US Federal Credit Union
Employment Application


Thank you for your interest in US Federal Credit Union. To ensure proper evaluation of your application, it is essential that all of the questions be answered carefully and completely.

US Federal Credit Union does not discriminate in hiring or employment on the basis of race, color, creed, religion, national origin, gender, age, sexual orientation, marital status, status with regard to public assistance, membership or activity in a local commission, veteran status, disability, genetic information or any other characteristic or trait protected by law. No question on this application is intended to secure information to be used for such discrimination. US Federal Credit Union is an Affirmative Action and Equal Opportunity Employer of Protected Veterans, Individuals with Disabilities and all Protected Classes.

* Indicates A Required Field

General Information
* Position Applying for
Date of Application

How Did You Learn About Us?
Advertisement
Employment Agency
Newspaper
School/College
Walk-In
Web site
Other
Referral

 

Contact Information
* First Name
Middle Name
* Last Name
Street
City
State
Zip Code
Phone Number
Email address

 

Are you 18 years or older? Yes No
Wage or salary expected
Have you ever been employed with us before?
Yes No
If yes, please give date
* Are you authorized to work in the US?
(Proof of citizenship or immigration status will be required upon employment.)
Yes No
What date would you be available for work?
* Are you available to work Full Time  Part Time
If part time, please give days of the week and hours available
Can you travel if the job requires it? Yes No

Educational Background

Name and Location

Did You Graduate?

Course of Study

High School
Yes No
College
Yes No
Trade or Business School
Yes No
Other Education

Yes

No

State any additional information you feel may be helpful to us in considering your application


Employment Experience
Please list the dates of your employment for the last five years.
Start with your present or last job.
1. Employer
Address Line 1
Address Line 2

Dates Employed

  to
Job Title

Job Duties
Starting Wage
Ending Wage
Reason for Leaving
May we contact? Yes No

2. Employer
Address Line 1
Address Line 2

Dates Employed

  to
Job Title

Job Duties
Starting Wage
Ending Wage
Reason for Leaving
May we contact? Yes No

3. Employer
Address Line 1
Address Line 2

Dates Employed

  to
Job Title
Job Duties
Starting Wage
Ending Wage
Reason for Leaving
May we contact? Yes No

Special Skills and Qualifications
Summarize special skills and qualifications, not previously mentioned, acquired from employment or other experiences that may qualify you for the position for which you have applied.

Applicant's Statement

I certify that all information on this application is true and complete. I authorize the verification of this information and the release of references, grade transcripts, and additional information pertinent to my employment. I understand that, if anything proves to be contrary to what I have stated herein, it may be grounds for not being considered for employment or dismissal. In the event of employment, I also understand that I am required to abide by all rules and regulations of the employer.

I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between this organization and myself for either employment or for the providing of any benefit. I further understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time, with or without notice, and the Employer may discharge the Employee at any time, with or without notice, with or without cause. It is also understood that this "at will" employment relationship may not be changed by any written document or by any conduct unless such change is specifically acknowledged in writing by the President/CEO of this organization.

This application for employment shall be considered active for a period of time not to exceed 180 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.