Purdue Federal Credit Union
Employment Process

Notice: Your application is in a secure site (look for the 'https:' in your browser address), and the information you are sending is protected.

Purdue Federal Credit Union (Purdue Federal) employment policies and practices do not discriminate because of race, color, religion, age, sex, national origin, disability, marital status, sexual preference,ancestry, student status or veteran status. Purdue Federal will comply with its obligation to provide reasonable accommodations to qualified individuals with disabilities.

We appreciate your interest in Purdue Federal and assure you that we are sincerely interested in your qualifications. Applicants who need accommodations for an interview should request this in advance.

Voluntary Self Identification

We are gathering the following information to help us accurately comply with Federal Equal Employment Opportunity requirements and to assist us in developing and monitoring our Affirmative Action Program. We are asking you to help us in our efforts by providing certain information about yourself. This information is confidential and will be retained separate from your employment application and used for reporting purposes only. This information will not be used in any way that could adversely affect your employment, compensation, promotions or transfer opportunity or other conditions of employment.

*Completion of this form is not required of you. If you choose not to respond, you will not be subject to adverse treatment. However, you should know that we are required by Federal regulation to record this information about all employees based upon visual observation or any other information we may have.

Yes No

I Agree to the Statement Above

Male
Female

Voluntary Gender

Yes No

Are you Hispanic or Latino?

Personal Information Last Name
First Name
Middle Initial
Address
Address 2
City
State
Zip
Social Security Number
(xxx-xx-xxxx)
Home Phone
(xxx-xxx-xxxx)
Work Phone
(xxx-xxx-xxxx)
Email Address

Yes No

At Least Eighteen?

Date Of Birth

Yes No

Are you legally eligible for employment in the U.S.A.?
(Proof will be required)

Yes No

Were you previously employed by Purdue Federal?

If Yes, When?

Yes No

Do you have any criminal convictions or pending criminal charges?

NOTE: A conviction of a crime or a pending charge will be considered as it relates to fitness to perform the job being sought.

If Yes, Please List Details

Employment Application Position Desired
Date Available

Full-Time Part-Time Temporary

Hours Desired

If Part-time, What Hours And Days Are You Available?
Salary Desired

Newspaper
Walk-in
Employee Referral
Other

How were you referred to Purdue Federal?

If Other, Please Specify
If Employee Referral, Please Supply Name

PLEASE NOTE: You are not required to answer the following question until you have been informed about the essential duties of the position for which you are applying.

Yes No

Are you capable of performing, with or without a reasonable accommodation, the activities involved in the position for which you have applied? A review of the activities involved in such a position has been given.

Education Information

High School

Elementary / High School Highest Year Completed
High School Name
Hight School City
Hight School State
Diploma/GED Received

Undergraduate College

Name And Address Of School
Course Of Study
Years Completed
Diploma/Degree

Graduate/Professional

Name And Address Of School
Course Of Study
Years Completed
Diploma/Degree

Other

Other (specify)
Name And Address Of School
Course Of Study
Years Completed
Diploma/Degree

Employment History

Employer
From
To
Work Performed
Address
Phone Number
Starting/Present Job Title
Supervisor
Starting Salary
Final Salary
Reason For Leaving

Yes No

May we contact?

Please Add Any Additional Comments Desired And Include Explanation Of Any Gaps In Employment

Additional Skills and Activities Foreign Languages Spoken / Written
(optional-Foreign Language Proficiency Is Occasionally Helpful).
Additional Skills And/or Computer Software Knowledge That You Feel Would Be Applicable To The Position For Which You Are Applying
Extra-curricular Activities, Responsibilities, Or Leadership Positions That Have Equipped You With Any Other Relevant Job Skills
(You May Exclude Membership Which Would Reveal Gender, Race, Religion, National Origin, Age, Ancestry, Disability, Or Other Protected Status)

Yes No

Are you currently, or have you ever served in the U.S. Armed Forces?

If Yes, What Branch?

Professional References

Note: Please do not include family members.

Reference One

Name
Relationship To Reference
Phone Number
Years Known

Reference Two

Name
Relationship To Reference
Phone Number
Years Known

Fair Credit Reporting Act Notice

This is to inform you that as part of our procedure for processing your employment application, we may obtain a consumer report and/or an investigative consumer report which includes information as to your character, general reputation, personal characteristics, and mode of living. If an investigative report is requested, you have the right to make a written request within a reasonable period of time for a complete and accurate disclosure of additional information concerning the nature and scope of the investigation.

Yes No

I agree to the statement above.

Application Statement

I certify that all statements on this application for employment are true and complete. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in termination. I understand that this employment application and any other company documents are not contracts for employment, that my employment and compensation can be terminated with or without cause, and with or without notice, at any time at the option of either the employer or myself. I understand that no representative of Purdue Federal has the authority to enter into any agreement for employment for any specified time, or to make any agreement to the contrary.

Yes No

I agree to the statement above.