Starting with the present or most recent, list all previous employers. Include self-employment, military service, summer and part-time jobs.
List the names of persons not related to you, who know of your work or qualifications.
I certify that the facts set forth in this application are true, correct and complete without misrepresentations or omissions of any kind whatsoever. I authorize investigation of the statements I have made herein. I hereby release from any and all liability all representatives of First Missouri State Bank for their acts performed in connection with evaluating my application, background, credentials and qualifications. I hereby further authorize any party (including the companies, schools and organizations listed in this application form) to release any information they may have about me to First Missouri State Bank, including all of my personnel records with prior employers. I also release all persons, companies, schools and organizations (and all persons connected with them) who provide such information to First Missouri State Bank from any and all liability for any damage for giving this information. 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 First Missouri State Bank may deny me employment or terminate my employment, and I agree that First Missouri State Bank shall not be liable in any respect if it does so. I also understand that my employment at First Missouri State Bank is contingent upon the satisfactory completion of a drug screen and an investigation of my work record and references. I consent to a pre-employment physical examination and such future examinations as may be required by First Missouri State Bank, which may include drug screening. I understand that if I am employed by First Missouri State Bank, any such employment is not binding on either party for any specific period of time. I further understand that no representative of First Missouri State Bank, other than the CEO or President, 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 First Missouri State 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 First Missouri State Bank or I may terminate that employment relationship at any time, for any reason, with or without notice.
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