Today's Date: / / (MM/DD/YYYY)

E-Mail:

First Name: Middle Initial: Last Name:

Home Phone Number: (000-000-0000)
Other Phone Number: (000-000-0000)

Current Address:

Street:
City: State: Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code:

What position are you applying for?

What date can you start? (MM/DD/YYYY)
What are you applying for? Full Time Part Time
Are you legally eligible to work in the United States? Yes No (Proof of eligibility will be required upon employment.)
Are you 18 years or older? Yes No
Have you been employed with WyHy Federal Credit Union in the past? Yes No
If Yes - give date: (MM/DD/YYYY

Have you been convicted of a crime in the past seven years? Have you ever had any bond coverage modified or revoked, or has any application for a bond has ever been declined? Yes No
If so, describe in the boxes below. (Conviction will not necessarily disqualify applicant from employment. In accordance with company policy and applicable state and federal laws, factors such as age at time of the offense, remoteness of the offense, time since last conviction, and nature of the job sought and rehabilitation effort will be reviewed.)

INCIDENT	CITY/STATE	CHARGE

WE ARE AN EQUAL OPPORTUNITY EMPLOYER

 

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Employment History

Beginning with your present or most recent job, describe all work experience. Be sure to include periods of unemployment and indicate whether employment was full-time or part-time. Incomplete information may result in the disqualification of your application. Use supplemental sheets if necessary.

May we contact your employers listed for references ? Yes No All but the current employer

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MOST RECENT EMPLOYER

Employer # 1 Phone: (000-000-0000)
Street: City: State: Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code:
Position(s): Supervisor:

Period Employed From: (MM/DD/YYYY) To: (MM/DD/YYYY) Full Time Part Time

Salary: Start End
Reason for Leaving: (If discharged or asked to resign, please explain)


Description of primary responsibilities :

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SECOND MOST RECENT EMPLOYER

Employer # 1 Phone: (000-000-0000)
Street: City: State: Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code:
Position(s): Supervisor:

Period Employed From: (MM/DD/YYYY) To: (MM/DD/YYYY) Full Time Part Time

Salary: Start End
Reason for Leaving: (If discharged or asked to resign, please explain)


Description of primary responsibilities :

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THIRD MOST RECENT EMPLOYER

Employer # 1 Phone: (000-000-0000)
Street: City: State: Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code:
Position(s): Supervisor:

Period Employed From: (MM/DD/YYYY) To: (MM/DD/YYYY) Full Time Part Time

Salary: Start End
Reason for Leaving: (If discharged or asked to resign, please explain)


Description of primary responsibilities :

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EDUCATION:

Note: do not fill out any part of this section you believe to be non-job related.
Please choose highest grade level completed: Select Grade 7 8 9 10 11 12 13 14 15 16 16+

	SCHOOL	CITY/STATE	GRADUATE?	Degree
High School			Yes/No Yes No
College			Yes/No Yes No
Business/Vocational			Yes/No Yes No
Correspondence			Yes/No Yes No
Service School			Yes/No Yes No

Special Skills and Qualifications:

Summarize special job-related skills and qualifications from employment or other experience.

 

Indicate any office machine skills you have acquired through training and/or experience.
typing wpm	word processing wpm
keyboarding wpm	dictaphone transcription
data entry	calculator / 10 key
other (specify)

 

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REFERENCES: