Employment Application

Required Field

Applicant

Have you lived here for two or more years?

How would you prefer to be contacted?

Are you under 18 years of age?

Work permit needed if under 18

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

Job Specific Information

Which branch location(s) are you applying for?

What is your employment preference?

What days/hours are you able to work?

  • Time AM

  • Time PM

Are you willing to work overtime if requested to do so?

Are you an experienced operator of any of the following? (Select all that apply)

Have you ever been convicted of a felony or misdemeanor, or do you have any charges pending against you?

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.

Have you ever paid a civil forfeiture or fine for a non-traffic related offense?

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.

Education History

High School

What was your last year completed?

Did you graduate?

Business/Trade School

What was your last year completed?

Did you graduate?

College

What was your last year completed?

Did you graduate?

Graduate Studies

What was your last year completed?

Did you graduate?

Other

What was your last year completed?

Did you graduate?

Employment History

Have you been employed before?

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

Employer

May we contact this employer?

Add Another Employer

References

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

Reference 1

Reference 2

Reference 3

Endorsement

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 United Cumberland 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 United Cumberland 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 United Cumberland 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 United Cumberland Bank may deny me employment or terminate my employment, and I agree that United Cumberland Bank shall not be liable in any respect if it does so. I also understand that my employment at United Cumberland 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 United Cumberland Bank, which may include drug screening. I understand that if I am employed by United Cumberland Bank, any such employment is not binding on either party for any specific period of time. I further understand that no representative of United Cumberland 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 United Cumberland 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 United Cumberland Bank or I may terminate that employment relationship at any time, for any reason, with or without notice.