Employee Application Authorization
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 Independence 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 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 Independence 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 Independence Bank may deny me employment or terminate my employment, and I agree that Independence Bank shall not be liable in any respect if it does so.
I understand that if I am employed by Independence Bank, any such employment is not binding on either party for any specific period of time. I further understand that no representative of Independence Bank, other than the Vice President of Human Resources, 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 Independence 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 Independence Bank or I may terminate that employment relationship at any time, for any reason, with or without notice.
Voluntary Affirmative Action and Veteran Status Data
Please note: Completion of this section is voluntary. We consider all applicants for positions without regard to race, color, religion, sex, national origin, sexual orientation, citizenship, age, mental or physical disabilities, veteran, or any other similarly protected status. We also comply with all applicable laws governing employment practices and do not discriminate on the basis of any unlawful criteria.
Providing the following information is STRICTLY VOLUNTARY. Not providing it will not subject you to any negative personnel decision or action. Your cooperation is appreciated.
Please select from the following Equal Employment Opportunity Identification Group:
Veteran Status: Please mark all that apply.