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.
List all of your work experience, including military and voluntary service assignments. Start with your present or last job.
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.
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
Thank you for your cooperation!
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
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.
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.
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
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.
You agree to allow UCCU to perform a background check according to the stipulations listed in this document.
EQUALHOUSINGLENDERYour savings are federally insured to $250,000 by theNational credit Union Administration, A U.S. Government agency.