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About Us
Employment Application

Personal Information
Date:
Last Name:
First Name:
Middle Name:
Address:
City:
State:
ZIP code:
Email Address:
Phone Number:
Referred by:
18 years of age or older? Yes No
How did you hear about this job?
 
Are you legally eligible for employment in the United States?
Yes No

Employment Information
Employment Desired:
Branch Location Desired:
Hours/Week Requested:

Please share with us the hours you would be available for work:

Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Date You Can Start:
Salary Desired:
Are you employed now? Yes No
If So May We Inquire of Your Present Employer? Yes No
Ever Applied to Veridian Before? Yes No


Education
High School
Name/Location of School:
Last Year Completed: 9 10 11 12
Graduated? Yes No
Subjects Studied and Degree(s) Received:
 
College
Name/Location of School:
Last Year Completed: Fr So Jr Sr
Graduated? Yes No
Subjects Studied and Degree(s) Received:

 
Trade, Business or Correspondence School
Name/Location of School:
Last Year Completed: Fr So Jr Sr
Graduated? Yes No
Subjects Studied and Degree(s) Received:




General
Subjects of Special Study or Research Work:


Job Related Skills:




Former Employers
List below your last four employers, starting with the last one first.

 

Name of Employer:
Address of Employer:
From (Month & Year):
To (Month & Year):
Position:
Salary (upon leaving):
Reason for Leaving:
 
Name of Employer:
Address of Employer:
From (Month & Year):
To (Month & Year):
Position:
Salary (upon leaving):
Reason for Leaving:
 
Name of Employer:
Address of Employer:
From (Month & Year):
To (Month & Year):
Position:
Salary (upon leaving):
Reason for Leaving:


References
Name:
Position:
Years Acquainted:
Address:
Phone Number:
 
Name:
Position:
Years Acquainted:
Address:
Phone Number:


Resume

If you would like to attach your resume, please copy and paste it into the text box provided:


Authorization:
Please read the following disclosure and scroll down to submit this application.
The information provided in this Application for Employment is true, correct, and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal.

I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.

If you decide to engage an investigative consumer reporting agency to report on my credit and personal history I authorize you to do so. By submitting this application you are authorizing Veridian Credit Union to obtain a credit report and you are verifying the information contained in this application is true and correct. If a report is obtained you must provide, at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report.