| Senath State Bank Employment Application Please print this form, fill it out and fax to 573-738-2108 |
| We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, disability or national origin. Consistent with the Americans Disabilities Act, applicants may request accommodations needed to participate in the application process. |
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| Personal Information: | |
| Last Name: | First Name, M.I.: |
| Social Security #: | 18
years of age or older?  Yes No |
| Address 1: | |
| Address 2: | |
| City: | State, ZIP: |
| Home Phone: | E-Mail Address: |
| Referred by: | Today's Date: |
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| Employment Desired: | |
| Position: | |
| Start Date: | Salary Desired: |
| Currently
Employed?:
Yes No |
Can
we contact your current employer?: Yes No |
| Have
you applied here before?: Yes No |
If so when and where?: |
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| Education: | |
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| Grammar School (Name and Location): | |
| Graduated?:
Yes No |
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| Subjects Studied and Degree(s): | |
|
|
| High School (Name and Location): | |
| Last
Year Completed: 1 2 3 4 |
Graduated?:
Yes No |
| Subjects Studied and Degree(s): | |
|
|
| College (Name and Location): | |
| Last
Year Completed: 1 2 3 4 |
Graduated?:
Yes No |
| Subjects Studied and Degree(s): | |
|
|
| Technical or Vocational School (Name and Location): | |
| Last
Year Completed: 1 2 3 4 |
Graduated?:
Yes No |
| Subjects Studied and Degree(s): | |
| General: | |
| Subjects of Special Study or Research Work: | |
| Job Related Skills (typing, driver's license, etc.): | |