UCCU is an equal opportunity employer. All applicants will be considered regardless of race, color, religion, sex, national origin, age, marital, or veteran status; disability; or any other legally protected status. Equal access to the hiring process, services, and employment is available to all persons. Applicants requiring accommodations to the application and/or interview process should contact a representative of the Human Resource Department.

Each question should be answered completely and accurately. No action will be taken on this application until all questions have been answered and the application has been signed and dated. Verification of eligibility to work in the U.S. will be required if an employment offer is made.

Required fields are labled in green. Optional fields have been labeled in gray.

Contact Information

Employment Information

 (if it is job-related)
Member Service
Call Center
Mortgage Loans
Information Technology
North County (Highland, Lehi, Saratoga, American Fork, Pleasant Grove, Heber)
Central County (North/South Orem, Riverwoods, Stadium, East Bay)
South County (Springville, Spanish Fork, Salem, Payson, Santaquin, Nephi)
(Specific branch preference if any)
Employed BeforeYes  No
Yes  No
3-6 months
6-12 months
1-2 years
2-4 years
4+ years
FelonYes  No


High School College/University Graduate/Professional
School Name
Honors Received
Course of Study

Employment Experience

List all of your work experience, including military and voluntary service assignments. Start with your present or last job.

Employer Contact 0Yes  No

Employer Contact 1Yes  No

Employer Contact 2Yes  No

Employer Contact 3Yes  No

Skills & Training


Give the name and telephone number of three (3) business/work references who are not related to you. List at least one of your previous supervisors.

Affirmative Action Plan Voluntary Survey

Utah Community Credit Union is required by law to maintain an affirmative action program and to collect information regarding the race, sex, national origin, disability, or veteran status of applicants. To assist us in our governmental recordkeeping requirements, we would appreciate your completion of this data form. Your cooperation is voluntary. The information supplied will be kept confidential and will be used to improve our recruiting efforts and support our commitment to diversity in the workplace. If you choose to volunteer the requested information, the data will be physically separated from the remainder of the job application before the application is considered for possible employment. The information will be kept in a confidential file separate from your application for employment.

Thank you for your cooperation!

SexFemale  Male
EthnicityAmerican Indian/Alaskan Native
Asian/Pacific Islander
DisabledYes  No
VeteranYes  No
Referred ByFriend
Employment Agency
UCCU Employee
Web Site
College/University Job Placement Office
Other (please specify below)


Accuracy of Information. I certify that the information in this application is correct to the best of my knowledge. I understand that any misrepresentation or omission of any fact in my application, resume, or any other materials, or during interviews is grounds for disqualification from further consideration for employment, or for termination if employed.

Information Release. I authorize Utah Community Credit Union to contact any company, institution, or individual it deems appropriate to investigate my employment history, character, criminal background, qualifications, driving record, and other job- related information. I give my full consent for all contacted persons, including former employers, to provide the information concerning this application. Further, I waive my right to bring a claim against these individuals for any damages arising from furnishing the requested information to UCCU. I also release UCCU from all liability that might result from checking such references.

Application Status. I understand that this application is current for only 90 days. At the conclusion of this time, if I have not heard from UCCU and still wish to be considered for employment, it will be necessary to request for the application to be reactivated by UCCU.

At-Will Employment. I understand that if I am hired, my employment at UCCU is "at-will" and may be terminated by me or by UCCU at any time for any reason, with or without cause or notice. I understand that no employment offer is being made by UCCU at this time. I also understand that nothing in this application is intended to imply or create an employment contract and that no UCCU representative has the authority to make any assurance to the contrary.

Click the box to indicate that you have read and accept the acknowledgements.

Authorization to Past Employer, School, or Other Institution to Release Information

I have applied for employment with Utah Community Credit Union. As part of the application process UCCU may conduct a reference check.

I therefore authorize and request that you furnish relevant, job-related information to UCCU and/or its agents in connection with this application.

I release from liability and I agree not to assert any claims or causes of action against all persons, corporations, and organizations supplying this information to UCCU and/or its agents. A photocopy of this authorization is as effective as the original.

Click the box to indicate that you have read and accept the authorization section.

Credit Report Disclosure

Based on Requirements of the Amended Fair Credit Reporting Act Section 604(b)

Utah Community Credit Union has determined that information contained in a consumer credit report is relevant to the job for which you are applying. UCCU intends to obtain a consumer credit report about you.

You understand that before any adverse actions can be taken against you, based in whole or in part on the credit report, UCCU must provide you with a copy of the report and with a written summary of the consumer's rights under the Fair Credit Reporting Act. You understand that your credit report will be used for employment purposes only and will not be used in violation of any applicable federal or state law or regulation.

By signing below, you acknowledge that you have read and understand this disclosure and you authorize UCCU to obtain a consumer credit report about you.

Click the box to indicate that you have read and accept the credit report disclosure section.

Background Check Disclosure

Authorization to perform a background check

You agree to allow UCCU to perform a background check according to the stipulations listed in this document.

Click the box to indicate you have read and agree to the above disclosure.