Eastman National Bank
 

Eastman National Bank

Application for Employment

Personal Information
NameDate
Current AddressHome Phone
Work Phone
Previous AddressSSN
Are you prevented from being lawfully employed in the United States? YesNo
Have you ever been convicted of a felony or misdemeanor? 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 SchoolYesNo
Trade School or Junior CollegeYesNo
College or UniversityYesNo
Graduate SchoolYesNo
Military or OtherYesNo
Seminars and Classes
Professional License or Certifications
Skills Typing | Microsoft Word | Microsoft Excel | Ten Key
Employment Preference
Position DesiredEarnings Desired
Location Desired Ponca City Newkirk Full Time Part Time
Career Objectives

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