• Application for Employment

  • Personal Information

  • Employment Eligibility

  • Position Information

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  • Education

  • Skills & Qualifications

    Please select applicable skills
  • Professional References

    Please provide at least two professional references who can speak to your work experience, performance, or character. Do not list family members or personal friends.
  • Reference #1

  • Reference #2

  • Employment History

    Start with your current or most recent job. Alternatively, you may attach a copy of your resume that provides requested information.
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  • Additional Questions

  • Acknowledgement & Signature

  • I certify that all the information provided by me in connection with my application, whether on this document or not, is true and complete, and I understand that any misstatement, falsification, or omission of information shall be grounds for refusal to hire, or if hired, termination. I also understand that I am required to abide by all rules and regulations of the employer. I voluntarily authorize PECU to verify information related to my education, employment (with the exception of current employment, until I have authorized such contact), and criminal record. I also authorize PECU to procure an investigative consumer report for purposes of this application. I hereby release from liability all persons or entities supplying or collecting such information. I understand that state or federal agencies may request information concerning my application for employment with PECU and the terms and conditions of any offer or refusal of employment. I agree that PECU may release this information to these agencies. I understand that if I am offered employment, the offer will be contingent on on my being bondable. I agree to permit PECU to check my bond history with its bond carrier or with a nationwide bond carrier database

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