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Employment Application
167th TFR Federal Credit Union Employment
Application
Please print this form, fill it out and fax to 304.267.9476 |
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We are an equal opportunity employer, dedicated to a policy of
non-discrimination in employment on any basis including race, color, age, sex, religion, disability or national origin. Consistent
with the Americans Disabilities Act, applicants may request accommodations needed to participate in the application process. |
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| Personal Information: |
| Last
Name: |
First
Name, M.I.: |
| Social
Security #: |
18
years of age or older?  Yes No |
| Address 1: |
| Address 2: |
| City: |
State,
ZIP: |
| Home
Phone: |
E-Mail
Address: |
| Referred
by: |
Today's
Date: |
| Employment Desired: |
| Position: |
| Start
Date: |
Salary
Desired: |
| Currently
Employed?:
Yes No |
Can
we contact your current employer?: Yes No |
| Have
you applied here before?: Yes No |
If
so when and where?: |
| Education: |
|
| Grammar
School (Name and Location): |
| Graduated?:
Yes No |
| Subjects
Studied and Degree(s): |
|
| High
School (Name and Location): |
| Last
Year Completed: 1 2 3 4 |
Graduated?:
Yes No |
| Subjects
Studied and Degree(s): |
|
| College
(Name and Location): |
| Last
Year Completed: 1 2 3 4 |
Graduated?:
Yes No |
| Subjects
Studied and Degree(s): |
|
| Technical
or Vocational School (Name and Location): |
| Last
Year Completed: 1 2 3 4 |
Graduated?:
Yes No |
| Subjects
Studied and Degree(s): |
| General: |
| Subjects of
Special Study or Research Work: |
| Job Related
Skills (typing, driver's license, etc.): |
Print this page and then click here for the
employment history and references section.
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