I authorize Exchange Bank to conduct a thorough background investigation of my work and personal history, and to verify all
data given on this application and during interviews. I hereby release Exchange Bank, and its representatives or agents,
from any liability that might result from such an investigation. I authorize all individuals, schools, and firms named to provide
any requested information and release them from all liability for providing the requested information.
Statement:(Please read this statement carefully before signing application)
The information I provided in this application for employment is true. False, incomplete information will be sufficient cause for
my application to be rejected, or, if discovered after I am employed, be cause for immediate termination.
This application will expire in 60 days. Unless otherwise notified, I understand that my status as an applicant will end. I may
apply for employment in the future by completing a new application.
I understand that in accordance with Exchange Bank's policy of providing and maintaining a safe and healthful working
environment for all employees, that I will submit to a drug screen prior to employment and any time during my employment if
requested by Exchange Bank. I hereby authorize the release of the test to management of Exchange Bank and its
designated medical or professional representative. I release Exchange Bank, its employees, management and its
designated medical or professional representatives from any and all claims or causes of action resulting from this test, the
release of results of the test to such person, and any decisions resulting therefrom.
Nothing on this application is intended to create or imply a contractual relationship. I understand that employment with
Exchange Bank is at-will, meaning that I or Exchange Bank may terminate my employment at any time, or for any reason
consistent with applicable state or federal law.
I understand that Exchange Bank performs a criminal background check on all individuals being considered for employment.
I understand that the results of this report may be used in making a decision regarding my employment. I authorize
Exchange Bank to perform a Criminal Background Check and hereby release Exchange Bank and its representatives or
agents from liability in regard to this process.
I understand that It is the policy of Exchange Bank to obtain a Consumer Credit Report on all job applicants who are being
considered for employment and that Exchange Bank may base part of the employment decision on information obtained in
this report. I further understand that If I am denied employment based on this information, Exchange Bank will furnish me
with an adverse action notice, give me a Summary of Your Rights Under the Fair Credit Reporting Act and a copy of the
consumer credit report that was used in making the decision. I hereby give my consent to Exchange Bank to obtain a
Consumer Credit Report from a Consumer Credit Reporting Agency regarding my credit history. If I become an Employee of
Exchange Bank, I also give my consent to Exchange Bank to obtain Consumer Credit Reports at any time during my