Application for Employment

Coast Central Credit Union is an Equal Employment Opportunity Employer and complies with Fair Employment Practices of Title VII of the Civil Rights Acts of 1964 and Anti-Discrimination Laws.

Date of Application*
Full Name*
Mailing Address*
Physical Address (if different)
Date available to start work*
Employment Desired (check all that apply)*
Please indicate all days available*
Please indicate at which locations you are willing to accept employment*
If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in this country? *
Have you ever worked for Coast Central? *
If you are under 18, can you provide a work permit?*
How did you find out about this job opening?*


Please list any applicable education you have obtained.

Did you graduate?
Did you graduate?
Did you graduate?


Please list three professional references. If none, please list non-family member personal references. 


Previous Employment

Date Employed From*
Date Employed To*
If this is your current employer, may we contact them for a reference?
Date Employed From
Date Employed To
Date Employed From
Date Employed To

Additional Information

Do you speak, write, or understand any foreign languages?*
Describe your level of knowledge
Do you have any relatives employed by Coast Central? *
Have you ever been discharged from a position? *
We comply with federal and state disability laws and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Are you able to perform the essential functions and/or physical requirements of the job for which you are applying, either with or without an accommodation?*
Please indicate if you have training or experience in the functions/equipment listed below*
No File Chosen
File uploads may not work on some mobile devices.
No File Chosen
File uploads may not work on some mobile devices.

Active business/professional licenses related to position

Has your license/certification ever been revoked or suspended?

Disclaimer and Signature

I affirm that all of my answers to the questions on the application are true and correct and that I have not knowingly withheld any fact or circumstance. I understand that:

  • Information on this application is subject to verification. Any falsification or omission of information submitted on this application will be justification for refusal of employment, or if employed, may result in my discharge. 
  • I authorize Coast Central Credit Union to thoroughly investigate my references, work record, education, and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to Coast Central Credit Union any and all letters, reports, and other information related to my work records, without giving me prior notice of such disclosure. In addition, I release Coast Central Credit Union, my former employers and other persons, corporations, partnerships and associations from any and all claims, demands, or liabilities arising out of such investigation or disclosure. 
  • All employees of Coast Central Credit Union are bonded. The securing and retention of such a bond is a condition of employment and continued employment
  • Nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and Coast Central Credit Union. In addition, I understand and agree that if I am employed, my employment is for no definite period and may be terminated at any time, with or without prior notice, at the option of either myself or Coast Central Credit Union. This "at-will" employment relationship will remain in effect throughout my employment with Coast Central Credit Union, unless it is modified in writing and signed by me and the credit union's designated representative. 
Use your mouse or finger to draw your signature above. Thank you for your application and interest.
Powered by Formstack Create your own form