Application for Employment

Thank you for applying at Prairie State Bank & Trust!

Equal access to programs, services, and employment is available to all persons. Those applicants requiring reasonable accommodation to the applications and/or interview process should notify a representative of the Human Resources Department. It is the policy of Prairie State Bank & Trust to provide a harassment-free and equal employment opportunity work environment for all applicants and employees. Prairie State Bank & Trust is committed to complying with all applicable federal and state and local regulations, which provide protection from discrimination for various groups of applicants and employees.

Applicant Information

If not applicable for all required fields, please input NA.

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Previous Employment

Employer #1

Employer #2

Employer #3


High School




Reference #1

Reference #2

Reference #3

Military Service



Please read carefully.

If you have any questions regarding this statement, please discuss them with a Prairie State Bank & Trust representative before signing.

I certify that the information and facts contained in this application is true and complete to the best of my knowledge and understand that falsification, misrepresentation and/or omission of information and facts is grounds for refusal to employ, if employed, is grounds for immediate dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

If I would be employed, I agree to follow all policies, rules, regulations and performance standards of Prairie State Bank & Trust. I understand that Prairie State Bank & Trust's receipt of this application does not imply that I will be interviewed or employed. I understand that if hired, the first 90 days of employment are considered a probationary period.

I understand and agree that if employed no representative of the company has any authority to enter into any agreement for employment any specified period of time. I understand that if employed my employment will at all time be an "employment at will" and can be terminated at any time, with or without cause or notice, by either Prairie State Bank & Trust or myself.

I certify that I have read, fully understand and accept all terms of the applicant statement. I understand that if offered employment, my employment is contingent upon completing all aspects of the pre-employment screening process including, but not limited to reference, criminal background, drug screening, and credit checks. I understand that if employed, Prairie State Bank & Trust may conduct random credit checks throughout my period of employment without additional notification.

I understand that Prairie State Bank & Trust may require me to undergo a drug test conducted by an agent selected by Prairie State Bank & Trust to determine the presence of both legal and illegal drugs as a condition of my employment and/or continued employment. I consent to the release of my drug test to Prairie State Bank & Trust. I further release Prairie State Bank & Trust, including all of its officers, agents, representatives, and employees from all claims, suits, causes of action, liabilities and damages associated with or arising from my submission to such drug tests.

Applicant Equal Opportunity Employer Information

Prairie State Bank & Trust is an equal opportunity employer. You may voluntarily help Prairie State Bank & Trust in its efforts to comply with the program's requirements by answering the following questions. Under the State and Federal law, the information you provide cannot be used to discriminate against you. The information is kept separate from employment applications and will not affect your candidacy for employment.

EOE Race Code (please check)