Alps FCU Employment Application
Please print this form, fill it out and fax to
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 Former Employers:
 Start Date:  End Date:
 Position:  Salary:
 Reason for leaving:
 Name of Employer:
 Address 1:
 Address 2:
 City:  State, ZIP:
 Start Date:  End Date:
 Position:  Salary:
 Reason for leaving:
 Name of Employer:
 Address 1:
 Address 2:
 City:  State, ZIP:
 Start Date:  End Date:
 Position:  Salary:
 Reason for leaving:
 Name of Employer:
 Address 1:
 Address 2:
 City:  State, ZIP:
 References:
 Name:  Phone Number:
 Position:  Years Acquainted:
 Address 1:
 Address 2:
 City:  State, ZIP:
 Name:  Phone Number:
 Position:  Years Acquainted:
 Address 1:
 Address 2:
 City:  State, ZIP:
Please read the following disclosure and scroll down to submit this application.

If you are hired, 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.

AUTHORIZATION:
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 the employer.

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 the financial institution. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the financial institution 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 the financial institution and as permitted by law. I consent to such examinations and tests, and I request that the examining doctor disclose to the financial institution 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 the financial institution's Drug and Alcohol Policy.

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

Print this page and then click here for the background check authorization.