Employment Application

Personal Information

  • OK First Name is required
  • Optional OK Middle Name is required
  • OK Last Name is required
  • OK Home Phone is required
  • Optional OK Cell Phone is required
  • OK Email Address is required
  • OK Are you 18 years of age or older? is required
  • OK Are you a US Citizen? is required
  • OK Have you ever been convicted of a criminal offense or participated in a pre-trial deferral or diversion program? is required

    • Applicants are not obligated to disclose sealed or expunged records of conviction or arrest. Falsification, misrepresentation and/or omission of a criminal conviction not sealed or expunged is grounds for refusal to hire, or if hired, for dismissal.

    If answer is yes, indicate date(s) of conviction and the type(s) of offense(s); include those matters for which you may have plead guilty, no contest, or participated in a pre-trial division program.

  • OK Please tell us about it is required
  • OK If selected for Employment, are you willing to submit to a Pre-Employment Drug Screening Test? is required
  • OK Position you are applying for is required
  • OK Available start date is required
  • OK Desired pay is required
  • OK Employment desired is required
  • OK Are you employed now is required
  • OK If yes, may we contact your present employer is required
  • OK Have you ever applied to NW Plus CU before? is required
  • Optional OK If yes, when is required
  • OK Have you ever been employed by another financial institution is required
  • Optional OK If yes, provide name & location is required

Address Information

  • OK Present Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • Optional OK Previous Address is required
  • Optional OK City is required
  • Optional OK State is required
  • Optional OK Zip is required

Reference #1

  • OK Name is required
  • OK Title is required
  • OK Company is required
  • OK Phone is required

Reference #2

  • OK Name is required
  • OK Title is required
  • OK Company is required
  • OK Phone is required

Reference #3

  • OK Name is required
  • OK Title is required
  • OK Company is required
  • OK Phone is required

Education Information

  • OK School Name is required
  • OK Location is required
  • OK Years Attended is required
  • OK Degree Received is required
  • OK Major is required
    Optional OK Would you like to add another school? is required
  • OK School Name is required
  • OK Location is required
  • OK Years Attended is required
  • OK Degree Received is required
  • OK Major is required
    Optional OK Would you like to add another school? is required
  • OK School Name is required
  • OK Location is required
  • OK Years Attended is required
  • OK Degree Received is required
  • OK Major is required

Previous Employer

  • OK Start & End Dates is required
  • OK Employer is required
  • OK Job Title is required
  • OK Work Phone is required
  • OK Supervisor Name & Title is required
  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
  • OK Reason for Leaving is required
  • OK Summarize the nature of work performed and job responsibilities is required
  • OK Start is required
  • OK End is required
    Optional OK Do you have another employer you wish to list? is required

Previous Employer

  • OK Start & End Dates is required
  • OK Employer is required
  • OK Job Title is required
  • OK Work Phone is required
  • OK Supervisor Name & Title is required
  • OK Address is required
  • OK Reason for Leaving is required
  • OK Summarize the nature of work performed and job responsibilities is required
  • OK Start is required
  • OK End is required
    Optional OK Do you have another employer you wish to list? is required

Previous Employer

  • OK Start & End Dates is required
  • OK Employer is required
  • OK Job Title is required
  • OK Work Phone is required
  • OK Supervisor Name & Title is required
  • OK Address is required
  • OK Reason for Leaving is required
  • OK Summarize the nature of work performed and job responsibilities is required
  • OK Start is required
  • OK End is required
    Optional OK Do you have another employer you wish to list? is required

Previous Employer

  • OK Start & End Dates is required
  • OK Employer is required
  • OK Job Title is required
  • OK Work Phone is required
  • OK Supervisor Name & Title is required
  • OK Address is required
  • OK Reason for Leaving is required
  • OK Summarize the nature of work performed and job responsibilities is required
  • OK Start is required
  • OK End is required

Security Code

    If you are hired, you will be required to attest to your identity and employment eligibility, and to present documents confirming your identity and employment eligibility. You cannot be hired if you cannot comply with these requirements.

    AUTHORIZATION:

    I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by the employer.

    I understand that any employment is conditioned on a background check. I authorize the financial institution to thoroughly investigate all statements contained in my application or resume, and I authorize my former employers and references to disclose information regarding my former employment, character and general reputation to the credit union, without giving me prior notice of such disclosure. In addition, I release the financial institution, any former employers and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.

    I understand and agree that nothing contained in this application, or conveyed during my interview, is intended to create an employment contract. I further understand and agree that if I am hired, my employment will be "at will" and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of either myself or the financial institution. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the financial institution unless made in writing.

    If I am offered employment I agree to submit to a medical examination and drug test, if required, before starting work. If employed, I also agree to submit to a medical examination or drug test at any time deemed appropriate by the credit union and as permitted by law. I consent to such examinations and tests, and I request that the examining doctor disclose to the financial institution the results of the examination, which results shall remain confidential and segregated from my personnel file. I understand that my employment or continued employment, to the extent permitted by law, may be contingent upon satisfactory medical examinations and drug test, and if I am hired a condition of my employment will be that I abide by the financial institution's Drug and Alcohol Policy.

    I understand that filling out this form does not indicate there is a position open and does not obligate the financial institution to hire. If hired, I agree to abide by all financial institution work rules, policies and procedures. The financial institution retains the right to revise its policies or procedures, in whole or in part, at any time.

  • OK Signature or typed name of applicant is required
  • OK is required

    • We do business in accordance with the Federal Fair Housing Law and the Equal Credit Opportunity Act.

    NW Plus CU

    Copyright 2017 – All Rights Reserved- NMLS# 472402

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