving
Work Performed
May we contact? Yes        No
     

APPLICANT STATEMENT

I certify that all information I have provided in order to apply for and secure work with Community Bank and Trust is true, complete and accurate.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (1) cancel further consideration of this application, (2) immediately discharge me from Community Bank and Trust, whenever it is discovered.

I hereby authorize, without reservation, Community Bank and Trust, its representatives, employees or agents, to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview.  I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that Community Bank and Trust does not unlawfully discriminate in employment and no questions on this application are used for the purpose of limiting or excusing any applicant from consideration for employment on the basis prohibited by applicable local, state or federal law.

I understand that this application remains active for 90 days.  At the conclusion of that time, if I have not heard from Community Bank and Trust and still wish to be considered for employment, it will be necessary to reapply and complete a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause, and without prior notice, and Community Bank and Trust reserves the same right to terminate my employment at any time, with or without cause, and without prior notice, except as may be required by law.  This application does not constitute an agreement or contract for employment for any specified period or definite duration.  I understand that no supervisor or representative of Community Bank and Trust is authorized to make any assurance to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid.

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

I understand that Community Bank and Trust utilizes pre-employment drug screening and that a positive result will disqualify me from employment.

CONSENT TO RECEIVE ELECTRONIC COMMUNICATIONS

If submitting your Application for Employment electronically by email, this document informs you of your rights regarding the receipt of legally-required disclosures, notices, consents and information associated with your application to Community Bank and Trust.

The hardware and software requirements needed to access and retain the electronic records include: Internet Explorer 6.0 or above, Firefox 2.0 or above, Microsoft Word and hardware capable of running this software.

In order to submit your Application for Employment with Community Bank and Trust electronically via email, we need your consent. By completing and emailing your application to Community Bank and Trust you:

  • Acknowledge receipt of this document and consent to the electronic delivery of such disclosures.
  • Consent to receive communications and disclosures related to the processing of your Application for Employment with Community Bank and Trust in electronic form. This consent includes any disclosures required by federal, state or local law, including, but not limited to, disclosures under the federal Fair Credit Reporting Act.
  • Can access the electronic disclosures in the designated formats described herein.
  • Consent to having all disclosures from Community Bank and Trust provided or made available to you in electronic form.

After submitting this Application for Employment and accompanying Release Authorizations electronically via email, you may withdraw your consent by informing Community Bank and Trust in writing to: Community Bank and Trust, Attention Human Resources, 100 S. Wood Street, Neosho, Mo 64850. If you decide to withdraw your consent, the legal validity and enforceability of prior electronic disclosures will not be affected, and you will no longer be considered for employment.

 NOTIFICATION AND AUTHORIZATION FORM FOR EMPLOYMENT CREDIT REPORT

Name:
  Last First Middle Initial
Maiden/Previous Name:
  Last First
   
  Social Security Number  
Address:
  Street  
 
  City State Zip

In connection with my application for employment, or continued employment, I authorize any credit bureau, employer, former employer, educational institution and other persons contacted to release information regarding my records, investigative consumer report, character, performance, qualifications, background and reasons for termination of past employment to Community Bank and Trust or its agents from any responsibility or liability, and also any injuries or damages not now known or which may later develop, resulting from the disclosure of such information.  I realize and agree that this information may be obtained prior to my employment or during my employment with Community Bank and Trust.  I also realize that this information may be obtained for internal security reasons and hereby consent to this policy as a term and condition of employment.

I understand that the decision to hire is solely that of Community Bank and Trust, and although said decision may be based upon information gathered by the credit reporting agency, I release the credit reporting agency from any and all liability surrounding or related to the employer's decision.  If an adverse employment decision is made due totally or partially to the information on the credit report, Community Bank and Trust will provide me a copy of the credit report, a summary of my rights under the Fair Credit Reporting Act and the source of credit report so that I may contact them if I wish.

Affirmative Action
Voluntary Information

TO BE COMPLETED BY APPLICANT ON A VOLUNTARY BASIS. NOT FOR INTERVIEW PURPOSES. TO BE FILED SEPARATELY FROM APPLICATION.

In an effort to comply  with requirements regarding government recordkeeping, reporting and other legal obligations which may apply, we invite you to complete this applicant data survey. Providing this information is STRICTLY VOLUNTARY. Failure to provide it will not subject you to any adverse personnel decision or action. Your cooperation is appreciated.

Please be advised that this survey is not part of your official application for employment. It will not be used in any hiring decision.
The information will be used and kept confidential in accordance with applicable laws and regulations.
Position(s) applied for:   Date:
  Please be specific.  “Any” is not an acceptable response.
Applicant Information
Last Name First Name Middle  
 
Address City State Zip
Male Female   Veteran Yes    No
Please check one of the following Equal Employment Opportunity Identification Groups:
American Indian / Alaskan Native Hispanic / Latino White Black / African American
Native Hawaiian / Other Pacific Islander Asian Two or more Races