Employment Application

THIS APPLICATION IS NOT AN EMPLOYMENT CONTRACT but merely is intended to evaluate suitability for employment. It is the policy of the company to provide equal employment to all qualified persons without discrimination on the basis of sex, race, color, religion, age, national origin, citizenship, disability, veteran status, or any other status protected under local, state or federal law. It is also the policy of the company to have the option of conducting pre-employment screening before a job offer is made. If a job offer is made, employment may be contingent on upon successful completion of drug screening, credit check, and background screening.

Position *

Referral Method *

First *

Middle *

Last *

Suffix

Date of Birth *

Email *

Home Phone Number *

Cell Phone Number *

Current Address *

City *

State / Province / Region *

Postal / Zip Code *

Country *

EDUCATION

High School

School Attended *

City *

State *

Diploma *

College or University

School Attended *

City *

State *

Diploma *

Degree/Certification

Area of Study

Technical or Vocational

School Attended

City

State

Diploma

Degree/Certification

Area of Study

EMPLOYMENT

Employment Information

Desired Salary ($) *

Date You Can Start *

Do you prefer *

Days Available *

Can you work weekends *

Can you work evenings *

Not Available *

Please answer all of the following questions.

1) Are you at least 18 years of age and legally eligible to work for our company in the United States? *

2) Have you worked for this business before? *

EMPLOYERS

Are you currently employed? *

May we contact your present employer? *

Most Recent Employer

Employer *

Phone Number *

City *

State *

Zip Code *

Position Held *

From (mm/yyyy) *

To (mm/yyyy) *

Pay Upon Leaving *

Supervisor Name *

Supervisor Phone/Ext *

Duties *

Reason For Leaving *

Prior Employer

Employer

Phone Number

City

State

Zip Code

Position Held

From (mm/yyyy)

To (mm/yyyy)

Pay Upon Leaving

Supervisor Name

Supervisor Phone/Ext

Duties

Reason For Leaving

SKILLS

Job-Related Skills

Please answer the following questions if the position you are applying for requires driving a motor vehicle.

1) Do you have a valid driver's license? *

2) Have you been convicted or pled guilty to any traffic-related offense within the past five years? *

3) Have you had your driver's license suspended or revoked or had your driving privileges modified by a court of law? *

Skills

Professional Designations

I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge.

I authorize, without liability, investigation of all statements in this application.

I authorize all schools which I attended and all previous employers to furnish to Vision Financial Federal Credit Union my record, reason for leaving and all information they may have concerning me, and hereby release them and Vision Financial Federal Credit Union from all liability for any damage whatsoever arising therefrom.

I authorize my neighbors, friends or others with whom I am acquainted or who are acquainted with me to furnish Vision Financial Federal Credit Union with information used in connection with the evaluation of my qualifications as a prospective employee. I release such persons and organizations from any legal liability in making such statements.

I understand that in the event of my employment by Vision Financial Federal Credit Union it shall be sufficient cause for dismissal if any of the information I have given in this application is false or if I have failed to give any information herein requested. I understand that proof of identity and work authorization will be required upon employment in accordance with federal regulations. In the event of my employment by Vision Financial Federal Credit Union, I agree to abide by all present and subsequently issued rules of the Company.

If hired, in consideration of my employment, I agree to comply with the policies, standards, and business ethics of Vision Financial Federal Credit Union. I understand that my employment is at will and may be terminated by me or the company at any time without additional consideration or notice. I understand that no representative of Vision Financial Federal Credit Union President/CEO has the authority to commit to any definite term of employment or alter the at-will employment agreement, and any such agreement must be in writing.

I understand and agree with statements above.