Application for Employment

TO APPLICANT: We deeply appreciate your interest in our organization. Thank you for taking the time to complete this application.
The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. Federal law also prohibits other types of discrimination such as age, citizenship, disability, veteran status, attainment of benefits, and participation in union activities. The laws of most states and many localities also prohibit some or all of the above types of discrimination as well as some additional types including, but not limited to, discrimination based upon ancestry, marital status, parental status, sexual orientation, or source of income. The Fair Credit Reporting Act imposes restrictions with respect to information obtained from a consumer reporting agency, including but not limited to information regarding credit data, personal character, general reputation and mode of living. This list, however, is not exhaustive of the grounds on which discrimination is prohibited.

Date*

Name*

First Middle Last

Email*

Social Security Number*

Phone Number*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Are you legally eligible for employment in the U.S.A?*

Yes
No

If hired, you are required to submit proof of your eligibility to work in the U.S.A.

Are you over the age of eighteen?*

Yes
No

If no, hire is subject to verification that you are minimum legal age.

Position(s) applied for*

Were you previously employed by us?

Yes
No

If yes when?

If your application is considered favorably, on what date will you be available to work?

Are there any other job related experiences, skills, or qualifications which will be of special benefit in the job for which you are applying?

Employer 1

Name and Address of Company and Type of Business*

Telephone

Start Date*

End Date

Weekly Starting Salary*

Weekly Last Salary*

Reason for Leaving*

Name of Supervisor

Describe the work you did:*

Employer 2

Name and Address of Company and Type of Business

Telephone

Start Date

End Date

Weekly Starting Salary

Weekly Last Salary

Reason for Leaving

Name of Supervisor

Describe the work you did:

Employer 3

Name and Address of Company and Type of Business

Telephone

Start Date

End Date

Weekly Starting Salary

Weekly Last Salary

Reason for Leaving

Name of Supervisor

Describe the work you did:

Employer 4

Name and Address of Company and Type of Business

Telephone

Start Date

End Date

Weekly Starting Salary

Weekly Last Salary

Reason for Leaving

Name of Supervisor

Describe the work you did:

I hereby give permission to contact the employers listed above concerning my prior work experience as indicated below.

Employer 1?

Yes
No

Employer 2?

Yes
No

Employer 3?

Yes
No

Employer 4?

Yes
No

Consent

I hereby give permission to contact the employers listed above concerning my prior work experience as indicated below.

Elementary

School Name

School Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Last Year Completed

5
6
7
8

Did you Graduate?

Yes
No

High School

School Name

School Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Last Year Completed

1
2
3
4

Did you Graduate?

Yes
No

List Diploma or Degree

College

School Name

School Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Last Year Completed

1
2
3
4

Did you Graduate?

Yes
No

List Diploma or Degree

Other (please specify)

School Name

School Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Last Year Completed

1
2
3
4

Did you Graduate?

Yes
No

List Diploma or Degree

Personal References

(Not former employees or relatives)

Reference 1

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Reference 2

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Reference 3

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

May we telephone you to follow up on this application at home?

Yes
No

If yes, what is the best time to call?

May we telephone you to follow up on this application at work?

Yes
No

If yes, what is the best time to call?

What is your business telephone number?

PLEASE READ AND CONSENT BELOW

The facts set forth in my application for employment are true and complete. I understand that if employed, any false statement on this application may result in dismissal. I further understand that this application is not and is not intended to be a contract of employment, nor does this application obligate the employer in any way if the employer decides to employ me. I understand and agree that my employment is at-will and can be terminated by either party with or without notice, at any time, for any reason or no reason. No one other than an officer of Desco Federal Credit Union has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing and then only in a writing signed by an officer.

Consent*

Please type your full name

Consent*

I agree to the above statement

Please upload a copy of your resume.

Accepted file types: pdf, Max. file size: 8 MB.

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.

Access Your Account

Application for Employment

Employer 1

Employer 2

Employer 3

Employer 4

Elementary

High School

College

Other (please specify)

Personal References

Reference 1

Reference 2

Reference 3

PLEASE READ AND CONSENT BELOW