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Employment Form

GENCO Federal Credit Union Pre-Employment Application

An Equal Opportunity Employer
* Required Fields
Personal Information
Are you 18 years of age or older? *
Are you legally authorized to work in this country? *
Desired Employment
Are you applying for full-time hours? *
Are you applying for a part-time position? *
Can you work overtime and/or Saturdays? *
Have you applied with us before? *
Have you ever worked for GENCO Federal Credit Union? *
Do you have any relatives employed by GENCO Federal Credit Union or on the Board of Directors or on the Supervisory Committee? If yes, please list who & relationship. *
Education & Training
Did you graduate?*
If not, do you have a GED?
Did you graduate?
Did you graduate?
Do you have any bilingual skills?

GENCO Federal Credit Union is an Equal Opportunity Employer. As such, employment decisions for applicants and employees are made without regard to race, color, religion, gender, age, national origin, disability {if able to perform the essential functions of the job with or without the aid of reasonable accommodation), or any other legally protected status. If you need help in completing this application, please request assistance.

Former Employers

THIS SECTION MUST BE COMPLETED. DO NOT REFER TO RESUME. Please give accurate/complete information. Start with the present or most recent employer; any gaps should be accounted for.

Please indicate if we can contact your current employer at this time

Additional Information
Have you ever been bonded? *
Have you ever been refused a bond? *
Have you ever been (1) convicted of, or (2) pled guilty, or (3) pled no contest (nolo contender), or (4) had deferred adjudication to a felony or misdemeanor other than a minor traffic violation?*

A "YES" answer to any of the above questions is not an automatic bar to employment. GENCO FCU will consider the nature of the offense, the date of the offense, and the relationship between the offense and the position for which you are applying.

I authorize investigation of all statements contained in this application and any supporting documents. I authorize GENCO FCU to secure information about my experience from former employers, my education institutions, government agencies, or any references I have provided, and for those parties to provide information concerning my qualifications for employment and I hereby release all parties for any liability arising from such investigation.

I will, as a condition of employment furnish proof of my identity, that I am 18 years of age or older and of my legal right to work in the United States.

I understand that if I am employed, any false statement, misrepresentation, or omission on this application or on any supporting documents, regardless of when discovered, may result in my immediate dismissal.

I agree that if I am offered a position, it will be offered on the condition that my employment shall be "at-will" and for no definite period and that my employment may be terminated at any time by me or GENCO FCU, with or without cause and with or without prior notice. I understand that, except for the President of GENCO FCU, no person may alter or amend my "at¬-will" status. Only the President of GENCO FCU has authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing and any such agreement must be in writing, signed by me and the President of GENCO FCU.

My signature below certifies that I have read, understand, and agree to the foregoing, and to the best of my knowledge and belief; the information on this application form is true and correct.

GENCO Federal Credit Union considers applications for only a 60-day period. If you wish to be considered after sixty days from the date of application, please re-apply.

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