Citizens BankYour locally owned community bank
Personal Banking

Employment Application

* indicates a required field


Do you want to be part of Citizens Bank? If you think you have what it takes to be part of our team, then fill out this form and submit it electronically.

Citizens Bank is an equal opportunity employer. We are 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.





Personal Information

*Date
*Social Security Number
*Name (First M. Last)
*Address
*City, State Zip ,
Permanent Address
Permanent City, State Zip ,
*Email
*Home Phone Number
Referred by



Are you 18 years of age or older? Yes No



Employment Desired


*Position
*Date you can start
*Salary Desired
Are you employed now? Yes No
May we contact your present employer? Yes No
Have you ever applied
to this company before?
Yes No
If so,where?
When?



Education


Grammar School

Name and location of school
Did you graduate? Yes No
What subjects were studied and what degree(s) received?



High School
Name and location of school
Last year completed: 1 2 3 4
Did you graduate? Yes No
What subjects were studied and what degree(s) received?



College
Name and location of school
Last year completed: 1 2 3 4
Did you graduate? Yes No
What subjects were studied and what degree(s) received?



Trade, Business or Correspondence School
Name and location of school
Last year completed: 1 2 3 4
Did you graduate? Yes No
What subjects were studied and what degree(s) received?



General
*Subjects of special study or research work
*Job related skills (typing, driver's license, etc.)



Former Employers

List below the last four employers, starting with the last one first:
Name
Address
City, State Zip ,
Reason for leaving
Position
Salary
Date from (mo/year)

to (mo/year)

Name
Address
City, State Zip ,
Reason for leaving
Position
Salary
Date from (mo/year)

to (mo/year)

Name
Address
City, State Zip ,
Reason for leaving
Position
Salary
Date from (mo/year)

to (mo/year)

Name
Address
City, State Zip ,
Reason for leaving
Position
Salary
Date from (mo/year)

to (mo/year)



References

Name
Position
Phone Number
Years Acquainted
Address
City, State Zip

,

Name
Position
Phone Number
Years Acquainted
Address
City, State Zip

,

Name
Position
Phone Number
Years Acquainted
Address
City, State Zip

,


Please read the following disclosure
then scroll down to submit this application.

If Citizens Bank hires you, you will be required to attest to your identity and employment eligibility, and to present documents confirming your identity and employment eligibility. You cannot be hired if you cannot comply with these requirements.

AUTHORIZATION

I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by Citizens Bank.

I understand that any employment is conditioned on a background check. I authorize Online Financial Institution to thoroughly investigate all statements contained in my application or resume. Furthermore, I authorize my former employers and references to disclose information regarding my former employment, character, and general reputation to Citizens Bank, without giving me prior notice of such disclosure. In addition, I release Citizens Bank, any former employers, and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.

I understand and agree that nothing contained in this application, or conveyed during my interview, is intended to create an employment contract. I further understand and agree that if I am hired, my employment will be "at will" and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of either myself or Online Financial Institution. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon Citizens Bank unless made in writing.

If I am offered employment I agree to submit to a medical examination and drug test, if required, before starting work. If employed, I also agree to submit to a medical examination or drug test at any time deemed appropriate by Citizens Bank and as permitted by law. I consent to such examinations and tests, and I request that the examining doctor disclose to Citizens Bank the results of the examination, which results shall remain confidential and segregated from my personnel file. I understand that my employment or continued employment, to the extent permitted by law, may be contingent upon satisfactory medical examinations and drug test, and if I am hired a condition of my employment will be that I abide by Citizens Bank's Drug and Alcohol Policy.

I understand that filling out this form does not indicate there is a position open and does not obligate Citizens Bank to hire. If hired, I agree to abide by all company work rules, policies and procedures. Citizens Bank retains the right to revise its policies or procedures, in whole or in part, at any time.


* indicates a required field