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Personal Information

Are you available to work? *

Can you work weekends? *

Are you eligible to work in the U.S.? *

Are you at least 18 years or older? (If no, you may be required to provide authorization to work.) *

Referral Source

How did you hear about us?
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Have you ever filled out an application with us before?

Have you ever been employed with us before?


High School

College or University

Vocational or Trade School

Graduate School

Have you completed any special courses, seminars and/or training directly related to the position for which you are applying?


List your past employers, beginning with your current or most recent position.

Employer 1

Start of Employment

End of Employment

Employer 2

Start of Employment

End of Employment

Employer 3

Start of Employment

End of Employment

Personal References

Reference 1

Reference 2

Reference 3

Document Submission

Cover Letter:


Class Schedule:

For employment purposes, I authorize State Nebraska Bank and Trust to request a consumer report from a Consumer Reporting Agency.*

Please read carefully before signing.
• I certify that my answers are true and complete to the best of my knowledge.
• State Nebraska Bank & Trust (SNBT) is an equal opportunity employer. SNBT does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.
• I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for SNBT to hire me. If I am hired, I understand that either SNBT or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of SNBT has the authority to make any assurance to the contrary.
• I attest with my signature below that I have given to SNBT true and complete information on this application. No requested information has been concealed. I authorize SNBT to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

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