Application for Employment

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Equal Opportunity Employer
The Honesdale National Bank provides equal access to programs, services and employment opportunities without regard to sex (including gender identity, sexual orientation or pregnancy), race, color, religion, national origin, citizenship, age, disability, genetic information or any other bias protected by federal, state and/or local law.
In accordance with the Americans with Disabilities Act and/or applicable state and local laws, applicants requiring reasonable accommodations of the application and/or interview process should notify the Human Resources Department. Examples of reasonable accommodations include making a change to the application process; providing written materials in an alternate format such as braille, large print or audio recordings; using a sign language interpreter; using specialized equipment; or modifying testing conditions.

* required fields

Personal Information

Are you 18 years of age or older?*
Do you have a valid work permit?*
Would you accept full-time work?*
Would you accept part-time work?*
Have you ever been employed at The Honesdale National Bank?*
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 the law.
Have you ever been convicted of a crime?
Have you ever been discharged or asked to resign from a position?

Employment Desired

Are you currently employed?
May we contact your present employer?
Have you ever applied with us before?
If yes, were you offered a position?

Educational Background (beginning with high school)

School one

School two

School three

School four

Employment History

Starting with your most recent employer, provide the requested information. You may include any verified work performed on a volunteer basis.

Employer #1

Employer #2

Employer #3

Employer #4

References (Professional or Personal)

Reference #1

Reference #2

Reference #3

Supporting Documentation

Applicant Statement

By submitting this application, I certify that all information I have provided in order to apply for a secure work with this employer is true, complete and correct.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume, or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persona, corporations or organizations for furnishing such information about me.

I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.

I understand that this application remains current for one year. At the conclusion of that time, If I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing expressed language are valid unless they are in writing and signed by the Director of Human Resources.
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