Employment Application

* Required Fields

General Information

  • We will use this information only for employment purposes and make reasonable efforts to safeguard your privacy.
  • If at current address less than 2 years
  • *Are you under 18 years of age (Work permit needed if under 18):

  • Are you fluent in any language(s) other than English:

    If Yes, please indicate which language(s) you speak:
  • Have you ever been employed here before?

    If yes, give dates and positions:
  • Is this application a request for reemployment following an extended military leave of absence from this company?

    If yes, additional information may be requested.
  • Are you legally eligible for employment in this country?

  • Are you able to perform the "essential functions" of the job for which you are applying (with or without reasonable accommodation)?

    This question is not designed to elicit information about an applicant's disability. Please do not provide information about the existence of a disability, particular accommodation, or whether accommodation is necessary. These issues may be addressed at a later stage to the extent permitted by law.
  • Driver's license number required if driving may be required in position for which you are applying:
  • Have you ever pleaded "guilty" or "no contest" to, or been convicted of, a crime?

    If yes, please provide date(s) and details:
    Answering "yes" to either part of the following question does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.

Job Specific Information

  • Days/Hours Available to Work:

    • To
    • To
    • To
    • To
    • To
    • To
    • To
  • In which of our branch offices are you willing to work:

  • Are you an experienced operator of any of the following (Select all that apply and list software titles):

              Please explain:   
  • If yes, please explain:

    A conviction or pending charge will not be an automatic bar to employment and will be considered only as it relates to the job in question.

  • If yes, please explain:

    Payment of a civil forfeiture or fine will not be an automatic bar to employment and will be considered only as it relates to the job in question.

  • List below any personal characteristics, skills, attitudes, or achievements which you feel would qualify you for a position with Riddell National Bank. Feel free to list any participation in community/civic activities, special achievements, awards, hobbies, etc.

Education History

High School

Business/Trade School


Graduate Studies


Employment History

Starting with the present or most recent, list all previous employers. Include self-employment, military service, summer and part-time jobs.

Employer 1

  • Hourly Salary $ per
  • Hourly Salary $ per

Employer 2

  • Hourly Salary $ per
  • Hourly Salary $ per

Employer 3

  • Hourly Salary $ per
  • Hourly Salary $ per

Employer 4

  • Hourly Salary $ per
  • Hourly Salary $ per


*List the names of persons not related to you, who know of your work or qualifications.

Reference 1

Reference 2

Reference 3

Employee Application Authorization