Employment

Employment Application

Important ~ Please Read:

Thank you for your interest in employment opportunities with First National Bank of Northern California (FNBNC). We appreciate the opportunity to review your qualifications for employment. First National Bank of Northern California is proud to be an equal opportunity/affirmative action employer. All applications are considered without regard to race, Title II of GINA, age, sex, disability, sexual orientation, martial status, color, religion, national origin, or any other legally protected characteristic. First National Bank of Northern California requires that all persons interested in employment complete a written application for each position for which they are applying. This application must be filled out completely, even if a resume is submitted. Be sure to read, sign and date the certification section on the last page. Incomplete applications will not be considered.

Personal Information

Best Time to call: Best Time to call:
(if yes, indicate dates and position)

(Employment is contingent on your ability to provide proof of your legal right to work)

(If under 18, hire is required to submit proof of legal right to work)

(Convictions for marijuana related offenses that are more than two years old need not be listed. No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The nature, date and circumstances surrounding the offense will be considered)


(Complete only if applying for courier position)


Job Interest


(Teller posistions only)

(check as many as desired)



Education and Skills

School Name School Address Major Course of Study Years Completed Degree
High School




College




College




Vocational, Technical




(OMIT THOSE WHICH INDICATE RACE, Title II of GINA, RELIGION, NATIONAL ORIGIN, COLOR, SEX, SEXUAL ORIENTATION, AGE OR DISABLILITY)
(OMIT THOSE WHICH INDICATE RACE, Title II of GINA, RELIGION, NATIONAL ORIGIN, COLOR, SEX, SEXUAL ORIENTATION, AGE OR DISABLILITY)


Additional Information



Specialized Skill(s)/Equipment



References

Name Phone Number Title Best Time to Call


Employment History

   From:   To:
   Yes   No

 

   From:   To:
   Yes   No

 

   From:   To:
   Yes   No

 

   From:   To:
   Yes   No


Comments (Include explanation of any gaps in employment)


Equal Employment Opportunity Affirmative Action
Voluntary Self-Identification Form

Our Bank is an equal opportunity employer and does not discriminate in hiring or employment decisions on the basis of race, color, religion, sex, national origin, age, disability, or any other category protected by federal, state, or local law. No question on this form is intended to secure information to be used in such a manner. We are subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, we invite our employees to voluntarily self-identify their race, ethnicity, gender, and veteran status. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information will be kept confidential and will only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual.

I understand the reason for this request for voluntary self-identification as stated above and have opted to
complete this form.
I understand the reason for this request for voluntary self-identification as stated above and choose to
decline.
I: GENDER: Male Female

II: ETHNICITY
The following ethnic categories are defined by federal regulations. For purposes of this voluntary form, please check one of the following with which you best identify or belong:

WHITE (not of Hispanic origin)- A person having origins in any of the original peoples of Europe or the Middle East, or North Africa.
BLACK OR AFRICAN AMERICAN (Not Hispanic or Latino)- A person having origins in any of the black racial groups of Africa.
ASIAN (Not Hispanic or Latino) - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
AMERICAN INDIAN OR ALASKAN NATIVE (Not Hispanic or Latino) - A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.
HISPANIC OR LATINO - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish Culture or origin regardless of race.
NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER (Not Hispanic or Latino)- A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
TWO OR MORE RACES - A person who identify with more than one of the above five races.

III. OTHER INFORMATION

SPECIAL DISABLED VETERAN - Persons who served in the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Department of Veterans’ Affairs for a disability a) rated at 30 percent or more, or b) rated at 10 or 20 percent in the case of a veteran who has been determined under section 38 U.S.C. 3106 to have a serious employment handicap or ii) a person who was discharged or released from active duty because of a service-connected disability.

VIETNAM ERA VETERAN - Persons who either Served on active duty for a period of more than 180 days, any part of which occurred between 08-05-64 & 05-07-75, where discharged or released there from with other than a dishonorable discharge. Were discharged or released from active duty for a service connected disability if any part of such duty was performed between 08-05-64 & 05-07-75.

NEWLY SEPARATED VETERAN – Any veteran who served on active duty in the U.S. military, ground, naval or air service during the one-year period beginning on the date of such veteran’s discharge or release from active duty.
OTHER PROTECTED VETERAN – Persons who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
DISABLED INDIVIDUAL – Persons who a) has a physical or mental impairment that substantially limits one or more of such person’s major life activities; b) has a record of such impairment; or c) is regarded as having such impairment. For purposes of this part, a disabled individual is “substantially limited” if he or she is likely to experience difficulty in securing, retaining or advance in employment because of handicap.


COMPLETION OF THIS FORM IS NOT MANDATORY, IT IS VOLUNTARY
If you have any questions regarding this form, please contact the Human Resource Department



Applicant's Statement

I understand that by submitting this application, I certify that answers given herein are true and complete.

I authorize investigation of all statements contained in this application for employment as my be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that both the employee and employer may dissolve, the employment relationship at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct, unless such change is specifically acknowledged in writing by an authorized executive of First National Bank of Northern California.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.




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