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Personal Information
First Name* :
Last Name* :
Social Security Number* :
E-mail: *
Street Address* :
City* :
State* :
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Zip* :
Phone Number: *
Alternate Phone:
Are you 18 years of age?* :
Have you ever applied to this company before?*
If Yes, please provide the month and year: *
Position Desired * :
Branch/Location Desired * :
Salary Desired :
Date Available (YYYY-MM-DD)* :
Are you applying for a full time position?*
If not what days and hours can you work? *
Referred By:
Are you legally eligible for employment in the United States?*
Have you ever been convicted or pled guilty or no contest to a felony offense?*
Have you ever been declined for bond coverage or had any bond coverage modified or revoke?*
Education
School 1
Type of School* :
Name of school* :
City* :
State* :
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Ohio
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South Carolina
South Dakota
Tennessee
Texas
Utah
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Course of study* :
Number of years completed* :
Did you graduate?*
Degree or diploma* :
School 2
Type of School
Name of school:
City:
State:
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District Of Columbia
Florida
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Iowa
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Course of study:
Number of years completed:
Did you graduate?
Degree or diploma:
School 3
Type of School
Name of school:
City:
State:
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Alaska
Arizona
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Colorado
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District Of Columbia
Florida
Georgia
Hawaii
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Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Course of study:
Number of years completed:
Did you graduate?
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?*
Company 2
Company Name* :
Phone Number: *
Address: *
Dates employed* :
Position/Work duties* :
Salary (upon leaving)* :
$
Reason for Leaving* :
May we contact this employer?*
Company 3
Company Name:
Phone Number:
Address:
Dates employed:
Position/Work duties:
Salary (upon leaving):
$
Reason for Leaving:
May we contact this employer?
Company 4
Company Name:
Phone Number:
Address:
Dates employed:
Position/Work duties:
Salary (upon leaving):
$
Reason for Leaving:
May we contact this employer?
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.