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Employment Application

East Texas Professional Credit Union is an equal opportunity employer and does not discriminate in hiring or employment on the basis of race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-job-related medical condition or disability, or any other legally protected status. No question on this application is intended to secure information to be used for such discrimination.

Please fill out this secure form
* indicates a required field

Personal Information

First Name*:

Last Name*:

E-mail:*

Street Address*:

City*:

State*:

Zip*:

Phone Number:*

Alternate Phone:

Are you 18 years of age?*:

Yes

Have you ever applied to this company before?*

Yes

If Yes, please provide the month and year:*

Position Desired*:

Salary Desired:

Date Available (YYYY-MM-DD)*:

Are you applying for a full time position?*

Yes

If not what days and hours can you work?*

Referred By:

Are you legally eligible for employment in the United States?*

Yes

Have you ever been convicted or pled guilty or no contest to a felony offense?*

Yes

Have you ever been declined for bond coverage or had any bond coverage modified or revoke?*

Yes

Education

School 1

Type of School*:

High School

College

Business, Trade or Technical

Name of school*:

City*:

State*:

Course of study*:

Number of years completed*:

Did you graduate?*

Yes

Degree or diploma*:

School 2

Type of School

High School

College

Business, Trade or Technical

Name of school:

City:

State:

Course of study:

Number of years completed:

Did you graduate?

Yes

Degree or diploma:

School 3

Type of School

High School

College

Business, Trade or Technical

Name of school:

City:

State:

Course of study:

Number of years completed:

Did you graduate?

Yes

Degree or diploma:

Employment

Please list your last four employers, starting with the most recent

Company 1

Company Name*:

Phone Number:*

Address:*

Dates employed*:

Position/Work duties*:

Salary (upon leaving)*:

Reason for Leaving*:

May we contact this employer?*

Yes

Company 2

Company Name*:

Phone Number:*

Address:*

Dates employed*:

Position/Work duties*:

Salary (upon leaving)*:

Reason for Leaving*:

May we contact this employer?*

Yes

Company 3

Company Name:

Phone Number:

Address:

Dates employed:

Position/Work duties:

Salary (upon leaving):

Reason for Leaving:

May we contact this employer?

Yes

Company 4

Company Name:

Phone Number:

Address:

Dates employed:

Position/Work duties:

Salary (upon leaving):

Reason for Leaving:

May we contact this employer?

Yes

Additional Information

Other special training or skills (language, computer software, etc.)

I certify that the facts contained in this application are true, correct and complete to the best of my knowledge. I understand that any false statement or omission of fact is sufficient cause for refusal to hire, or dismissal once employed, no matter when discovered. I understand that completing this application does not indicate that there is a position available and does not obligate East Texas Professional Credit Union to hire me. I understand that acceptance of an offer for employment in no way obligates this company to continue to employ me in the future. I understand that either party in an employment relationship may modify or terminate any of the terms and conditions of employment at any time for any reason, with or without prior notice.

Release Authorizing Applicant's Reference Check

I acknowledge that consideration for employment is contingent upon my successful completion of East Texas Professional Credit Union's pre-employment screening process. therefore, I authorize East Texas Professional Credit Union to (1) obtain a consumer credit report, (2) investigate the truthfulness of all statements made on this application, (3) contact my former employers and other listed references or any other persons who can verify information, (4) discuss the results of any investigation with other employees of ETPCU involved in the hiring process, (5) check my driving record if applicable for the targeted job, (6) check my criminal record and gather any information necessary to investigate my employment history, character, and qualifications. In addition, I give my consent for all contacted persons, including former employers, to provide information concerning this application, and I release each such person from any and all liability for damages arising from furnishing the requested information to ETPCU.

I certify that the information contained in this application is correct to the best of my knowledge. I understand that any misrepresentation or omission of any fact in my application, resume, or any other materials, or during interviews is grounds for disqualification from further consideration for employment or for termination if employed.

I understand that employment at ETPCU is "at will" which means that either I, or ETPCU can terminate the employment relationship at any time with or without prior notice, and for any reason not prohibited by law. Any written or oral statement to the contrary by an advisor, or other agent of ETPCU is invalid and should not be relied upon by any prospective or existing employee.

Signature*:
Date*:
Driver's License Number & State*:
Date of Birth*
County of Residence*:
NOTE: Date of birth will be used excusively for identification purposes only.

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Code:

Internet Banking

Employment Application

Release Authorizing Applicant's Reference Check

ROUTING # 311985788