Employment Application

• Name (Last, First, M.I.)
  OK Name (Last, First, M.I.) is required

• Home Phone

  ( )
  OK Home Phone is required

• Mobile Phone

  ( )
  OK Mobile Phone is required
• Email
  OK Email is required
• Other first or last names under which employment may be verified
  Optional OK Other first or last names under which employment may be verified is required

• Social Security Number

  - -
  Optional OK Social Security Number is required

Residential Address

• Address
  OK Address is required
• City
  OK City is required
• State AK - AlaskaAL - AlabamaAR - ArkansasAZ - ArizonaCA - CaliforniaCO - ColoradoCT - ConnecticutDC - District of ColumbiaDE - DelawareFL - FloridaGA - GeorgiaHI - HawaiiIA - IowaID - IdahoIL - IllinoisIN - IndianaKS - KansasKY - KentuckyLA - LouisianaMA - MassachusettsMD - MarylandME - MaineMI - MichiganMN - MinnesotaMO - MissouriMS - MississippiMT - MontanaNC - North CarolinaND - North DakotaNE - NebraskaNH - New HampshireNJ - New JerseyNM - New MexicoNV - NevadaNY - New YorkOH - OhioOK - OklahomaOR - OregonPA - PennsylvaniaRI - Rhode IslandSC - South CarolinaSD - South DakotaTN - TennesseeTX - TexasUT - UtahVA - VirginiaVT - VermontWA - WashingtonWI - WisconsinWV - West VirginiaWY - Wyoming
  OK State is required
• Zip
  OK Zip is required
• • Check here if mailing address is different from residential address.
  Optional OK Check here if mailing address is different from residential address. is required

Mailing Address (if different from above)

• Address
  Optional OK Address is required
• City
  Optional OK City is required
• Zip
  Optional OK Zip is required
• State AK - AlaskaAL - AlabamaAR - ArkansasAZ - ArizonaCA - CaliforniaCO - ColoradoCT - ConnecticutDC - District of ColumbiaDE - DelawareFL - FloridaGA - GeorgiaHI - HawaiiIA - IowaID - IdahoIL - IllinoisIN - IndianaKS - KansasKY - KentuckyLA - LouisianaMA - MassachusettsMD - MarylandME - MaineMI - MichiganMN - MinnesotaMO - MissouriMS - MississippiMT - MontanaNC - North CarolinaND - North DakotaNE - NebraskaNH - New HampshireNJ - New JerseyNM - New MexicoNV - NevadaNY - New YorkOH - OhioOK - OklahomaOR - OregonPA - PennsylvaniaRI - Rhode IslandSC - South CarolinaSD - South DakotaTN - TennesseeTX - TexasUT - UtahVA - VirginiaVT - VermontWA - WashingtonWI - WisconsinWV - West VirginiaWY - Wyoming
  Optional OK State is required

Employment Application

• Position
  OK Position is required
• Pay Expected
  OK Pay Expected is required

• Available to Work (check all that apply)

  • Full - Time
  • Part - Time
  • Saturdays
  • Evenings through 7pm
  OK Available to Work (check all that apply) is required

How did you hear about this position?

• Select One: Montana FCU WebsiteEmployee ReferralWebsiteNewspaperOther
  OK Select One: is required
• If other website, other website's name:
  Optional OK If other website, other website's name: is required
• If employee referral, employee's name:
  Optional OK If employee referral, employee's name: is required
• If other, explain:
  Optional OK If other, explain: is required

Eligibility for Work

• Have you ever worked for MFCU before? NoYes
  OK Have you ever worked for MFCU before? is required
• If yes, provide name.
  Optional OK If yes, provide name. is required

• Are you legally eligible to work in the United States?

  • No
  • Yes
  OK Are you legally eligible to work in the United States? is required

• Have you ever been convicted of a felony? For the purposes of this question, a conviction includes a finding of guilty, a plea of guilty, a plea of no contest or its equivalent, or a forfeiture of bond. A conviction does not automatically disqualify you from employment. However, failure to accurately answer this question could jeopardize employment.

  • No
  • Yes
  OK Have you ever been convicted of a felony? For the purposes of this question, a conviction includes a finding of guilty, a plea of guilty, a plea of no contest or its equivalent, or a forfeiture of bond. A conviction does not automatically disqualify you from employment. However, failure to accurately answer this question could jeopardize employment. is required
• If yes, please explain
  Optional OK If yes, please explain is required

• Are you able, with or without accommodation, to perform the essential tasks required for this job?

  • No
  • Yes
  Optional OK Are you able, with or without accommodation, to perform the essential tasks required for this job? is required
• What accommodations would you need to perform essential tasks?
  Optional OK What accommodations would you need to perform essential tasks? is required

• Are you currently employed?

  • No
  • Yes
  OK Are you currently employed? is required
• List special training, licenses or certifications (languages, machine operations, etc.)
  Optional OK List special training, licenses or certifications (languages, machine operations, etc.) is required