Employment Application

Apply for Employment at Success CU

First Name *

Last Name *

Street Address *

Street Address Line 2

City *

ZIP Code *

Phone *

Email

When is the best time to reach you? *

Are you 16 or older? *

Yes

No

Are you 18 or older? *

Yes

No

Are you legally eligible for employment in this country (a US citizen or alien authorized to work in the United States)? *

Yes

No

Have you ever been convicted of a crime, excluding misdemeanors and traffic violations? (If yes, describe in full.) *

The existence of a criminal record will not automatically disqualify you from the job you applied for.

Position Applying for *

Type of Employment Desired:

Full-Time

Part-Time

Days available for work:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Preferred Hours for Work:

Mornings

Afternoons

Saturdays (Generally 8:30am-12:30pm)

Weekdays only

Anytime

Wages expected (Dollars per hour):

Do you have any commitments to another employer that might affect your employment with us?

Yes

No

List outside activities (please do no list activities that would reflect race, color, religion, sex, national origin, diability, or ancestry):

Are any of your relatives employed by CFFCU? (If yes, please list name(s), relationship, and which branch.) *

Education:

Name and location of last school attended: *

What were your average grades?

If you attended college, tech or business school, what was your major course of study?

What school activities and organizations including athletics did you participate in? (Please do not list those activities which would reflect race, color, religion, sex, national origin, disability, or ancestry.)

What scholastic honors did you receive?

US Military Service

Branch of Service

Date of Service From

Date of Service To

Describe any special training:

Work History

Give present or most recent position first. Information must be complete and accurate. *Applicant need not answer rate of pay.

Company Name

Company Address

Company City

Company ZIP Code

Company Phone

Supervisor's Name and Title

Employment Date From

Employment Date To

Rate of Pay

Position Held

Major Responsibilities:

Reason for Leaving:

Work History

Give present or most recent position first. Information must be complete and accurate. *Applicant need not answer rate of pay.

Company Name

Company Address

Company City

Company ZIP Code

Company Phone

Supervisor's Name and Title

Employment Date From

Employment Date To

Rate of Pay

Position Held

Major Responsibilities:

Reason for Leaving:

Work History

Give present or most recent position first. Information must be complete and accurate. *Applicant need not answer rate of pay.

Company Name

Company Address

Company City

Company ZIP Code

Company Phone

Supervisor's Name and Title

Employment Date From

Employment Date To

Rate of Pay

Position Held

Major Responsibilities:

Reason for Leaving:

Work History

Give present or most recent position first. Information must be complete and accurate. *Applicant need not answer rate of pay.

Company Name

Company Address

Company City

Company ZIP Code

Company Phone

Supervisor's Name and Title

Employment Date From

Employment Date To

Rate of Pay

Position Held

Major Responsibilities:

Reason for Leaving:

Have you ever been disciplined for absenteeism or tardiness?

Yes

No

Briefly state why you would like to work with Success Credit Union:

IMPORTANT, PLEASE READ CAREFULLY

I understand that to be employed I must be lawfully authorized to work in the United States and able to show the employer documents to prove this. ~I understand that the company will thoroughly investigate my work and personal history and verify all data given on this application, on related papers, and in interviews. I authorize all individuals, schools, and firms named therein, except my current employer if so noted, to provide any information requested about me, and I release them from all liability for damage in providing this information. I authorize the company to secure records regarding my criminal conviction history from the appropriate law enforcement agencies. ~All of the information on this application and made in conjunction with this application is correct and true to the best of my knowledge. I understand that nay false or misleading statement made by me in connection with this application or the failure to disclose any material information will be grounds for immediate dismissal. I understand that if hired I will have a probationary period during which time I may be terminated at the discretion of the company. Thereafter, the terms of my continued employment will be pursuant to the written employment policies that the company may from time to time determine.

I agree

I disagree

Thank You, we will be in touch!