Busey Bank Online Application for Employment. Apply online for a Busey career!
Busey Application for Employment

Online Application Process - Final Step

(Please remember to complete STEP 1, update your information in your profile, and choose the Position Titles/Locations of Interest)
   
First Name:
Last Name:
Phone Number:
Job Applied For:
Job Location:
Type of Job: Full-Time Part-Time
Hours Available to Work:
   
Use this form to indicate your work experience, education, and skills.
Employment Information
Beginning with your most recent employer, please provide the following employment history.
   
Employer 1  
Employer:
Street Address:
City, State, Zip
Phone Number:
Immediate Supervisor and Title:
Dates of Employment:
Job Title and Duties:
(starting and final)
Salary:
(starting and final)
Reason for Leaving:
If this is your current employer, may we contact for a reference?
   
Employer 2  
Employer:
Street Address:
City, State, Zip
Phone Number:
Immediate Supervisor and Title:
Dates of Employment:
Job Title and Duties:
(starting and final)
Salary:
(starting and final)
Reason for Leaving:
If this is your current employer, may we contact for a reference?
   
Employer 3  
Employer:
Street Address:
City, State, Zip
Phone Number:
Immediate Supervisor and Title:
Dates of Employment:
Job Title and Duties:
(starting and final)
Salary:
(starting and final)
Reason for Leaving:
If this is your current employer, may we contact for a reference?
   
Employer 4  
Employer:
Street Address:
City, State, Zip
Phone Number:
Immediate Supervisor and Title:
Dates of Employment:
Job Title and Duties:
(starting and final)
Salary:
(starting and final)
Reason for Leaving:
If this is your current employer, may we contact for a reference?
   

Were you referred by a Busey Associate?

 Yes No
If yes, Busey Associate name?

Have you worked for Busey or any of its subsidiaries previously?

 Yes No
If yes, when and what position(s)?

Have you applied at Busey or any of its subsidiaries previously?

 Yes No
If yes, when and what position(s)?
Have you worked under any other names? Yes No
If yes, please list:
What is your expected salary?   per
Are you willing to travel, if needed? Yes No
Explain any gaps in your employment, other than those due to personal illness, injury, disability, or workers' compensation claim.
If not addressed previously, have you ever been fired or asked to resign from a job? Yes No
If yes, please explain.  Do not include any instances of termination due to or relfective of medical information.
Education
Please provide a complete education history.
 
High School
School Name
City, State
Years Completed
Area of Study
Completed Yes No
Completed With
   
College / University  
School Name
City, State
Years Completed
Area of Study
Completed Yes No
Completed With
   
Other  
School Name
City, State
Years Completed
Area of Study
Completed Yes No
Completed With
   
Skills
  Typing Yes No   wpm  
  10 key Yes No    
  Personal Computer Yes No    
  Other Office Equipment (please list):    
  Word Processing Software Titles: Years of Experience:
  Spreadsheets Software Titles: Years of Experience:
  Database Software Titles: Years of Experience:
  E-mail Software Titles: Years of Experience:
  Internet Software Titles: Years of Experience:
  Other Software Titles: Years of Experience:
  Other Software Titles: Years of Experience:
  Other Software Titles: Years of Experience:
 
Professional Information

Summarize any special training, skills, licenses, publications, accomplishments, and/or certificates that may assist you in performing the duties of the position for which you are applying.* 


*Exclude anything that would reveal race, color, religion, sex, national origin, citizenship, age, mental or physical disabilities, veteran/reserve national guard or any other similarly protected status.
 

To what job-related organizations (professional, trade, etc.) do you belong?  Please indicate if you held any office or position of leadership in an organization.*


*Exclude organizations that would reveal race, color, religion, sex, national origin, citizenship, age, mental or physical disabilities, veteran/reserve national guard or any other similarly protected status.
 
References

Please provide contact information on three professional references.  Professional references should not include current or former employers or supervisors.
 
Reference 1
Name:
Title:
Relationship to you:
Phone Number:
Years Known:
 
Reference 2
Name:
Title:
Relationship to you:
Phone Number:
Years Known:
 
Reference 3
Name:
Title:
Relationship to you:
Phone Number:
Years Known:
 
Related Information
Do you have any other employment commitments (including self-employment) that relate to the Bank's business or the banking industry? 
  Yes No
If yes, please explain
   
Are you a party to any written or oral agreements or do you have any confidentiality, fiduciary or other obligations that could limit or affect your ability to perform the job for which you are applying? 
  Yes No
If yes, please explain
 
Applicant Statement

I certify that all information I have provided in order to apply for and secure work with First Busey Corporation and its subsidiaries (hereby referred to as the Company) is, to the best of my knowledge, true, complete and correct.  I understand that any and all information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from the Company’s service, whenever it is discovered. 

I understand and agree that all information furnished by me in connection with my application may be verified by the Company.  I expressly authorize, without reservation, the Company or its representatives, employees or agents to obtain information and investigate my education and employment history, criminal convictions, financial and credit records and background, and any and all representations I have made to verify the accuracy of information provided by me in this application, resume, or job interview.  I hereby waive any and all rights and claims I may have regarding the Company, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me. 

I authorize any former or current employer, school, reference, law enforcement agency and any other entity or person to disclose to the Company, or any representative, any and all information concerning me that they may have and waive any right to verbal or written notice of disclosure of disciplinary records or action by any current or former employer, and I hereby release all parties, including the Company, from any and all liability relating to such investigation and the disclosure of information.

I understand that the Company does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law. 

I understand that this application remains current for only 90 days.  At the conclusion of that time, if I have not heard from the Company and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application. 

If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the Company reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law.  This application does not constitute an agreement or contract for employment for any specified period or definite duration.  I understand that no supervisor or representative of the Company is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the Company’s President and CEO. 

I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.
 

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.
 

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement. 

  Date:  
(Your typed name will be treated as your signature)

Equal access to programs, services and employment is available to all persons.  Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department.

The filing of an application is the first step to employment and does not mean that you have to accept employment or that you will be hired.

Revised 12/07
 
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