Employment Application

We deeply appreciate your interest in our credit union. If you would like to become part of our team, fill out this application and submit it electronically.

Consumers Credit Union conducts credit checks and obtains consumer reports from consumer reporting agencies (including credit bureaus) for employment purposes.

Consumers Credit Union does not make employment decisions on the basis of race, religion, sex, national origin, age, known physical or mental impairments or membership in the uniformed services. -->

Personal Information

Date
Social Security No.
Last Name
First Name
Middle Initial
Address

City
State
Zip Code
Permanent Address

City
State
Zip Code
E-mail Address
Phone Number
Referred by

Are you 18 years of age or older? Yes No

If not, do you have a valid work permit? Yes No

Employment Desired

Position
Date You Can Start
Salary Desired

Have you ever applied to this company before? Yes No

Where?
When?

Are you employed now? Yes No

Education

Grammar School

Name of School
Location

High School

Name of School
Location
Graduated? Yes No
Years completed 1 2 3 4

Subjects studied

College

Name of School
Location
Graduated? Yes No
Years completed 1 2 3 4

Subjects studied, degree(s) earned

Trade, Business or Correspondence School

Name of School
Location
Graduated? Yes No
Years completed 1 2 3 4

Subjects studied, degree(s) earned

General

Subjects of special study or research work

Job-related skills (typing, driver's license, etc.)

Former Employers

List below the last four employers, starting with the last one first:

Most recent employer

Employer
Address
Position
Employed from (mo/yr)
to (mo/yr)
Monthly Salary (upon leaving)

Reason for Leaving

May we contact this employer? Yes No

Previous employer

Employer
Address
Position
Employed from (mo/yr)
to (mo/yr)
Monthly Salary (upon leaving)

Reason for Leaving

May we contact this employer? Yes No

Previous employer

Employer
Address
Position
Employed from (mo/yr)
to (mo/yr)
Monthly Salary (upon leaving)

Reason for Leaving

May we contact this employer? Yes No

Previous employer

Employer
Address
Position
Employed from (mo/yr)
to (mo/yr)
Monthly Salary (upon leaving)

Reason for Leaving

May we contact this employer? Yes No

References

Reference 1

Name
Position
Phone
Years Acquainted
Address
City
State ZIP

Reference 2

Name
Position
Phone
Years Acquainted
Address
City
State ZIP

Reference 3

Name
Position
Phone
Years Acquainted
Address
City
State ZIP

Please read the following disclosure then scroll down to submit this application.

AUTHORIZATION

The facts set forth in my application for employment are true and complete. I understand if employed, any false statement on this application may result in my dismissal. I further understand this application is not and is not intended to be a contract of employment, nor does this application obligate the employer in any way if the employer decides to employ me. I understand and agree my employment is at-will and can be terminated by either party with or without notice, at any time, for any reason or no reason. No one other than an officer of the Credit Union has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing and then only in a writing signed by an officer.

Consumers Credit Union obtains consumer reports for employment purposes. I acknowledge Consumers Credit Union has my authorization to conduct a credit report and obtain a consumer report from a consumer reporting agency (including a credit bureau) on my credit history and credit standing which will be used for employment purposes only. In the event I am denied employment in whole or in part, or suffer an adverse action, supply me with a copy of the report, and provide me with a summary of my rights, which will be obtained from the consumer reporting agency. I acknowledge a favorable credit history does not guarantee or ensure employment eligibility or continuance of employment.

I understand any employment is conditioned on a background check. I authorize Consumers Credit Union to thoroughly investigate all statements contained in my application or resume. Furthermore, I authorize my former employers and references to disclose information regarding my former employment, character, and general reputation to Consumers Credit Union, without giving me prior notice of such disclosure. In addition, I release Consumers Credit Union, any former employers, and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.

I understand filling out this form does not indicate there is a position open and does not obligate Consumers Credit Union to hire.

Date
Social Security No.
Last Name
First Name
Middle Initial
Address

City
State
Zip Code
Permanent Address

City
State
Zip Code
E-mail Address
Phone Number
Referred by

Name of School
Location
Graduated?	Yes No
Years completed	1 2 3 4

Employer
Address
Position
Employed from	(mo/yr)
to	(mo/yr)
Monthly Salary (upon leaving)