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Network Engineer III

Kansas City, Missouri Academy Bank

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– Applicant Information
– Employment History
– Education
– Statistical
– Resume
– Submit

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, age, marital status, gender identity, national origin, ancestry, protected veteran or military status, disability, pregnancy, genetic information or any other characteristic protected by applicable law.

Academy Bank is an equal employment/affirmative action employer. If you need accommodation for any part of the employment process because of a medical condition or disability, please send an e-mail to ************************ or call ************ to let us know the nature of your request.

The Federal Depository Insurance Corporation (FDIC) prohibits us, without prior FDIC consent, from employing individuals with certain criminal backgrounds. Therefore, we cannot employ you if you have been convicted of any criminal offense–including a misdemeanor or a felony offense– that involves dishonesty, breach of trust, or money laundering (covered offenses), or if you have agreed to enter into a pretrial diversion or similar program in connection with a prosecution for a covered offense. Please contact ************************ with any questions or concerns.

Please use mixed case when completing this form. Don’t use only all uppercase or all lowercase letters (Example: Jane Doe, not jane doe or JANE DOE).

Positions Being Applied For:

Network Engineer III (Full-time)

Town Pavilion – Information Technology, Kansas City, MO

APPLICANT INFORMATION

First Name:

Middle Initial:

Last Name:

Street Address:

Street Address Continued:

City:

State:
– select from list -AA AE AP Guam Puerto Rico – – – – – – – – – – Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other/Not Applicable

Zip Code:

Primary Phone:

XXX-XXX-XXXX

E-mail Address:

Prior Employment With Us:

Have you ever been employed by us before?

No

Yes

Title:

Department:

From:

To:

Have you completed an application for employment here before?

No

Yes

When?

For which position(s)?

Requirements and Availability:

Salary Requirement:

Days and Hours Available To Work

Date Available To Start Work:

How did you learn about the position for which you are applying?
Current Employeeindeed.comglassdoor.comHeadhunter/RecruiterOther Internet siteJob FairOther

Do you have any relatives working here?

No

Yes

Name:

Department

Additional Information:

Are you prevented from lawfully becoming employed in this country because of visa or Immigration Status?
(Proof of citizenship or immigration status may be required upon employment.)

Yes

No

Are you less than 18 years old?

Yes

No

State your age:

Yes, I have been convicted of a criminal offense or plead guilty to, or have entered into a pre-trial diversion program for a crime involving dishonesty, breach of trust or money laundering. The details are as follows (List all offenses, date(s) of offense, jurisdiction(s), and outcome).

No, I have not been convicted of a criminal offense nor entered into a pre-trial diversion program for any crime involving dishonesty, breach of trust, or money laundering.

Have you been known by any other name(s) that our bank may require to verify your education and employment records as furnished in this application?

Yes

No

Identify name(s)

ContinueContinue

Please complete the section or attach a current resum

EMPLOYMENT RECORD: 1 of 4

List last four employers starting with current or most recent, include self-employment, military service, and part-time jobs.You may also include job-related volunteer experience.

1. Present or Last Employer

Name:

Complete address:

Employed From:

MM/YY

Employed To:

MM/YY

Supervisor’s Name and Phone:

Position Type:

Full-Time

Part-Time

Job Title(s):

Job Duties:

Reason for Leaving:

May we contact this employer for a reference?

Yes

No

EMPLOYMENT RECORD: 2 of 4

2. Employer

Name:

Complete address:

Employed From:

MM/YY

Employed To:

MM/YY

Supervisor’s Name and Phone:

Position Type:

Full-Time

Part-Time

Job Title(s):

Job Duties:

Reason for Leaving:

May we contact this employer for a reference?

Yes

No

EMPLOYMENT RECORD: 3 of 4

3. Employer

Name:

Complete address:

Employed From:

MM/YY

Employed To:

MM/YY

Supervisor’s Name and Phone:

Position Type:

Full-Time

Part-Time

Job Title(s):

Job Duties:

Reason for Leaving:

May we contact this employer for a reference?

Yes

No

EMPLOYMENT RECORD: 4 of 4

4. Employer

Name:

Complete address:

Employed From:

MM/YY

Employed To:

MM/YY

Supervisor’s Name and Phone:

Position Type:

Full-Time

Part-Time

Job Title(s):

Job Duties:

Reason for Leaving:

May we contact this employer for a reference?

Yes

No

ContinueContinue

HIGH SCHOOL

Name:

City & State:

Curriculum/Major:

Grade Point Average:

Other (specify):

COLLEGE/UNIVERSITY

Name:

City & State:

Curriculum/Major:

Grade Point Average:

Other (specify):

COLLEGE/UNIVERSITY

Name:

City & State:

Curriculum/Major:

Grade Point Average:

Other (specify):

TRADE/VOCATIONAL

Name:

City & State:

Curriculum/Major:

Grade Point Average:

Other (specify):

BUSINESS/OTHER

Name:

City & State:

Curriculum/Major:

Grade Point Average:

Other (specify):

List any scholarships, academic honors, or special achievements; professional licenses or certificates held, including State, license or certificate type. Optional: professional or business organizations to which you belong:

ContinueContinue

STATISTICAL INFORMATION

THE EMPLOYER IS SUBJECT TO CERTAIN GOVERNMENTAL RECORDKEEPING AND REPORTING REQUIREMENTS FOR THE ADMINISTRATION OF CIVIL RIGHTS LAWS AND REGULATIONS. IN ORDER TO COMPLY WITH THESE LAWS, THE EMPLOYER INVITES EMPLOYEES AND APPLICANTS TO VOLUNTARILY SELF IDENTIFY THEIR RACE/ ETHNICITY, GENDER, VETERAN STATUS, AND ANY DISABILITIES. SUBMISSION OF THIS INFORMATION IS VOLUNTARY AND REFUSAL TO PROVIDE IT WILL NOT SUBJECT YOU TO ANY ADVERSE TREATMENT. THE INFORMATION OBTAINED WILL BE KEPT CONFIDENTIAL AND IS NOT SEEN BY THE HIRING MANAGER. IT MAY ONLY BE USED IN ACCORDANCE WITH THE PROVISIONS OF APPLICABLE LAWS, EXECUTIVE ORDERS, AND REGULATIONS, INCLUDING THOSE THAT REQUIRE THE INFORMATION TO BE SUMMARIZED AND REPORTED TO THE FEDERAL GOVERNMENT FOR CIVIL RIGHTS ENFORCEMENT. WHEN REPORTED, DATA WILL NOT IDENTIFY ANY SPECIFIC INDIVIDUAL.

RACE/ETHNICITY

What is your race/ethnicity? Please mark the one box that describes the race/ethnicity category with which you primarily identify

Hispanic or Latino: a person of Cuban, Mexican, Chicano, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

White: a person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Black or African American: a person having origins in any of the black racial groups of Africa.

Asian: a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

Native Hawaiian or Other Pacific Islander: a person having origins in any of the original peoples of Hawaii Guam, Samoa, or other Pacific Islands.

American Indian or Alaska Native: a person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.

Two or More Races: a person who primarily identifies with two or more of the above race/ethnicity

Gender

Gender:

Female

Male

VETERAN STATUS

I BELONG TO THE FOLLOWING CLASSIFICATIONS OF PROTECTED VETERANS (CHOOSE ALL THAT APPLY):

DISABLED VETERAN

DISABLED VETERAN

ACTIVE WARTIME OR CAMPAIGN BADGE VETERAN

ACADEMY BANK SERVICE MEDAL VETERAN

I AM A PROTECTED VETERAN, BUT I CHOOSE NOT TO SELF-IDENTIFY THE CLASSIFICATIONS TO WHICHI BELONG.

I AM NOT A PROTECTED VETERAN.

DISABILITY STATUS

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.Please check one of the boxes below:

YES, I HAVE A DISABILITY (OR PREVIOUSLY HAD A DISABILITY)

NO, I DON’T HAVE A DISABILITY

I DON’T WISH TO ANSWER

ContinueContinue

RSUM

Attach your rsum:

For security reasons, only a limited number of files of types can be uploaded. Please save your resume as either a rich text file (it will have an .rtf extension), a .doc file, a .pdf file, or a .txt file. You may also scan your resume and upload the scanned image

Please, verify that you are uploading a file of the appropriate and accepted type.
Or paste your rsum here:

ContinueContinue

AGREEMENT

I certify that answers given herein are true and complete to the best of my knowledge.

I certify that I am either a citizen of the United States, an alien lawfully admitted for permanent residence, or an alien who is authorized to work in accordance with the Immigration Reform and Control Act of 1986.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not and is not intended to be a contract of employment.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the company.
(type I AGREE):

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