Community State Bank is an equal opportunity employer dedicated to a policy of non-discrimination in all areas of employment. In accordance with this policy, all qualified applicants for employment will be considered without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, genetic information, disability, veteran status, or pregnancy, or any other status or condition protected by state law.
Note: Federal law requires that you provide documents which verify your identity and your eligibility for employment in the U.S. As a condition of employment, you are required to provide such documentation and to sign a form establishing that you are lawfully able to work in the U.S.
Beginning with your present or last job, list below the four most recent positions you have held. Additional employers can be added below.
Please list below three employment references whom we may contact for the purpose of obtaining information relating to your previous employment (or education, or personal references, if not employed).
I hereby certify that all answers given and statements made are true and correct. I hereby give Community State Bank the right to make a thorough investigation into my previous employment, education, and references. I hereby release all such persons from liability or damages incurred as a result of inquiry and furnishing this information. If hired, I understand that my employment is at will and constitutes no expressed or implied contract.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.
We are a government contractor subject to all provisions of The Civil Rights Act of 1964, Executive Order 11246 (as amended), The Rehabilitation Act of 1973 (as amended), and The Vietnam Era Veterans' Readjustment Assistant Act of 1974 (as amended). Qualified applicants are considered without regard to race, color, age, sex, sexual orientation, gender identity, religion, national origin, genetic information, pregnancy, disability, or protected veteran status. In order to help us comply with government regulations, we would like you to answer the questions listed below. YOU ARE NOT REQUIRED TO PROVIDE THIS INFORMATION. This form will be kept strictly confidential and separate from your Employment Application.
* Protected Veteran Categories / Definitions
** Individual with Disability: any person who (i) has a physical or mental impairment which substantially limits one or more of such person's major life activities. (ii) has a record of such impairment; or (iii) is regarded as having such impairment
By this document, Community State Bank discloses to you that an investigative consumer report my be obtained for employment purposes as part of the pre-employment background investigation and at any time during your employment. This report may include information about your character, general reputation, personal characteristics, mode of living, criminal, driving, and work history, etc. This authorization shall remain on file if you are hired and shall serve as an ongoing authorization for Community State Bank to procure consumer reports at any time during your employment period. Community State Bank certifies that before taking any "adverse action" based in whole or in part on the report, which results in a denial of employment or any other decision for employment purposes that adversely affects any current or prospective employee, the Bank shall provide a copy of the report to the consumer as well as a written statement of the individual's rights under the law, as prescribed by the Federal Trade Commission.
I hereby authorize Community State Bank to obtain an Investigative Consumer Report and acknowledge receipt of the foregoing disclosure.