TAMPA BAY FEDERAL CREDIT UNION / IRA AND ROTH ACCOUNTS

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Tell Us About Your Self
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* Email:
* Today's Date:
* Last Name:
* First Name:		MI
* Home Phone:
* Address:
* City:
* State:
* Zip:
Mailing Address:
Mailing City:
Mailing State:
Mailing Zip:

* Have you worked for us before? Yes No

If "Yes", under what name?

From To

* Have you applied with the credit union within the past 12 months?
Yes No

If "Yes", What date?

* Do you have any friends or relatives working for us?
Yes No

If "Yes", Who?

* How did you hear about us?

* Are you at least 18 years old? Yes No

If "No", state your age for child labor purposes:

* Have you been convicted of a crime? Yes No
(A conviction will not necessarily disqualify you.)

If "Yes", please give details:

* Have you ever been bonded? Yes No
Is there a reason why you could not be bonded? Yes No

If "Yes", Describe:

* Do you have a legal right to work in the US? Yes No
If "Yes", can you provide documentation? Yes No

Indicate any foreign language(s) you:
Speak: Read: Write:

Tampa Bay Federal is a Drug Free Workplace.
Pre-Employment drug testing is required for employment.

* Have you taken any illegal drugs within the last 30 days?
Yes No

Tell Us What You are Looking For

* What position are you applying for?

* What Salary do you expect?

* Are you looking for: Part-Time Full-Time

If "Part-Time": How many hours per week?

Please indicate what days and times you are available for work:

Days		Times
Mon
Tues
Wed
Thurs
Fri
Sat

* When are you available to start work?

Tell Us About Your Education

* High School:

* City: * State:

* No. Years Completed * Graduated? Yes No

* Verification Phone

College:

City: State:

No. Years Completed Graduated? Yes No

Major

Verification Phone

Noteworthy Achievements and Recognition:

Training Programs Completed:

Professional Memberships and Certifications:

* Tell us about your computer and PC experience:

Tell Us About Your Work Experience Please start with your Most Recent Position.
List All Employers over the past 5 years.

* 1. Employer

* From * To

* Name Worked Under:

* Job Title: Full-Time Part-Time

* Starting Salary: * Ending Salary:
Per: Year Hour

* Reason for Leaving:

* Supervisor's Name:

Supervisor's Position:

* Phone

* City: * State:

* Major Responsibilities and Accomplishments:

2. Employer

From To

Name Worked Under:

Job Title: Full-Time Part-Time

Starting Salary: Ending Salary:
Per: Year Hour

Reason for Leaving:

Supervisor's Name:

Supervisor's Position:

Phone

City: State:

Major Responsibilities and Accomplishments:

3. Employer

From To

Name Worked Under:

Job Title: Full-Time Part-Time

Starting Salary: Ending Salary:
Per: Year Hour

Reason for Leaving:

Supervisor's Name:

Supervisor's Position:

Phone

City: State:

Major Responsibilities and Accomplishments:

4. Employer

From To

Name Worked Under:

Job Title: Full-Time Part-Time

Starting Salary: Ending Salary:
Per: Year Hour

Reason for Leaving:

Supervisor's Name:

Supervisor's Position:

Phone

City: State:

Major Responsibilities and Accomplishments:

Other Comments

* Why would you be a good choice for this position at Tampa Bay Federal Credit Union?

* What do you enjoy most about service related jobs?

* What do you enjoy least about service related jobs?

* Describe your most positive experience with a customer, patient, vendor, etc., include specifically what you did to create the situation.

* What computer applications are you most familiar with?

* What things made you reach the decision to leave your present or previous job?

* How sure are you that you can do the job you are applying for?

* Why do you feel this way? Use examples to support your answer.

By submitting this form, I certify the information above is complete and accurate to the best of my knowledge. I authorize the individuals, companies, and agencies concerned to provide Tampa Bay Federal and its agents with all information necessary to verify the statements I have made in this application and I release them from any liability for so doing.

I understand I must receive satisfactory references from previous employers before an offer of employment can be made. I understand that incomplete or unsigned applications will not be considered and that false, incomplete, or misleading statements are grounds for my immediate discharge upon discovery.

I understand that any offer of employment is contingent upon my passing a Pre-employment Drug Screening Examination, proving my identity and documenting my right to work. I understand these policies cannot be changed except in writing.

* I have read and understand the above declarations.
Yes