Please enable JavaScript in your browser to complete this form. Personal Information Last Name *First Name *M.I. *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email Address *Social Security Number *Referred By:Are you a citizen of the U.S.? *Select OneYesNoIf no, are you authorized to work in the U.S? *Select OneYesNoHave you ever worked for RCFCU? *Select OneYesNoIf yes, when? *Have you ever been convicted of a felony? *Select OneYesNoIf yes, explain: * Employment Desired Position *Date Available *Salary Desired *Are you employed now? *Select OneYesNoMay we contact your employer? *Select OneYesNoHave you ever applied with this company before? *Select OneYesNoWhen? * Education High School Name *High School Location *Graduated *Select OneYesNoMajor *GPA *College/University Name *College/University Location *Graduated *Select OneYesNoMajor *GPA *Other Name *Other Location *Graduated *Select OneYesNoMajor *GPA * Other Information Special Training *Activities (Civic, Athletic, etc.) *Exclude organizations, the name or character of which indicates the race, creed, sex, marital status, age, color, or national origin of its members. Former Employers List the last three employers, starting with most recentEmployer Name *Employer Address *From Date *To Date *Position *Salary *Reason for Leaving * Employer Name *Employer Address *From Date *To Date *Position *Salary *Reason for Leaving * Employer Name *Employer Address *From Date *To Date * Name High Employer Position *Salary *Reason for Leaving * References Please list three professional referencesFull Name *Relationship *Company *Phone *Address * Full Name *Relationship *Company *Phone *Address * Full Name *Relationship *Company *Phone *Address * I authorize investigation of all statements contained is this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, at the discretion of the employer, be terminated at any time without any previous notice. Signed *Type your full nameSubmit
