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Employment Application

Thank you for your interest in TEXAR!

Please complete all required fields. A Human Resources Representative will reach out to schedule an interview if your application is selected.

Leave me blank for Employment Application.

* indicates a required field

Full name (first, middle and last) *

Street address *

Street Address City *

Street Address State *

Street Address Zip *

Primary phone number *

Primary phone type *

Cell

Work

Other

Secondary phone number

Email address *

Social Security Number (xxx-xx-xxxx) *

If hired, date available to start *

Minimum salary/wage expected *

Position(s) you are applying for *

Are you seeking: *

Full-Time

Part-Time

Are you willing to work weekends? *

Yes

No

Are you willing to work holidays? *

Yes

No

Are you willing to work overtime? *

Yes

No

Are you at least 18 years old? *

Yes

No

What days/hours are you available to work? *

Have you applied with TEXAR before? *

Yes

No

If yes, when did you apply? (approximate mo/yr)

If yes, which location did you apply at?

Have you worked for TEXAR before? *

Yes

No

If yes, when did you work for TEXAR?

If yes, what was your title?

Were you referred by a TEXAR employee? *

Yes

No

If yes, who referred you?

If not referred by a TEXAR employee, how did you find out about us?

Newspaper

TEXAR Website

Other

If other, please specify.

Only US Citizens or Aliens who have a legal right to work in the US are eligible for employment. Can you, upon employment, provide genuine documentation establishing your identity and eligibility to be legally employed in the United States? *

Yes

No

Are you related to or a close friend of a TEXAR employee? *

Yes

No

If yes, please list name and relationship.

Highest level of education completed (Elementary 1-8, Secondary 9-12, GED, or College 1-5+) *

Name of high school

High school location

Did you receive a high school diploma? *

Yes

No

If no, are you currently attending high school?

Yes

No

Name of college/university

College/university location

Please list degree(s) and any major(s)/minor(s) achieved.

Name of trade/business/other school

Trade/business/other school location

Field of study

List any name(s) used while attending college or university that is different than on this application.

Please list any special qualifications, training, education, skills or experience that you feel warrant consideration by TEXAR.

Have you ever been convicted of, or pled guilty or Nolo Contendere (no contest), to any crime other than a minor traffic violation? NOTE: A DUI or DWI is NOT a minor traffic violation. *

Yes

No

If yes, please describe all convictions. Include type of crime(s), date of conviction(s) and whether the offense(s) was a misdemeanor or felony.

Are you now under indictment for any crime for which you have been charged but have not been convicted? *

Yes

No

Driver's license number

Driver's license State issued

Driver's license Expiration date

Have you ever had any bond coverage modified, revoked, or declined? *

Yes

No

Are you able to perform all functions of the position you are applying for without a reasonable accommodation? *

Yes

No

If no, please describe which tasks, if any, you will need an accommodation to perform, and explain what type of accommodation you will need. (If you have any questions regarding the functions of the position, please ask the interviewer before answering this question.)

Company 1

Name

Phone

Address

Supervisor

Job Title

Starting salary

Ending salary

Briefly describe duties.

Start date

End date

Reason for leaving

Company 2

Name

Phone

Address

Supervisor

Job Title

Starting salary

Ending salary

Briefly describe duties.

Start date

End date

Reason for leaving

Company 3

Name

Phone

Address

Supervisor

Job Title

Starting salary

Ending salary

Briefly describe duties.

Start date

End date

Reason for leaving

Company 4

Name

Phone

Address

Supervisor

Job Title

Starting salary

Ending salary

Briefly describe duties.

Start date

End date

Reason for leaving

May we contact all of the above employers for a reference? *

Yes

No

If no, tell us which employers not to contact and why.

Are you currently employed? *

Yes

No

If yes, why are you considering leaving?

Have you ever been discharged or asked to resign from any position? *

Yes

No

If yes, please describe the reason.

Why are you seeking a new position at this time? *

Have you missed work or school within the last year other than approved vacation, sick or disability leave? *

Yes

No

If yes, how many days?

If yes, please describe the reason.

Consistent attendance and punctuality are essential requirements of every job at TEXAR. Is there anything which would interfere with your regular attendance and punctuality if you are offered a job with the credit union? *

Yes

No

If yes, please explain.

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