County-City Credit Union Employment Application

Federal and state laws prohibit discrimination in employment practices on account of race, creed, color, national origin, ancestry, sex, age, marital status, veteran status, disability, sexual orientation, arrest record, conviction record, membership in the National Guard, and use or non-use of lawful products off premises. This Credit Union will not discriminate in employment on any of these or any other unlawful basis.
Are there any days the credit union is open (Monday-Saturday) you would not be able to work? *
Work Experience (Since High School or last 10 years, whichever is less), most recent first.
 Job 1Job 2Job 3
Date Range
Start Pay
End Pay
Reason for Leaving
References (Please list employment and personal references):
 Reference 1Reference 2Reference 3

Are you over 18 years of age? *
Are you legally authorized to work in the United States? *
I certify that the information provided by me on this application, and in any accompanying documents or statements, is true and correct without misrepresentation or omission of any kind whatsoever, and I understand that if any of this information is discovered to be incorrect, false or misleading, or if there are any misrepresentations or omissions of any kind whatsoever, the Credit Union may cancel further consideration of hiring me or, if I have been hired, may terminate my employment. I agree that the Credit Union will not be liable in any respect if my employment is terminated for any of these reasons.

I understand that the Credit Union will verify the information provided on this application including education, employment, and criminal conviction information.

I authorize all persons, employers, schools, organizations, and law enforcement agencies to give the Credit Union any information that they have regarding me. I hereby release those persons, employers, schools, organizations, and law enforcement agencies, and all individuals connected with them, from all liability including any claim for damages for releasing this information to the Credit Union.

By signing this application, I acknowledge my understanding that this application is not intended as a contract of employment. If I am hired, I understand that, absent written contract by the Credit Union's President that provides otherwise, either the Credit Union or I may terminate the employment relationship with or without notice or cause.
Applicant's Signature of Acknowledgement and Authorization *
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