Application for Employment

Equal Opportunity Employer


This company does not discriminate in the recruitment, hiring, and conditions of employment on the basis of race, color, religion, national origin, sex, marital status, disability, age or veteran status. No question on this application is intended to secure information to be used in a discriminatory manner. Your completed application will be reviewed carefully, but its receipt does not imply that you will be employed. Employment consideration necessitates that you meet all minimum qualifications required for the position for which you are applying. If you require a reasonable accommodation to complete this application, please advise us so that we may provide such. This application will not be treated as "active" for purposes of later job openings; consideration for any other position requires completion of a separate application.

If you have a resume and/or cover letter you would like to include with this application, please attach it here.


(If hired, you will be required to furnish proof of your employment eligibility.)


A conviction does not automatically mean you will not be offered a position. What you were convicted of, the circumstances surrounding the conviction, and how long ago the conviction occurred are all important considerations in determining your eligibility. Please provide all the facts so that a fair decision may be made. RGS Financial will run full and complete background checks on all employees hired. Falsification or misrepresentation of information will result in immediate termination.

Previous Employment

If this information is included on an attached resume you may skip this section. Please continue onto, “Please Read Carefully Before Signing”.

Company 1

From To

Company 2

From To

Company 3

From To

Company 4

From To

Professional References

If this information is included on an attached resume you may skip this section. Please continue onto, “Please Read Carefully Before Signing”.

Reference 1

Reference 2

Reference 3

Please Read Carefully Before Signing

I hereby certify that the information provided on this application is accurate to the best of my knowledge and subject to verification by RGS Financial. I authorize RGS Financial, its affiliates and their representatives to investigate all information given and to secure additional job-related information, if necessary. I authorize an investigative report to be made whereby information is obtained through personal interviews with third parties, such as family members, business associates, financial sources, friends, neighbors or other with whom I am acquainted. I understand and consent to an inquiry that may include information as to my character, general reputation, and personal characteristics, whichever may be applicable. This information may include, but is not limited to, verification of previous employment and employment references, verification of education including requests for transcripts, credit reports, motor vehicle driving records and other information regarding my criminal record, credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living. I hereby release from all liability or responsibility all persons, companies, organizations or corporations furnishing such information.

I understand that any misrepresentation or omission of a material fact on my application may be justification for refusal of employment, or if employed, dismissal without advance notice. In the event I am employed, I understand that all employees are subject to termination at the discretion of RGS Financial. If, in the event I choose to voluntarily terminate my employment, I am free to do so at any time, and, if I choose to give proper notice of termination, RGS Financial may either permit me to continue my employment during the notice period or may accept my resignation immediately. I understand that, in the event I am employed by RGS Financial, my compensation, hours of employment and all other terms and conditions of employment are subject to modification or change by RGS Financial at RGS Financial's discretion.

I authorize RGS Financial to supply my employment record, in whole or in part, and in confidence, to any prospective employer, government agency, or other party, who, in the reasonable judgment of RGS Financial, expresses a proper interest in obtaining such record. In the event of my employment, I will comply with all rules and regulations as set forth in RGS Financial's policy manual or other communications distributed to all employees.

I understand that my employment is conditional upon my satisfactorily passing a physical examination and/or drug screening, if one is requested, to be given by a physician, clinic or other health care provider selected by RGS Financial. I also understand that my employment is conditional upon satisfactory completion of a credit and criminal background investigation.

I understand that completion of this form does not guarantee me status as an applicant or any consideration for employment unless I meet all stated minimum qualifications required of the position for which I am asking to be considered.

I understand that if granted an interview with a member of the RGS management staff, I will only discuss my professional work history as it relates to the position.

I have read the above statements and accept them as conditions of my employment with RGS Financial.