Job Application Form

If applicable, list friends or relatives working here and their relationship to you.
SchoolName/Location of SchoolCourse of StudyYears CompletedGraduate?Degree or Diploma Earned 
Please give accurate and complete employment history. Start with current or most recent employer, and provide information in reverse chronological order.
Company NameAddress & TelephoneName of SupervisorJob Title & Work DescriptionReason for Leaving 
BranchDescribe DutiesPeriod of Active DutyRank at DischargeDate of Final Discharge 
Please identify three persons not related to you who have known you at least one year.
NamePhoneAddressYears Acquainted 

Consent for Consumer Report

In connection with my application for employment (including contract employment) with Pathways Financial Credit Union, I understand that a consumer report may be requested through a third-party consumer reporting agency. These reports may include the following types of information: public record information concerning my residence history, criminal history, driving records, or credit/bankruptcy proceedings; employment information, including names of employers and dates of previous employment, reason for termination of employment or work experience; reference interviews; professional credentials or education credentials. Such information may be obtained from federal, state and other agencies which maintain such records, including previous employers and education institutions. I hereby consent to release of the above information from such agencies.


I AUTHORIZE, WITHOUT RESERVATION, ANY PARTY OR AGENCY CONTACTED BY THE CONSUMER REPORTING AGENCY TO FURNISH THE ABOVE-MENTIONED INFORMATION.


Acknowledgement

I acknowledge that the foregoing information is true and complete to the best of my knowledge, and that if not, it may result in my application being disregarded from consideration. I understand that, if employed, any misrepresentation, false statement or omission later discovered will be grounds for termination.

I authorize Pathways Financial Credit Union to investigate my employment record and background, including criminal conviction records and credit check, and I hereby release and hold Pathways Financial Credit Union and all parties who provide such records or information harmless from all liabilities arising from such disclosures.

I understand that, if I receive a conditional offer of employment, I may be required to undergo a drug or alcohol screen, and I agree to take such test. I understand that if I am hired, Pathways Financial Credit Union may require me to undergo drug or alcohol testing within the guidelines of its personnel practices, participation in any Ohio Bureau of Workers’ Compensation drug-free workplace program, or to the extent permitted by law, and I agree to cooperate in such testing. I understand that refusal to do so may result in immediate termination.

I understand that, if hired, my employment is at will, which means that either I or the company may terminate the employment relationship at any time, for any or no reason, and with or without notice. 

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