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Core Questions Were you referred by a current FIBT employee?
Yes No
Employee Name:
Are you at least 18 years of age or older?
Yes No
If hired, can you provide proof that you are eligible to work in the United States?
Yes No
Will you now or in the future require First International Bank & Trust to commence (“Sponsor”) an immigration case in order to employ you (for example, H-1B or other employment-based immigration case)? This is sometimes called “sponsorship” for an employment-based visa status.
Have you ever worked at First International Bank & Trust?
Yes No
Which position?
Are you currently subject to any employment-related agreements (e.g., non-compete, non-solicitation, confidentiality, or similar restrictions) that could affect your ability to work for us or perform the duties of this role?
Yes No
Please describe the nature of the agreement and be prepared to provide a copy as you progress through the hiring process.
Are you able to perform the essential functions of the job for which you are applying, with or without reasonable accommodation? This question is not designed to elicit information about an applicant’s disability. Please do not provide information about the existence of a disability, particular accommodation or whether accommodation is necessary at this time. Such issues may be addressed at a later stage to the extent permitted by law.
Yes No
Voluntary Self-Identification Race and Ethnicity
Hispanic or Latino White Black or African American (not Hispanic or Latino) Native Hawaiian or Other Pacific Islander (not Hispanic or Latino) Asian (not Hispanic or Latino) American Indian or Alaska Native (not Hispanic or Latino) Two or More Races (not Hispanic or Latino) I choose not to self-identify at this time
Gender
Male Female I choose not to self-identify at this time
Why are you being asked to complete the following voluntary questions? Because we do business with the federal government, we are required to take affirmative action to employ and advance in employment qualified protected veterans and people with disabilities.
Disability How do I know if I have a disability? You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. To help us measure how well we are doing, we are asking you to tell us if you have a disability or have ever had a disability. Completing this question is voluntary, and your answer will be kept confidential.
Yes, I have a disability (or previously had a disability) No, I do not have a disability I do not wish to answer
Protected Veteran Status How do I know if I am a protected veteran? Per veteransguide.org , the term “protected veteran” covers veterans who qualify under one or more of four specific statuses:
Disabled veterans Recently separated veterans Active duty wartime veterans Armed Forces service medal veterans You must have been discharged under honorable conditions to be designated a protected veteran. An other-than-honorable discharge would disqualify you from coverage. To help us measure how well we are doing, we are asking you to tell us if you are a protected veteran. Completing this is voluntary, and your answer will be kept confidential.
I identify as one or more classifications of a protected veteran I am not a protected veteran I do not wish to answer
Applicant Agreement Please read carefully before signing
We are an Equal Opportunity Employer. We will consider applicants for this position without regard to any category protected by applicable federal, state or local law, including but not limited to: race, color, religion, sex, national origin, age, physical or mental disability, genetic information, veteran status or uniformed servicemember status.
I certify that the facts set forth in this employment application and attached application materials including but not limited to my resume, are complete, true and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for this position or if hired, disciplinary action up to and including discharge.
I understand that as part of the hiring process and where permitted by federal, state, and/or local law the company may wish to obtain “consumer reports” as part of a background investigation. If applicable and permitted by law, I understand the company will provide me with separate written notification of this intent and I agree to complete any requisite authorization forms.
THIS COMPANY IS AN AT-WILL EMPLOYER AS ALLOWED BY APPLICABLE STATE LAW. IF HIRED, I UNDERSTAND THIS MEANS THAT EITHER THE COMPANY OR I MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, FOR ANY REASON, WITH OR WITHOUT NOTICE OR CAUSE. FURTHER, NO EMPLOYEE OR REPRESENTATIVE OF THE COMPANY IS AUTHORIZED TO ENTER INTO AN AGREEMENT, EXPRESS OR IMPLIED, WITH ME OR ANY OTHER APPLICANT FOR EMPLOYMENT FOR A SPECIFIED PERIOD OF TIME UNLESS SUCH AN AGREEMENT IS IN A WRITTEN CONTRACT SIGNED BY THE PRESIDENT OF THE COMPANY.
Applicants of North Dakota should also note that in order to protect the public health and welfare and to recognize the need for individuals to breathe smoke-free air, smoking is prohibited in all enclosed areas of public places and places of employment. Smoking is prohibited within twenty feet [6.10 meters] of entrances, exits, operable windows, air intakes, and ventilation systems of enclosed areas in which smoking is prohibited.
I authorize the company to confirm all statements in this application and/or on my resume as it relates to the position and to the extent permitted by applicable law. I hereby release the company and its authorized representatives to verify all information provided by me. I authorize any party contacted by this employer including persons, schools, organization or former employers to disclose such information from any liability, claims, charges or causes of action which may result of the delivery or disclosure of requested information.
I have read all of the information contained in this candidate profile.
I certify that the facts set forth in the employment application and accompanying application materials are true and complete to the best of my knowledge.
Please confirm you read and understand the above I agree