Employment Application

Do you want to be part of Premier Credit Union? If you think you have what it takes to be part of our team, then fill out this form and submit it electronically.

Premier Credit Union is an equal opportunity employer. We are dedicated to a policy of nondiscrimination in employment on any basis including race, color, age, sex, religion, disability, or national origin. Consistent with the Americans Disabilities Act, applicants may request accommodations needed to participate in the application process.

* Indicates required fields

Name (First M. Last) :*
Zip Code:*
Email Address:*
Home Phone:*
Are you 18 years of age or older:* YesNo
Date of Birth:*
Referred By:
Position applying for:*
Date you can start:*
Desired Salary:*
Are you currently employed:* YesNo
Job Title:
May we contact your present employer:* YesNo
Employer Name:
Employer Phone Number:
Previous Employer:*
Job Title:*
Start Date:*
End Date:*
Previous Employer:*
Job Title:*
Start Date:*
End Date:*
Have you applied with us before:* YesNo
If so, when:
Name and location of high school:*
Last year completed:* 1234
Did you graduate:* YesNo
Name and location of college:
Last year completed: 1234
Did you graduate: YesNo

 Please read the following disclosure
then scroll down to submit this application.

If Premier Credit Union hires you, you will be required to attest to your identity and employment eligibility, and to present documents confirming your identity and employment eligibility. You cannot be hired if you cannot comply with these requirements.


I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by Premier Credit Union.

I understand that any employment is conditioned on a background check. I authorize Premier Credit Union to thoroughly investigate all statements contained in my application or resume. Furthermore, I authorize my former employers and references to disclose information regarding my former employment, character, and general reputation to Premier Credit Union, without giving me prior notice of such disclosure. In addition, I release Premier Credit Union, any former employers, and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.

I understand and agree that nothing contained in this application, or conveyed during my interview, is intended to create an employment contract. I further understand and agree that if I am hired, my employment will be "at will" and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of either myself or Premier Credit Union. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon Premier Credit Union unless made in writing.

If I am offered employment I agree to submit to a medical examination and drug test, if required, before starting work. If employed, I also agree to submit to a medical examination or drug test at any time deemed appropriate by Premier Credit Union and as permitted by law. I consent to such examinations and tests, and I request that the examining doctor disclose to Premier Credit Union the results of the examination, which results shall remain confidential and segregated from my personnel file. I understand that my employment or continued employment, to the extent permitted by law, may be contingent upon satisfactory medical examinations and drug test, and if I am hired a condition of my employment will be that I abide by Premier Credit Union's Drug and Alcohol Policy.

I understand that filling out this form does not indicate there is a position open and does not obligate Premier Credit Union to hire. If hired, I agree to abide by all company work rules, policies and procedures. Premier Credit Union retains the right to revise its policies or procedures, in whole or in part, at any time.

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