Employment Application

First Name

Middle Name

Last Name

Social Security Number

Address

Home Phone Number

Work Phone Number

E-mail Address

Eligible for employment in the USA?
Yes No

Over 18 years of age?
Yes No

If under 18, can you submit a work permit?
Yes No

Have you ever worked for Seaboard FCU?
Yes No

If yes, dates/location

Have you been convicted of a felony in the last seven (7) years?
Yes No

If yes, please explain Such a conviction may be relevant if job related, but does not bar you from employment.

Position Desired

Position Type? Full Time Part Time Temporary

Please identify how you heard about the position?
Newspaper
Employee (identify)
Other (identify)

Please identify if requested above

Hours Available AM PM

Are there days you cannot work?

Date available to start

Have you ever been bonded?
Yes No

If yes, on what jobs?

Please provide us with your educational background.

High School

Name

Address

Degree/Diploma Received

Major Studies

College

Name

Address

From - To

Degree/Diploma Received

Major Studies

Other

Name

Address

From - To

Degree/Diploma Received

Major Studies

Other

Name

Address

From - To

Degree/Diploma Received

Major Studies

The following information will help us to evaluate your background and interest in relation to the job for which you are applying.

Typing WPM

Stenography WPM

Computer Systems

Software Packages

Other skills or special training

List each job held. Start with your present or last job. Include military experience, if applicable.

Employer 1

Employer

Date From/To

Address

Work Performed

Starting Salary

Employer 2

Employer

Date From/To

Address

Work Performed

Starting Salary

Employer 3

Employer

Date From/To

Address

Work Performed

Starting Salary

Give name, address, and telephone number of three references who are not related to you.

Reference 1

Reference 2

Reference 3

Please carefully review the information entered above before submitting this form.