Employment Application


* indicates a required field



*Position(s) Applied For
*Salary Requested
*Name (First M. Last)
*Address
*City, State Zip ,
Email Address
*Phone Number
*Social Security Number
Referred By
*Date Available for Work
*Employment Type        
*Were you previously employed by this organization?    
If yes, please enter date(s) (MM/YYYY) / to /
Department / Position


Resume




Work Experience
List present and former employers beginning with most recent

Please complete this section even if a resumé is attached.  We cannot consider applications that reference personal resumés.

Employer 1

From / To (MM/YYYY) / to /
Last Position Held
Company Name
Company Address
Describe Your Work
Last Wages per
Reason for Leaving
Supervisor's Name
Supervisor's Title

Employer 2

From / To (MM/YYYY) / to /
Last Position Held
Company Name
Company Address
Describe Your Work
Last Wages per
Reason for Leaving
Supervisor's Name
Supervisor's Title

Employer 3

From / To (MM/YYYY) / to /
Last Position Held
Company Name
Company Address
Describe Your Work
Last Wages per
Reason for Leaving
Supervisor's Name
Supervisor's Title

Employer 4

From / To (MM/YYYY) / to /
Last Position Held
Company Name
Company Address
Describe Your Work
Last Wages per
Reason for Leaving
Supervisor's Name
Supervisor's Title

Additional Employment Info

*May we contact the above employers?  
If 'No', indicate which one(s) you do not wish us to contact




Special Skills & Qualifications
Mechanical and/or technical experience & abilities relevent to the position for which you have applied



Education

High School

School
Location
Years Completed
Did you graduate?  
Course of Study

College

School
Location
Years Completed
Did you graduate?  
Course of Study

Other

School
Location
Years Completed
Did you graduate?  
Course of Study


Professional/Business References

Reference #1

*Name
*Address
*Relationship
*Telephone
*Years Known

Reference #2

*Name
*Address
*Relationship
*Telephone
*Years Known

Reference #3

*Name
*Address
*Relationship
*Telephone
*Years Known


Miscellaneous Information

*Have you been convicted of a crime in the past 7 years, excluding misdemeanors and summary offenses, which has not been annulled, expunged, or sealed by the court?  
If "Yes", please explain and describe in full detail:
*Can you verify your legal rights to work in the U.S. by providing a birth certificate, U.S. citizenship, or by some other means?  
*If you are under 18, are you able to furnish a work permit?    
*List any friends or relatives working for this institution (indicate "NONE" if appropriate)


Applicant's Certification
Please read carefully before signing

*Applicant's Signature   *Date

By clicking "submit" your electronic signature above indicates your agreement to the terms outlined in the application. Please thoroughly check your information above before submitting your application.



* indicates a required field

 

    

BSNB is an Equal Opportunity Employer

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Mailing Address:
Ballston Spa National Bank
PO Box 70
Ballston Spa, NY 12020

       
Ballston Spa Office
87 Front Street
Ballston Spa, NY 12020
(518) 363-8150
Burnt Hills Office
770 Saratoga Road
Burnt Hills, NY 12027
(518) 399-8144

Clifton Park Office
256 Ushers Road
Clifton Park, NY 12065
(518) 877-6667

Corporate Branch Office
990 State Route 67
Ballston Spa, NY 12020
(518) 363-8199

Galway Office
5091 Sacandaga Road
Galway, NY 12074
(518) 882-1225
Greenfield Center Office
3060 Route 9N
Greenfield Center, NY 12833
(518) 893-2265
Malta Office
124 Dunning Street
Ballston Spa, NY 12020
(518) 899-2912

Milton Crest Office
344 Rowland Street
Ballston Spa, NY 12020
(518) 885-4346

Stillwater Office
428 Hudson Avenue
Mechanicville, NY 12118
(518) 664-3200
Wilton Office
625 Maple Avenue
Saratoga Springs, NY 12866
(518) 583-6608