Employment Application

Application for Employment
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UFirst FCU is an equal opportunity employer and does not discriminate on the basis of race, religion, color, national origin, age, sex, sexual orientation, gender identity, disability, predisposing genetic characteristics, military status, veteran status or any other characteristic protected by federal, state or local law.
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Introductory Information
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First Name

Middle Name

Last Name

*X Required
Email

*X Required
Address

Address 2

City

State

Zip Code

*X Required
Phone

*X Required
Applicant Questions
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Type of Work Desired:

*X Required
Salary Desired:

*X Required
Date Available:

*X Required
If hired, can you provide documents required to establish your eligibility to work in the U.S.? If hired, can you provide documents required to establish your eligibility to work in the U.S.?
- Yes
- No
VALUE+-
*XRequired
Are you 16 years of age or older? Are you 16 years of age or older?
- Yes
- No
VALUE+-
*XRequired
How were you referred to UFirst FCU?

*X Required
Have you ever had any bond coverage modified or revoked, or had an application for a bond denied? Have you ever had any bond coverage modified or revoked, or had an application for a bond denied?
- Yes
- No
VALUE+-
*XRequired
Education - High School or last grade completed
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Name and Address of School

*X Required
Course of Study:

*X Required
Number of years completed:

*X Required
Degree/Diploma

*X Required
Education - College or Technical School:
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Name and Address of School

*X Required
Course of Study:

*X Required
Number of years completed:

*X Required
Degree/Diploma

*X Required
Other School or Training:
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Name and Address of School

*X Required
Course of Study:

*X Required
Number of years completed:

*X Required
Degree/Diploma

*X Required
Military Experience
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Branch of Service

*X Required
From:

*X Required
To:

*X Required
Rank/Type of Service:

*X Required
Job- Related Training/Experience:

*X Required
Record of Employment
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Employment History - Please list positions held in last 10 years including Employer, Title, Phone, Supervisor, Dates of Employment, and Reason for Leaving

*X Required
Work-Related References (Do Not Include Relatives): Please include Name, Occupation, Years Known and Contact Information for 3 References .

*X Required
Statement
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(Please read this statement carefully before signing this application): I understand that employment with Ufirst FCU is at-will, meaning that I or the Organization may terminate my employment at any time, or for any reason consistent with applicable state or federal law. I understand this application will be active for a period of 90 days; after that time, if I wish to be considered for employment, I must submit a new application. I certify that all the statements in this completed application are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal to hire.
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Signature of Applicant:

*X Required
Date

*X Required

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