UCCU Job Application

UCCU Job Application
Personal Information
Name (Please put middle initial)*

First NameLast Name
Middle Name*
Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Social Security #
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Employment Eligibility
YesNo
If under 18 years of age, state your birthdate.
YesNo
If so, please list.
YesNo
If yes, when?
YesNo
Position Desired
Position for Which You are Applying (Please list only one position per application.)*
Date Available:*
Salary Desired*
Full-TimePart-Time
RegularTemporaryStudent
YesNo

Education*

Rows	Name/Address	Major Area of Study	How Many Years Completed? (1-4)	Did You Graduate?	Degree
High School
College
Business/Trade School

YesNo
If so, where & when?*
Employment History
Company*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Dates Employed*
Name of Supervisor
Your title and duties:*
Reason for leaving:*
Company
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Dates Employed
Name of Supervisor
Your title and duties:
Reason for leaving:
YesNo
Please identify any employer you do not wish us to contact.*
Upload a resume:

Cancelof
PLEASE READ CAREFULLY BEFORE SIGNING.

United Community Credit Union is an Equal Opportunity Employer. United Community Credit Union does not discriminate in employment and no question on the employment application is used for the purpose of limiting or excluding any applicant’s consideration for employment on a basis prohibited by local, state, or federal law. I understand that by completing this application, United Community Credit Union does not guarantee a job interview or an offer of employment. If employed, I understand that my employment is for no definite period of time and can be terminated at any time and for any reason by either United Community Credit Union or me. By completing this application, United Community Credit Union has my authorization to thoroughly investigate my work history as well as other jobrelated information and activities. I have read and agree to the above and hereby certify that the facts I provided in my employment application are true and complete. If I misrepresent or deliberately leave out a fact on my application, I may be disqualified from further consideration or, if employed, I may be dismissed immediately. This application is current and active for only thirty days. At the conclusion of this time, if I have not had any contact from the employer and still wish to be considered for employment, it will be necessary for me to fill out a new application.
Signature*

Clear
Date*

MonthDayYear
Date
WARNING: Please read carefully.

By completing this application, United Community Credit Union has my authorization to pull credit history and will be used for employment purposes only. In the event that I am denied employment in whole or in part, because of information contained in the credit report, United Community Credit Union will advise me of the adverse action and supply me with the name, address, and phone number of the consumer reporting agency making the report. I acknowledge that a favorable credit history does not increase employment eligibility.
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

UCCU Job Application

Personal Information

Employment Eligibility

Position Desired

Employment History