Submit your Resume ~

Full Name: 
Email Address:
Home Address:
City:
State:
Zip Code:
Phone Number:
Best time to reach you:
Applying for: Full-time Part-time
Rate of pay expected:
Education:
List all present and past employment, beginning with your most recent position. Include name of employer, responsibilities and dates of employment:
Employment:
Employment:
Employment:
Employment:
Employment:
Skills & Abilities:
 

INVITATION TO APPLICANTS TO SELF-IDENTIFY
FOR AFFIRMATIVE ACTION RELATED PURPOSES


This organization prepares affirmative action plans that cover females, minorities, and certain other individuals. This survey is meant to help the company fulfill various objectives in these affirmative action plans.

PLEASE NOTE: You are not required to complete any part of the next section of this form. The decision not to complete the next section of this form will not affect any opportunity for employment or any benefits with the company. Any information you provide in this survey will be kept confidential and will not be used in any way that may adversely affect your employment with this company.
 

Position you are applying for:

How were you referred to this organization?

AFFIRMATIVE ACTION RELATED DATA (Please check appropriate boxes)

Sex
Male    Female

Race
White (A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.)

Asian/Indian Subcontinent/Pacific Islander (A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam, or persons having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.)

Black/African American (A person having origins in any of the black racial groups of Africa.)

Native American/Alaskan Native (A person having origins in any of the original peoples of North and South America [including Central America], and who maintains tribal affiliation or community attachment.)

Hispanic (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin.
 

An Equal Opportunity Employer

Baylake Bank | P.O. Box 9  Sturgeon Bay, WI 54235 | (920) 743-5551 or (800) 267-3610
Copyright 1997-2007 Baylake Bank. All rights reserved.