PLEASE NOTE: You may fill in the form on the website. DO NOT EMAIL or send electronically. Once you have completed the form, print and sign the form and mail it to the address listed.
Are there any special skills you would like to include that you feel
might better qualify you for the job. (You may wish to include civic
and community activities, professional societies or special training
such as typing, accounting, etc.) Do not include information
which would reveal sex, race, color, age, national origin, religion,
veteran status or disability.
(If you have any questions regarding this statement,
please ask a representative of the Human Resources Office before signing.)
PRE-NOTIFICATION OF BACKGROUND INQUIRY
I hereby authorize any and all law enforcement
agencies to release a copy of any arrest record that I may have to
BankORION or it's agent, Trans Union Corporation. By doing so, I
release any law enforcement agency and all individuals connected
therewith from any and all liability.
This inquiry likely will concern itself with any
and all of the following: An applicant's criminal history (if any),
driving record, and/or prior work history. BankORION reserves the right
to consider an inquiry of this type to be made at a future date, should
you remain in our employ. In any instance, when an inquiry of the type
is made, now or in the future, the scope, nature and results of such
inquiry will be made available to the applicant upon written request.
I also understand that an inquiry into my credit
history will be conducted. I further acknowledge receipt of the notice
entitled, "A Summary of Your Rights Under the Fair Credit Reporting
A photocopy of this authorization and release
shall be considered as effective and valid as the original.
I hereby authorize BankORION to make the above
I hereby acknowledge that I have read and understand
the preceding statements.