APPLICANT NOTE *** This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. No representative of Rolling Hills Bank & Trust has any authority to enter into any employment contract agreement for any specified period of time. Rolling Hills Bank & Trust is an at—will employer. You will be employed at the will of the Company and are subject to termination at any time, for any reason, with or without cause or notice. As an employee, you may terminate your employment at any time and for any reason. Please answer all appropriate questions completely and accurately. False or misleading statements during an interview or on this application form are grounds for terminating the application process or, if discovered after employment, employment can be terminated. All qualified applicants will receive consideration without discrimination based on sex, marital status, race, color, age, creed, national origin, sexual orientation, military reserve membership, ancestry, religion, height, weight or the presence of a disability. The conviction of a crime will not necessarily bar an applicant from employment.

I certify that I have read and understand the applicant note and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I release all former employers, persons, schools, companies and law enforcement authorities for any liability for any damage whatsoever for issuing this information.