Application for Employment

INTRODUCTORY STATEMENT

TWO RIVER COMMUNITY BANK IS AN EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION EMPLOYER. THE BANK CONSIDERS APPLICANTS FOR EMPLOYMENT WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, AGE, VETERAN STATUS, GENDER IDENTITY OR EXPRESSION, ANCESTRY, NATIONALITY, AGE, MARITAL, DOMESTIC PARTNERSHIP OR CIVIL UNION STATUS, ANY NON-JOB RELATED PHYSICAL OR MENTAL DISABILITY, AFFECTATIONAL OR SEXUAL ORIENTATION, CITIZENSHIP, LIABILITY FOR MILITARY SERVICE, ATYPICAL CELLULAR TRAIT, BLOOD TRAIT, GENETIC INFORMATION (INCLUDING THE REFUSAL TO SUBMIT TO GENETIC TESTING), OR ANY OTHER CHARACTERISTIC PROTECTED BY LAW. EQUAL ACCESS TO PROGRAMS, SERVICE AND EMPLOYMENT IS AVAILABLE TO ALL PERSONS. THOSE APPLICANTS REQUIRING REASONABLE ACCOMMODATION TO THE APPLICATION AND/OR INTERVIEW PROCESS SHOULD NOTIFY THE INDIVIDUAL RESPONSIBLE FOR HUMAN RESOURCES.

ALL APPLICATIONS FOR EMPLOYMENT MUST BE SUBMITTED IN PAPER OR ELECTRONICALLY TO THE BANKíS HUMAN RESOURCES DEPARTMENT, AND EACH APPLICATION FOR EMPLOYMENT MUST BE FOR A PARTICULAR POSITION WITHIN THE BANK. EACH PROPERLY SUBMITTED AND COMPLETED APPLICATION WILL BE GIVEN EVERY CONSIDERATION, BUT ITS RECEIPT DOES NOT IMPLY THAT THE APPLICANT WILL BE EMPLOYED. APPLICATIONS WILL BE CONSIDERED FOR VACANCIES WHICH ARISE DURING THE 60 DAY PERIOD FOLLOWING SUBMISSION. APPLICANTS SHOULD COMPLETE AN UPDATED APPLICATION IF NOT CONTACTED AND/OR HIRED DURING THIS 60 DAY EVALUATION PERIOD.

PLEASE COMPLETE THIS FORM CAREFULLY, IN YOUR OWN HANDWRITING IF ON PAPER. REPLIES TO ALL QUESTIONS WILL BE HELD IN STRICTEST CONFIDENCE. IF YOUR ANSWERS OR STATEMENTS REQUIRE ADDITIONAL SPACE, OBTAIN SUPPLEMENTAL SHEETS FROM THE RECEPTIONIST.

IN ORDER TO BE CONSIDERED FOR EMPLOYMENT, THIS APPLICATION MUST BE COMPLETED IN FULL. PLEASE INDICATE THE SPECIFIC JOB TITLE FOR WHICH YOU ARE INTERESTED IN BEING CONSIDERED. INDIVIDUALS WHO EXPRESS AN INTEREST IN "ANY" POSITION, OR A GENERIC TITLE WILL NOT BE CONSIDERED FOR EMPLOYMENT.

THE BANK IS COMMITTED TO MAINTAINING A WORKPLACE FREE OF THE PROBLEMS ASSOCIATED WITH DRUG OR ALCOHOL ABUSE. AS SUCH, ALL APPLICANTS ARE REQUIRED TO UNDERGO TESTING IN ACCORDANCE WITH THE BANKíS SEPARATE PRE-EMPLOYMENT DRUG TESTING POLICY. IF YOU CURRENTLY USE ILLEGAL DRUGS, WE SUGGEST THAT YOU NOT COMPLETE THE APPLICATION. A POSITIVE DRUG TEST WILL RESULT IN THE WITHDRAWAL OF ANY EMPLOYMENT OFFER.


                 Street, City, State Zip


(How did you hear about us?)

If you are under 18 and it is required, can you furnish a work permit?

Have you ever been employed here before?

Is this application a request for reemployment following an extended military leave of absence from this company?

Are you legally eligible for employment in this country?

Answering yes to either part of the following questions does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the offense, rehabilitation, the period of time that has passed since the adjudication of the offense, the relevance of the offense to the specific position applied for, and whether exclusion from consideration for employment as a result of the offense is justified by business necessity will be taken into account. The bank will provide sufficient time for the applicant to challenge, correct or complete a criminal record, and will not presume guilt for any pending charges or court actions. If the applicant is denied employment based on a criminal record, he or she will be given adequate notice and reasonable time to confirm or deny the accuracy of the information.

Have you ever pleaded “guilty” or “no contest” to, or been convicted of a crime, other than any such conviction or plea which has been expunged by judicial order?


Employment History

Starting with your most recent employer, provide the following information:


                 Street, City, State Zip



                 Street, City, State Zip



                 Street, City, State Zip


Skills and Qualifications

Computer Skills (Check appropriate. Include software titles and years of experience.)


Educational Background

Starting with your most recent schools attended, provide the following information.


References

List names and telephone numbers of three business/work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references that are not related to you.


Affirmative Action Voluntary Information

Two River Community Bank supports Equal Employment Opportunity for all qualified persons without regard to race, creed, color, religion, sex, gender identity or expression, national origin, ancestry, nationality, age, marital, domestic partnership or civil union status, physical or mental disability, veteran status, affectional or sexual orientation, citizenship, liability for military service, atypical cellular trait, blood trait, or genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law. This policy applies to employment, promotion, demotion or transfer, recruitment, rate of pay, and selection for training. The Bank does not practice, allow, accept or condone discrimination in any form, including, but not limited to, actual discrimination, discrimination by stereotyping, or retaliation against caregivers based on characteristics protected by federal anti-discrimination laws.

Any information which you voluntarily provide will be kept strictly confidential and will be filed separately from your employment application. This information will be used only to satisfy the affirmative action requirements of Section 503 of the Rehabilitation Act, or as necessitated by federal law or regulation. Neither your decision as to whether or not to provide the requested information nor any information that you choose to provide will, in any respect, influence Two Riverís decision as to whether an offer of employment should be extended to you. Your cooperation is voluntary.

Referral Source

   

Applicant Information

Please check one of the following Equal Employment Opportunity Identification Groups:

Black or African American (Not Hispanic or Latino)
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
American Indian or Alaskan Native (Not Hispanic or Latino) Asian (Not Hispanic or Latino)
Two or More Races (Not Hispanic or Latino)


Veteran of the US Armed Services
("Veteran" includes: active duty wartime or campaign badge veteran, Armed Forces service medal veteran, disabled veteran, or recently separated veteran.)

Individual with a disability


Applicant Statement

The information on this application is true, accurate and complete to the best of my knowledge. I have not knowingly made any misstatement of fact on this employment application, or failed to disclose any material relevant fact which a prospective employer is legally permitted to take into consideration in deciding whether to extend an offer of employment. I recognize that, if I become an employee of the Bank, the Bank may terminate my employment if the Bank concludes that I have either made a misstatement of fact or failed to disclose a material relevant fact on this application.

I certify that I have read, fully understand and accept all terms of the foregoing applicant statement.

An Equal Opportunity Employer / Affirmative Action Employer