To begin, please fill out the fields in the form below.
There is a 20 minute time limit on this application.
Applicants are not obligated to disclose sealed or expunged records of conviction or arrest. Falsification, misrepresentation and/or omission of a criminal conviction not sealed or expunged is grounds for refusal to hire, or if hired, for dismissal.
If answer is yes, indicate date(s) of conviction and the type(s) of offense(s); include those matters for which you may have plead guilty, no contest, or participated in a pre-trial division program.
Please enter the letters and numbers from the image above.
I certify that the information contained in this application, and accompanying resume, if any, is true and complete to the best of my knowledge and understand that falsification, misrepresentation and/or omission of information is grounds for refusal to hire, or if hired, immediate termination of employment. I authorize any of the persons or organizations referenced in this application to provide Legend Bank or its agents any and all information concerning my previous employment, education or any other information that they may have with regard to any of the subjects covered by this application and I release Legend Bank and all such parties from all liability for any damage that may result from furnishing such information to you.
I understand and agree that employment is contingent upon satisfactory results of various pre-employment checks which could include, but are not limited to, drug screening, reference, criminal background and credit checks.
I authorize Legend Bank to obtain reference and additional information about me, if job-related, and a consumer report on myself through the credit reporting agency of its choice. If employed, I further authorize Legend Bank to check my credit record, as needed, on a continuing basis as it relates to my employment. If an adverse employment decision is made due totally or partially to the information on the consumer report, Legend Bank will give me a copy of the consumer report, a summary of my rights under the Fair Credit Reporting Act, and the source of the consumer report so that I may contact them, if I wish.
Signature or Typed Name of Application
Legend Bank, Member FDIC, Equal Housing Lender
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