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Please fill out the fields in the form to the right. One of our representatives will contact you within one business day to complete the process.

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Employment Application

Personal Information

  • OK First Name is required
  • Optional OK Middle Initial is required
  • OK Last Name is required
  • Social Security Number

    - -
    OK Social Security Number is required
  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • Phone

    - -
    Optional OK Phone is required
  • Cell Phone

    - -
    OK Cell Phone is required
  • OK E-mail is required

Employment Desired

  • OK Position Applying for is required
  • Date available to start

    OK Date available to start is required
  • OK Branch Location is required
  • Available to work

    OK Available to work is required
  • Are you currently employed?

    OK Are you currently employed? is required
  • If yes, may we contact you present employer?

    OK If yes, may we contact you present employer? is required
  • Are you legally eligible for employment in the U.S.? (Proof of U.S. citizenship or immigration status will be required upon employment.)

    OK Are you legally eligible for employment in the U.S.? (Proof of U.S. citizenship or immigration status will be required upon employment.) is required
  • You must be at least 18 years of age or older at time of employment. Are you 18 years of age or older?

    OK You must be at least 18 years of age or older at time of employment. Are you 18 years of age or older? is required
  • Have you ever been convicted or pled Guilty or No Contest to a misdemeanor or felony offense?

    OK Have you ever been convicted or pled Guilty or No Contest to a misdemeanor or felony offense? is required
  • OK If yes, describe in full. is required
  • Have you ever been named in any administrative or legal proceeding?

    OK Have you ever been named in any administrative or legal proceeding? is required
  • OK If yes, describe in full. is required
  • Do you personally know any employees of this company?

    OK Do you personally know any employees of this company? is required
  • OK If yes, please identify employee/define relationship. is required
  • Have you previously worked for Grand Rivers Community Bank?

    OK Have you previously worked for Grand Rivers Community Bank? is required
  • OK If yes, in what capacity? is required
  • OK If now employed, why do you desire to change our position? is required
  • Application for Employment
  • Education
  • Employment History
  • References
  • Certification & Signature
Employment Application