Eastman National Bank

Eastman National Bank

Application for Employment

Personal Information
Current AddressHome Phone
Work Phone
Previous AddressSSN
Are you prevented from being lawfully employed in the United States? YesNo
Will you agree to a criminal background check if offered this position? YesNo
For reference purposes, have you worked or attended school under a former name? YesNo

If yes, please list former name:
Are you at least 18 years of age? YesNo
Have you ever applied or been employed here before? YesNo

If yes when?
Are any relatives currently employed here? YesNo

If yes, give full name:
Are you able to perform the essential functions of the job you are applying for? YesNo

If no, what accommodations would assist you?
How did you hear about the company?
Education, Training and Special Skills
Type of SchoolNameLocationDid you graduate?GPAMajor/Minor
High SchoolYes No
Trade School or Junior CollegeYes No
College or UniversityYes No
Graduate SchoolYes No
Military or OtherYes No
Seminars and Classes
Professional License or Certifications
SkillsTyping | Microsoft Word | Microsoft Excel | Ten Key
Employment Preference
Position DesiredEarnings Desired
Location DesiredPonca City NewkirkFull Time Part Time
Career Objectives