Employment Application

IBEW & UW FCU is an Equal Opportunity Employer

Instructions: Please answer all questions carefully and completely. Type or print all information clearly. We appreciate your interest in our organization and are sincerely interested in your qualifications.

First Name *

Middle Initial

Last Name *

Street Address *

Street Address Line 2

City *

ZIP Code *

Home Phone *

Cell Phone *

Work Phone

Email

Social Security Number (optional - to be used for consumer credit check only.)

Date Available *

Position Applying for

Full time

Part time

Are you authorized to work in the US? *

Yes

No

Have you ever worked for IBEW & UW FCU? *

Yes

No

Do you have relatives employed here? *

Yes

No

Will you be able to travel as needed by the job? *

Yes

No

Have you ever had Bond coverage revoked, modified or an application declined? *

Yes

No

Please check the machines you can operate with or without reasonable accommodation (relating to the position you are applying for):

Personal Computer

10 Key Calculator

Other (please describe these details below)

Are there any other experiences, skills, or qualifications you feel would especially prepare you for work with our organization?

Can you perform the essential functions of the job for which you are applying with or without reasonable accommodation?

Yes

No

Do you have references available if requested?

Yes

No

Education

Response to the Education section is required

High School

Address

From Date

To Date

Did you Graduate? *

Yes

No

Diploma

College

Address

From Date

To Date

Did you Graduate?

Yes

No

Degree

Other

Address

From Date

To Date

Did you Graduate?

Yes

No

Degree

Work History

Give present or most recent position first. Information must be complete and accurate. *Applicant need not answer salary ranges.

Company Name

Company Address

Company City

Company ZIP Code

Company Phone

Supervisor's Name and Title

Job Title

Starting Salary $

Ending Salary $

Employment Date From

Employment Date To

Responsibilities:

Reason for Leaving:

May we contact your supervisor for a reference?

Yes

No

Work History - Continued

Company Name

Company Address

Company City

Company ZIP Code

Company Phone

Supervisor's Name and Title

Job Title

Starting Salary $

Ending Salary $

Employment Date From

Employment Date To

Responsibilities:

Reason for Leaving:

May we contact your supervisor for a reference?

Yes

No

Work History - continued

Company Name

Company Address

Company City

Company ZIP Code

Company Phone

Supervisor's Name and Title

Job Title

Starting Salary $

Ending Salary $

Employment Date From

Employment Date To

Responsibilities:

Reason for Leaving:

May we contact your supervisor for a reference?

Yes

No

US Military Service

Branch of Service

Date of Service From

Date of Service To

Rank at Discharge

Type of Discharge

If other than 'Honorable', explain:

Disclaimer Authorization

IMPORTANT, PLEASE READ CAREFULLY

IBEW & United Workers Federal Credit Union is an equal opportunity employer and does not discriminate based on race, age, gender, color, religion, marital status, national origin, disability, or veteran status. The following information is requested solely to help match your skills with positions that may be available and to provide reasonable accommodations when appropriate.

All qualified applicants will receive consideration for employment without regard to race, sex, color, national origin or ancestry, age, disability, marital or veteran status, religion, or any other class or characteristic protected by Federal, State or Local Law. No information on this application will be used for unlawful discrimination.

I certify that the information contained in this application is true and complete to the best of my knowledge, and I understand that any false statements on this application may result in disqualification from further consideration or dismissal from employment. I understand that receipt of this application by IBEW & United Workers Federal Credit Union does not guarantee a job interview or offer of employment.

I authorize investigation of all statements contained herein and the references, schools, and employers above may give IBEW & United Workers Federal Credit Union all information concerning my previous employment and education, and any other pertinent information they may give me, personal or otherwise. I hereby release and agree to hold harmless all such persons and their agents, employees, officers and representatives, and IBEW & United Workers Federal Credit Union from all liability for any damage that may result from disclosing or utilizing such information.

In processing this application, the Credit Union may request that an investigative consumer report and employment credit check be prepared, which may include information as to my character, general reputation, personal characteristics, and mode of living. I understand that I have the right to make a written request within a reasonable period to receive detailed information about the nature and scope of this investigative consumer report.

I also understand that no representative of IBEW & United Workers Federal Credit Union has any authority to enter any agreement for employment for any guaranteed period, or to make any agreement contrary to the foregoing, unless it is in writing and signed by the Chief Executive Officer of IBEW & United Workers Federal Credit Union.

I agree to conform to the rules and policies of the Credit Union. I understand that any employment offered to me by the Credit Union is conditional upon proof of my identity and that I am eligible to work in the United States. I also understand that employment is not guaranteed for any length of time, and that either IBEW & United Workers Federal Credit Union or I may terminate the employment relationship at any time, within the provisions of the Credit Union’s collective bargaining agreement with its employees.

By checking this box, I agree to the Disclaimer stated above and submit my application for consideration.

Thank You, we will be in touch!