Career Application

* Indicates Required

• Incomplete information could disqualify you from further consideration. Please complete all fields.

  Millstream Area CU does not discriminate in employment practices on account of race, creed, color, national origin, ancestry, sex, age, marital status, veteran status, disability, sexual orientation, arrest record, conviction record, membership in the national guard, use or non use of lawful products on our premises, genetic information, or any other reason prohibited by state or federal law.

  Please contact Millstream Area CU directly if you need an accommodation to participate in the application process.

  Note: This application must be filled out in its entirety even if we permit you to submit a resume and you are doing so.

  Note: This application is effective for 30-days from application date. After 30-days it expires and you must renew your application to be considered for another job opening.

  Please Tell Us About Yourself

  Your Name

  First Name *

  Middle Initial

  Last Name *

  
  

  Have you gone by any other names?*

  Is any additional information about a name change, maiden name, use of an assumed name, or nickname necessary to enable a check on your work record?

  Yes No

  Whether you had a Name Change is required

  Any Previous Names (including Maiden name) *

  Where do you live?

  Current Address*

  Address Line 2

  City*

  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*

  Have you lived at your current residence for more than 2 years? *

  Yes No

  Whether you have lived at your current residence for more than 2 years is required

  Tell us about your previous address

  Previous Address

  Previous Address Line 2

  Previous City

  Previous 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

  Previous Zip

  How may we contact you?

  Phone*

  Email*

• Job Information

  Which Job Are You Applying For? *

  Select Other

  Hourly rate/Salary Desired*

  Specify the position for which you are applying *

  What is your work availability?

  On what date would you be available for work? *

  Are you applying for full-time or part time? *

  Full Time Part Time

  Are you applying for full-time or part time? is required

  Can you work any shift? *

  Yes No

  Can you work any shift? is required

  Details *

  Shift preferred *

  1 2 3 Any

  Shift preferred is required

  Would you consider working:

  I would consider working: Weekends *

  Yes No

  Whether you will work Weekends is required

  I would consider working: Holidays *

  Yes No

  Whether you will work Holidays is required

  I would consider working: On Call *

  Yes No

  Whether you will work On Call is required

  I would consider working: Rotating Shift

  Yes No

  Are you able to perform the essential functions of the job for which you are applying (with or without reasonable accommodation)?*

  Yes No Need more information about the job's essential functions to respond.

  Are you able to perform the essential functions of the job for which you are applying (with or without reasonable accommodation)? is required

  This question is not designed to elicit information about an applicant's disability. Please do not provide information about the existence of a disability, particular accommodation, or whether accommodation is necessary. These issues may be addressed at a later stage to the extent permitted by law.

  Additional Questions

  Are you eligible to work in the US? *

  Yes No

  Are you eligible to work in the US? is required

  Please explain *

  Are you 18 or older? *

  Yes No

  Are you 18 or older? is required

  Have you ever been convicted of a crime?*

  Yes No

  Whether or not you have committed a crime is required

  (Answering yes to this question is not an automatic bar to employment)

  Please explain *

• Referral Source

  How did you hear about us? *

  Walk In Advertisement Referral Other

  How did you hear about us? is required

  Have you ever worked for our company before? *

  Yes No

  Have you ever worked for our company before? is required

  Please describe your previous employment experience *

  When did you work here previously? What were your responsibilities? And any other comments you wish to share.

  Do you know anyone who works for our company? *

  Yes No

  Do you know anyone who works for our company? is required

  Who? *

• Tell Us About Your Prior Employment

  Are you self employed? *

  Yes No

  Employment Status is required

  Yearly Income

  Have you been self employed for more than two years? *

  Yes No

  How long you have been self-employed is required

  Tell us about your previous job

  Job Title*

  Employer Name*

  Employer Address*

  City*

  State*

  Alabama Alaska Arizona Arkansas Cadivfornia 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 Carodivna North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carodivna South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip*

  Employed From*

  To*

  Why did you leave?*

  Summarize the type of work performed and job responsibilities.*

  What did you like most about your position?

  What were the things you liked least about the position?

  May we contact your previous employer for a reference?*

  Yes No

  Whether we may contact your previous employer is required

  Supervisor Name *

  Email *

  Have you worked at another job within the past 2 years?*

  Yes No

  Whether you have another previous employment is required

  Previous Job

  Job Title*

  Employer Name*

  Employer Address*

  City*

  State*

  Alabama Alaska Arizona Arkansas Cadivfornia 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 Carodivna North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carodivna South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip*

  Employed From*

  To*

  Why did you leave?*

  Summarize the type of work performed and job responsibilities.*

  What did you like most about your position?

  What were the things you liked least about the position?

  May we contact your previous employer for a reference?*

  Yes No

  Whether we may contact your previous employer is required

  Supervisor Name *

  Email *

  Have you worked at another job within the past 2 years?*

  Yes No

  Whether you have another previous employment is required

  Previous Job

  Job Title*

  Employer Name*

  Employer Address*

  City*

  State*

  Alabama Alaska Arizona Arkansas Cadivfornia 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 Carodivna North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carodivna South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip*

  Employed From*

  To*

  Why did you leave?*

  Summarize the type of work performed and job responsibilities.*

  What did you like most about your position?

  What were the things you liked least about the position?

  May we contact your previous employer for a reference?*

  Yes No

  Whether we may contact your previous employer is required

  Supervisor Name *

  Email *

  Have you worked at another job within the past 2 years?*

  Yes No

  Whether you have another previous employment is required

  Previous Job

  Job Title*

  Employer Name*

  Employer Address*

  City*

  State*

  Alabama Alaska Arizona Arkansas Cadivfornia 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 Carodivna North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carodivna South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip*

  Employed From*

  To*

  Why did you leave?*

  Summarize the type of work performed and job responsibilities.*

  What did you like most about your position?

  What were the things you liked least about the position?

  May we contact your previous employer for a reference?*

  Yes No

  Whether we may contact your previous employer is required

  Supervisor Name *

  Email *

  Other than any instances listed above, haveHave you ever been terminated from employment or asked to resign by an employer? *

  Yes No

  Have you ever been terminated from employment or asked to resign by an employer? is required

  Company Name *

  Details *

  Please identify and explain any gaps in employment longer than three (3) months

• Tell us about your education history

  What Type of Education Have You Received? *

  Please select all types of education for which you have a diploma, degree, certification, GED, or which you attended for one or more semesters.

  High School College/University Graduate School Trade, Business or Correspondence School None of These

  Your Education Level is required

  Please Explain *

  High School

  High School Name *

  Address *

  Address Line 2

  City *

  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 *

  Completed *

  Diploma Degree Certification GED Other I Did Not Complete This Education

  Completed is required

  Degree *

  Certification *

  Please Describe: *

  Please Explain *

  Major/Minor *

  College or University

  College or University Name *

  Address *

  Address Line 2

  City *

  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 *

  Completed *

  Diploma Degree Certification GED Other I Did Not Complete This Education

  Completed is required

  Degree *

  Certification *

  Please Describe: *

  Please Explain *

  Major/Minor *

  Graduate School

  Graduate School Name *

  Address *

  Address Line 2

  City *

  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 *

  Completed *

  Diploma Degree Certification GED Other I Did Not Complete This Education

  Completed is required

  Degree *

  Certification *

  Please Describe: *

  Please Explain *

  Major/Minor *

  Trade, Business or Correspondence School

  Trade, Business or Correspondence School Name *

  Address *

  Address Line 2

  City *

  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 *

  Completed *

  Diploma Degree Certification GED Other I Did Not Complete This Education

  Completed is required

  Degree *

  Certification *

  Please Describe: *

  Please Explain *

  Major/Minor *

  
  

  Additional Education Experiences and Skills

  Select all of the additional education experiences that apply to you *

  I have attended a job-related seminar, short course, or workshop I have a job-related certificate or license I have another job-related educational experience None of These

  Additional Education Experience Response is required

  List additional job-related seminars, short courses, workshops, along with the approximate date of completion

  List any job-related certificates and licenses along with dates obtained *

  List any other job-related educational experiences, along with the approximate date of completion *

  Job-Related Skills*

  List any skills and abilities you possess which you believe will be relevant to this job

• References

  Give the names of three persons not related to you, whom you have known at least three (3) years.

  Reference 1

  Full Name*

  Relationship *

  Company *

  Phone *

  Email *

  ---

  Reference 2

  Full Name*

  Relationship *

  Company *

  Phone *

  Email *

  ---

  Reference 3

  Full Name*

  Relationship *

  Company *

  Phone *

  Email *

  
  

• Disclosures

  Please check the appropriate boxes before submitting this application. If you have any questions about any of the following statements, please ask about them before submitting.

  All information is accurate

  I certify that all information and statements I have provided in this application and in any accompanying documents are accurate and complete.*

  Verification of accuracy is required.

  False Information Disclosure

  I understand that providing false or misleading information on this application form or on any materials I provide with it could result in my not being hired or in termination of my employment if I am hired.*

  Understanding the terms is required.

  Contact Disclosure

  I understand that my past and present employers and educational institutions may be contacted to verify my references.*

  Agreeing to the terms is required.

  Contact Disclosure

  I authorize the Millstream Area CU to conduct a background check on me and to contact and verify my references. (If the Credit Union plans to obtain a credit report, it will first obtain my authorization and signature on a separate document.)*

  Your authorization of a background check is required.

  Contact Disclosure

  I understand and acknowledge that in the event I am hired, my employment will be at-will meaning Millstream Area CU can terminate it at any time for any reason that is not unlawful. The at-will relationship will remain throughout my employment unless I enter into a written agreement stating otherwise from the board of directors or an officer of the Credit Union with authority to enter into the agreement. *

  Your acknowlegement is required.

  Contact Disclosure

  I acknowledge that no offer or promise of employment has been made as of this date.*

  Your acknowlegement is required.

  Upload Resume

  Accepted formats: .pages, .doc, .docx, .pdf, .png, .jpg

  Select files from your computer
  or simply drag & drop them here