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Employment Application

* Required Fields

    • We are an Equal Opportunity Employer to the full extent of all applicable laws and do not discriminate on the basis of race, color, religion, national origin, citizenship, sex, age, marital status, height, weight, handicap or any other basis prohibited by law.

    • PLEASE FILL OUT APPLICATION COMPLETELY


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    • Position Applied For (Be Specific)


    • Note: If hired, federal law required that you furnish documentation proving your identity and eligibility to work in the United States.


















    • Note: A conviction will not automatically bar you from employment.











    • EDUCATION / COURSE OF STUDY

    • Type of School
    • High School




    • Technical, Business or Other

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    • College

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    • EMPLOYMENT HISTORY

    • List below past and present employment beginning with your most recent. Include U.S. Military experience.



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    • Please List Any Skills, Abilities, Hobbies, Training, ETC. Which You Feel May Be An Asset.








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    • REFERENCES

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      (Do not list relatives or former employees)








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      1. I authorize an investigation and verification of my employment, education, criminal conviction and financial record. I authorize my employer and former employers, references, medical facilities, educational institutions and any other persons contacted by the credit union to provide it with all records and information relevant to this employment application without any obligation to give me written notice thereof, and I release all such parties from all the liabilities arising from such disclosures to the extent permitted by law. I also, to the extent permitted by law. (a) waive any claims against the credit union relating to such inquiries and disclosures and (b) release the credit union, its directors, officers, employees and agents from any liability which might arise from such inquiries and disclosures.

      2. I. understand that I may be required to undertake a post offer physical examination, including a drug and alcohol test, in connection with my application for employment and I agree to do so. Such examination will be conducted by a physician or clinic selected by the credit union. I hereby authorize any such physician or clinic to release to the credit union such information derived from the examination as the credit union requires. I waive, to the extent permitted by law, any claims that I might have on account of the physical examination (including the drug and alcohol test) requirement and the release of the physical (including the drug and alcohol test) information to the credit union.

      3. I understrand that the credit union will accommodate, to the extent required by law, employees with disabilities to allow access to its facilities and employment opportunities. I also understand that I have 182 days from this date, or the date I know or reasonably should know that such accommodation is needed to file a written request for such accommodation.

      4. I agree that this application will be considered for a period of 30-60 days after this date. I understand and acknowledge that unless I am hired before the end of this period, this application will be null and void and any continuing interest in the credit union will require a new application.

      5. If employed, I agree to abide by all rules and regulations of the credit union.

      6. I agree not to begin any action, or suite, not expressly waived in this application, relating to my employment with the credit union more than six months after the date of termination of such employment and I waive any statute of limitations to the contrary.

        The information I have provided is true and complete and I understand any false information or material omissions is cause for rejection of this application and termination of employment no matter when discovered.
    • Signature _____________________

      Date _________________________
    • We Wish To Express Our Appreciation
      To You For Considering Us As A Potential Employer.
    • Security Code
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    Equal Housing Lender National Credit Union Administration
    Federally insured by NCUA

    We do business in accordance with the Fair Housing Law and Equal Opportunity Credit Act

    Federally insured by NCUA. We do business in accordance with the Fair Housing Law and Equal Opportunity Credit Act