Grow West

Pre-Employment Questionnaire

An Equal Opportunity Employer

This organization does not discriminate in hiring on basis of race, color, religion, sex, national origin, disability, veteran status, or your membership in any protected class protected under law of this jurisdiction. This application does not intend to ask questions that would provide information that could be used for discrimination. This organization does provide reasonable accommodations to qualified employees and applicants with disabilities.

Dakota West Credit Union prohibits smoking in all company buildings and enclosed work areas and within twenty feet of entrances, exits, operable windows, air intakes, and ventilation systems of enclosed areas in which smoking is prohibited. Smoking is also prohibited in all company vehicles and as otherwise prohibited by state law.

You can also download and print a PDF version of the job application.

Application for Employment


PERSONAL INFORMATION




Present Address






Permanent Address








Are you 18 years of age or older?

Are you legally eligible to work in the United States?

Have you ever been convicted of a crime other than a traffic violation?



EMPLOYMENT DESIRED





Are you employed now?

If so, may we contact your present employer?

Have you applied to this company before?





EDUCATION

High School




Did you graduate?


College




Did you graduate?


Trade, Business or Correspondence School




Did you graduate?


General Education Questions





Exclude organizations, the name of which indicates the race, creed, sex, age, marital status, color or national origin, disability status, religion, union membership or other protected status of its members.

U.S. Military or Naval Service?


Present membership in National Guard or Reserves?


FORMER EMPLOYERS

List below the last three employers, starting with the most recent one first.

First Employer








Second Employer








Third Employer








General Employment Questions




REFERENCES

First Reference





Second Reference





Third Reference






Resume



SIGNATURE

By typing your name and the current date below, you certify the following:

“I certify that all the information submitted by me on this application or accompanying resume is true and complete, and I understand that any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated for cause.

“I understand that nothing in this document constitutes an offer of employment. If I do become employed, I understand that all employment with the company is “at will” and may be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any by the company. I understand that no company representative, other than its president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make an agreement contrary to the foregoing.”