Come join our team Application for Position: PLEASE PROVIDE ALL REQUESTED INFORMATION TO ENSURE CONSIDERATION OF YOUR APPLICATION It is the policy of The Ohio Educational Credit Union to recruit, hire and promote for all job classifications on the basis of merit, qualifications and competence. This applies to all categories of employment. No aspect of employment shall be influenced by race, color, national origin, religion, sex, age or a qualified mental/physical disability. This employment application is valid for a six-month period after submission to the credit union and only for the desired position. Consideration for employment after the six-month period requires completion and submission of a new application. * indicates a required field. PERSONAL INFORMATION *Last Name: *First Name: *Social Security Number:Social Security Number SSN Part 1 - Social Security Number SSN Part 2 - Social Security Number SSN Part 3 (for bondability and criminal conviction checks) Present Address: Present Address StreetPresent Address Apartment NumberPresent Address City Present Address State Present Address Zip Code Mailing Address(if different than above): Mailing Address(if different than above) StreetMailing Address(if different than above) Apartment NumberMailing Address(if different than above) City Mailing Address(if different than above) State Mailing Address(if different than above) Zip Code Contact Information: *Phone:Phone Area Code( ) Phone Part 1 - Phone Part 2 Phone Extensionext: Work:Work Area Code( ) Work Part 1 - Work Part 2 Work Extensionext: Alternate Phone:Alternate Phone Area Code( ) Alternate Phone Part 1 - Alternate Phone Part 2 Alternate Phone Extensionext: *Email Address: Alternate Email: *Have you ever used any other names? Yes No (for background and criminal conviction checks) If yes, please explain: *Can you upon employment, submit verification of your legal right to work in the United States and proof of age? Yes No *Have you ever been convicted of a crime or entered a pretrial diversion program to avoid a conviction? Yes No If yes, please list: DESIRED EMPLOYMENT *Position applying for: *Desired Time: Full-time Part-time *Date you can start: *Pay expected: *Have you applied for work with us before? Yes No Where? When? *Have you worked for us before? Yes No Where? When? *Apart from religious services, will you be able to work all other times? Yes No (If hired, you will be required to perform work as required by the credit union.) *Who referred you to us? Relative Employment Agency Newspaper Ad Friend State Employment Office College Placement Service Walk in Other EDUCATIONAL BACKGROUND *High School: Major: Years There: Graduated? Yes No Certificate: Diploma GEDTechnical School: Major: Years Spent: Graduated? Yes NoDegree/Diploma: College: Major: Years Spent: Graduated? Yes NoDegree/Diploma: College: Major: Years Spent: Graduated? Yes NoDegree/Diploma: Graduate School: Major: Years Spent: Graduated? Yes NoDegree/Diploma: Other: Major: Years Spent: Graduated? Yes NoDegree/Diploma: EMPLOYMENT Starting with your present or last job, provide complete employment history for the last 10 years. You must answer all questions and this employment history must be completed even if you submit a resume. 1. Name of Employer: Phone Number:Phone Number Area Code( ) Phone Number Part 1 - Phone Number Part 2 Phone Number Extensionext: Employer Address: Employer Address StreetEmployer Address City Employer Address State Employer Address Zip Code Beginning Date of Employment: Ending Date of Employment: Position Title and Duties: Reason for leaving Supervisor’s Name May we contact this employer? Yes No If no, explain: 2. Name of Employer: Phone Number:Phone Number Area Code( ) Phone Number Part 1 - Phone Number Part 2 Phone Number Extensionext: Employer Address: Employer Address StreetEmployer Address City Employer Address State Employer Address Zip Code Beginning Date of Employment: Ending Date of Employment: Position Title and Duties: Reason for leaving Supervisor’s Name May we contact this employer? Yes No If no, explain: 3. Name of Employer: Phone Number:Phone Number Area Code( ) Phone Number Part 1 - Phone Number Part 2 Phone Number Extensionext: Employer Address: Employer Address StreetEmployer Address City Employer Address State Employer Address Zip Code Beginning Date of Employment: Ending Date of Employment: Position Title and Duties: Reason for leaving Supervisor’s Name May we contact this employer? Yes No If no, explain: REFERENCES Please provide the names of three persons you are not related to, you have known at least one year and whom we may contact. *Name: *Address: *Phone:Phone Area Code( ) Phone Part 1 - Phone Part 2 Phone Extensionext: *Yrs. known: *Name: *Address: *Phone:Phone Area Code( ) Phone Part 1 - Phone Part 2 Phone Extensionext: *Yrs. known: *Name: *Address: *Phone:Phone Area Code( ) Phone Part 1 - Phone Part 2 Phone Extensionext: *Yrs. known: JOB SKILLS, QUALIFICATIONS AND EMPLOYMENT GAPS *Summarize your job skills, training and/or study that are relevant for the desired position. Also, explain any periods that you were not working. CERTIFICATION I certify that all information I have supplied in this application and any other form, oral or written is true and accurate. I agree that any misstated, misleading, incomplete or false information is grounds for rejection of this application form, refusal to hire, withdrawal of an offer of employment or immediate discharge without recourse, whenever and however discovered. I authorize The Ohio Educational Credit Union (“OHecu”) to use all legal means at its disposal to assess my suitability for employment. I understand and agree that OHecu, any agent acting on their behalf, as well as any other person responding to a reference request pursuant to this application, can and will seek and/or disclose any and all information about me which said corporation, agent or person may have. I specifically authorize this disclosure and agree to hold all such corporations, agents or persons harmless for same. That is, I will not file a lawsuit, claim or charge against them for such disclosure. Nor will I threaten same or otherwise seek any kind of compensation for such disclosure. If I am hired, I agree to abide by all rules and regulations of OHecu. I also understand that nothing in this employment application creates a contract of employment between myself and OHecu. If I am hired by OHecu, my employment and compensation are “at-will” which means that my employment may be terminated, either by me or by OHecu with or without notice or cause. I understand that no representative of OHecu other than the CEO has authority to enter into any agreement for employment for a specific period of time or to make any agreement contrary to the foregoing. I understand and agree with the fact the OHecu maintains a drug-free workplace, that maintenance of the same is essential to the safety of the employees, members and visitors. I further understand that I will be required to undergo a comprehensive drug screen. I also understand and agree that I may be subject to such testing during the course of my employment (for cause testing). I understand that, subject to applicable law, that OHecu will be the sole judge of the acceptability of any test results. Failure to sign a consent form or cooperate with the testing will result in termination of the hiring process or if already employed, termination of employment. If hired, I consent to the submission of a request for complete background investigation including criminal records and a credit check. I understand that OHecu is a smoke-free environment. Smoking is prohibited by employees, members and visitors throughout the interior and exterior premises. I understand and agree that work schedules and requirements may vary. While OHecu will make reasonable efforts to maintain a consistent work schedule I may be required to work overtime, weekends or other arrangements. I consent to these requirements as necessary and legitimate conditions of employment. I understand that OHecu does not unlawfully discriminate in employment and no questions on this application are used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law. I understand that this application will remain active and on file with OHecu for six months. The State Legislature has enacted Section 4113.71 of the Ohio Revised Code (“ORC”) (the “ACT”) in order to confer a qualified immunity upon employers who disclose job performance information to prospective employers of current or former employees. In particular, the Act provides that an employer who discloses requested information to a prospective employer is not liable for damages in a civil action to that employee, the prospective employer and any other person “for harm sustained as a proximate result of making the disclosure or of any information”. NOTICE REGARDING BACKGROUND INVESTIGATION [IMPORTANT -- PLEASE READ CAREFULLY BEFORE SIGNING ACKNOWLEDGMENT] The Ohio Educational Credit Union(“the Company”) may obtain information about you from a consumer reporting agency for employment purposes. Thus, you may be the subject of a “consumer report” and/or an “investigative consumer report” which may include information about your character, general reputation, personal characteristics, and/or mode of living, and which can involve personal interviews with sources such as your neighbors, friends, or associates. These reports may be obtained at any time after receipt of your authorization and, if you are hired, throughout your employment. You have the right, upon written request made within a reasonable time after receipt of this notice, to request disclosure of the nature and scope of any investigative consumer report. Please be advised that the nature and scope of the most common form of investigative consumer report obtained with regard to applicants for employment is an investigation into your education and/or employment history conducted by Corporate Screening Services, Inc., 16530 Commerce Court, Cleveland, OH 44130, Phone: 800-229-8606, Fax: (440) 243-4204 or another outside organization.The scope of this notice and authorization is all-encompassing, however, allowing The Ohio Educational Credit Union to obtain from any outside organization all manner of consumer reports and investigative consumer reports now and, if you are hired, throughout the course of your employment to the extent permitted by law. As a result, you should carefully consider whether to exercise your right to request disclosure of the nature and scope of any investigative consumer report. A Summary of Your Rights Under the Fair Credit Reporting Act Para information en espanol, visite www.ftc.gov/credit o escribe a la FTC Consumer Response Center, Room 130-A 600 Pennsylvania Ave. N. W., Washington, D. C. 20580. The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of information in the files of consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell information about check writing histories, medical records, and rental history records). Here is a summary of your major rights under the FCRA. For more information, including information about additional rights, go to www.ftc.gov/credit or write to: Consumer Response Center, Room 130-A, Federal Trade Commission, 600 Pennsylvania Ave. N.W., Washington, D.C. 20580. You must be told if information in your file has been used against you. Anyone who uses a credit report or another type of consumer report to deny your application for credit, insurance, or employment - or to take another adverse action against you - must tell you, and must give you the name, address, and phone number of the agency that provided the information. You have the right to know what is in your file. You may request and obtain all the information about you in the files of a consumer reporting agency (your “file disclosure”). You will be required to provide proper identification, which may include your Social Security number. In many cases, the disclosure will be free. You are entitled to a free file disclosure if: a person has taken adverse action against you because of information in your credit report; you are the victim of identify theft and place a fraud alert in your file; your file contains inaccurate information as a result of fraud; you are on public assistance; you are unemployed but expect to apply for employment within 60 days. In addition, by September 2005 all consumers will be entitled to one free disclosure every 12 months upon request from each nationwide credit bureau and from nationwide specialty consumer reporting agencies. See www.ftc.gov/credit for additional information. You have the right to ask for a credit score. Credit scores are numerical summaries of your credit-worthiness based on information from credit bureaus. You may request a credit score from consumer reporting agencies that create scores or distribute scores used in residential real property loans, but you will have to pay for it. In some mortgage transactions, you will receive credit score information for free from the mortgage lender. You have the right to dispute incomplete or inaccurate information. If you identify information in your file that is incomplete or inaccurate, and report it to the consumer reporting agency, the agency must investigate unless your dispute is frivolous. See www.ftc.gov/credit for an explanation of dispute procedures. Consumer reporting agencies must correct or delete inaccurate, incomplete, or unverifiable information. Inaccurate, incomplete or unverifiable information must be removed or corrected, usually within 30 days. However, a consumer reporting agency may continue to report information it has verified as accurate. Consumer reporting agencies may not report outdated negative information. In most cases, a consumer reporting agency may not report negative information that is more than seven years old, or bankruptcies that are more than 10 years old. Access to your file is limited. A consumer reporting agency may provide information about you only to people with a valid need -- usually to consider an application with a creditor, insurer, employer, landlord, or other business. The FCRA specifies those with a valid need for access. You must give your consent for reports to be provided to employers. A consumer reporting agency may not give out information about you to your employer, or a potential employer, without your written consent given to the employer. Written consent generally is not required in the trucking industry. For more information, go to www.ftc.gov/credit. You may limit “prescreened” offers of credit and insurance you get based on information in your credit report. Unsolicited “prescreened” offers for credit and insurance must include a toll-free phone number you can call if you choose to remove your name and address from the lists these offers are based on. You may opt-out with the nationwide credit bureaus at 888-5-OPT-OUT (888-567-8688) or www.optoutprescreen.com. You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user of consumer reports or a furnisher of information to a consumer reporting agency violates the FCRA, you may be able to sue in state or federal court. Identity theft victims and active duty military personnel have additional rights. For more information, visit www.ftc.gov/credit. States may enforce the FCRA, and many states have their own consumer reporting laws. In some cases, you may have more rights under state law. For more information, contact your state or local consumer protection agency or your state Attorney General. Federal enforcers are: TYPE OF BUSINESS: CONTACT: Consumer reporting agencies, creditors and others not listed below Federal Trade Commission: Consumer Response Center – FCRA Washington, DC 20580 1-877-382-4357 National banks, federal branches/agencies of foreign banks (word “National” or initials “N.A.” appear in or after bank’s name) Office of the Comptroller of the Currency Compliance Management, Mail Stop 6-6 Washington, DC 20219 800-613-6743 Federal Reserve System member banks (except national banks, and federal branches/agencies of foreign banks) Federal Reserve Board Division of Consumer & Community Affairs Washington, DC 20551 202-452-3693 Savings associations and federally chartered savings banks (word “Federal” or initials “F.S.B.” appear in federal institution’s name) Office of Thrift Supervision Consumer Complaints Washington, DC 20552 800-842-6929 Federal credit unions (words “Federal Credit Union” appear in institution’s name) National Credit Union Administration 1775 Duke Street Alexandria, VA 22314 703-519-4600 State-chartered banks that are not members of the Federal Reserve System Federal Deposit Insurance Corporation Consumer Response Center, 2345 Grand Ave, Suite 100 Kansas City, Missouri 64108-2638 1-877-275-3342 Air, surface, or rail common carriers regulated by former Civil Aeronautics Board or Interstate Commerce Commission Department of Transportation, Office of Financial Management Washington, DC 20590 202-366-1306 Activities subject to the Packers and Stockyards Act, 1921 Department of Agriculture Office of Deputy Administrator – GIPSA Washington, DC 20250 202-720-7051 Security Code: What's this? 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