Employment Application

Employment Desired

Time availability for work
Full-TimePart-TimeSaturdays

Are you currently employed?*
YesNo

May we contact your previous employers?*
YesNo

Are you legally eligible for employment in the U.S.?*
YesNo

Have you ever been convicted or pled guilty/no contest to a misdemeanor or felony offense?*
YesNo

No applicant will be denied employment solely on the grounds of a conviction of a criminal offense. The nature and date of the offense, surrounding circumstances, and relevance of the offense to the position applied for, may, however, be considered.

By submitting this application, I agree:

This application will expire after 30 days or upon the position being filled. If you wish to be considered for another available position thereafter, you must complete a new application.

If Unico 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.

CERTIFICATION & SIGNATURE: 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 Unico Bank.

I hereby authorize Unico Bank to thoroughly investigate my references, work records, education, credit history, criminal records, and other matters related to my suitability for employment. I further authorize my current and former employers to disclose to Unico Bank any and all letters, reports, reviews, or other information pertaining to my employment with them, without giving me prior notice of such disclosure. In addition, I hereby release Unico Bank, my current and former employers, and all other persons, corporations, partnerships, and associates from any and all claims, demands, or liabilities arising out of or in any way related to such disclosures.

I understand and agree that nothing contained in this application, or conveyed during my interview, is intended to create an employment contract, implied or explicit, between BUnico Bank and myself. 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 Unico Bank. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon Unico Bank unless made in writing and signed by the President/CEO of Unico Bank.

If I am offered a position at Unico Bank, I agree to submit to a pre-employment examination and drug test, if required, before starting work. If employed, I also agree to submit to drug and alcohol testing at any time deemed appropriate by Unico Bank and as permitted by law. I consent to such tests, and I request that the examining doctor disclose to Unico 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 drug and alcohol tests, and if I am hired, a condition of my employment will be that I abide by Unico 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 Unico Bank to hire me. If hired, I agree to abide by all bank work rules, policies, and procedures. Unico Bank retains the right to revise its policies or procedures, in whole or in part, at any time.

My signature below certifies that I have read and agree to the above application statements, terms and conditions.

I have read and agree with the hiring procedure.*

Type your full name here.

Please Read and Initial Each Paragraph

I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure can be grounds for rejection of application or, if I am employed by this company, terms for my immediate expulsion from the company.

I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or the company.

Initial*

I permit the company to examine my references, record of employment, education record, and any other information I have provided. I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers & all other persons, corporations, partnerships & associations from any & all claims, demands or liabilities arising out of or in any way related to such examination or revelation.

Initial*