Employment Application

Winnebago Community Credit Union 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, generic information, or any other reason prohibited by state or federal law.

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

Upload a Resume

Accepted formats: .pages, .doc, .docx, or .pdf

File 1

Or, complete our online application below

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.

Last Name*
First Name*
Is any additional information about a name change, use of an assumed name,or nickname necessary to enable a check on your work record?*
Yes No
If so please explain:
Present Address*
Present City*
Present State*
Present Zip*
Have you lived at this present address for less than two years?*
Yes No
Last Previous Address
Last Previous City
Last Previous State
Last Previous Zip
Phone*
Email*
Are you over 18 years of age?*
Yes No
Are you presently legally authorized to work in the United States?*
Yes No
Have you ever been convicted of a crime? (Answering yes to this question is not an automatic bar to employment)*
Yes No
Position Desired*
Salary Desired (Hourly or Annually)*
Salary in Most Current Position*
Status*
Full-Time Part-Time
Earliest Start Date*
Do you have any commitments to another employer that might affect your employment with this organization?*
Yes No
If so please explain:
How were you referred to this organization?*
Newspaper Ad Friend/Employee On my own Employment Agency School State Employment Service Other
Where did you hear about this job opening?*
Have you worked or applied to the Credit Union in the past?*
Yes No
Please specify the date you applied or began work.

Work Experience --- Account for all employment since high school, or the last ten years, whichever is less, with most recent work experience first.

From Month/Year*
To Month/Year*
Employer Name*
Employer Address*
Employer Phone Number*
Principal Duties and Ending Salary*
Supervisor's Name*
Reason for leaving*
Do you have another previous employment?*
Yes No

From Month/Year
To Month/Year
Employer Name
Employer Address
Employer Phone Number
Principal Duties and Ending Salary
Supervisor's Name
Reason for leaving
Do you have another previous employment?
Yes No

From Month/Year
To Month/Year
Employer Name
Employer Address
Employer Phone Number
Principal Duties and Ending Salary
Supervisor's Name
Reason for leaving
Do you have another previous employment?
Yes No

From Month/Year
To Month/Year
Employer Name
Employer Address
Employer Phone Number
Principal Duties and Ending Salary
Supervisor's Name
Reason for leaving
Do you have another previous employment?
Yes No

From Month/Year
To Month/Year
Employer Name
Employer Address
Employer Phone Number
Principal Duties and Ending Salary
Supervisor's Name
Reason for leaving

Education Background

High School*
Address*
Course of Study
Degree
College/Tech
Address
Course of Study
Major
Minor
Degree
Graduate School
Address
Course of Study
Degree
List additional job-related seminars, short courses, workshops, or other educational experiences, along with the approximate date of completion:
List job-related certificates and licenses along with dates obtained:
List any other job-related skills and abilities:

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.

I certify that all information and statements I have provided in this application and in any accompanying documents are accurate and complete.*
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.*
I understand that my past and present employers and educational institutions will be contacted to verify my references.*
I authorize the Winnebago Community 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)*
I understand and acknowledge that in the event I am hired, my employment will be at-will---meaning Winnebago Community or I 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. *
I acknowledge that no offer or promise of employment has been made of this date.*

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