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    Release Form
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Authorization / Release Form

I hereby authorize Texoma Educators Federal Credit Union to conduct a comprehensive review of my background causing a consumer report and/or an investigative report to be generated for employment purposes.

I understand that the scope of the consumer report / investigative consumer report may include, but not limited to the following areas:

Verification of social security number; current and previous residences; employment history including all personnel files; character references; credit history and reports; criminal history records from any criminal justice agency in any or all federal, state, county jurisdictions; birth records; motor vehicle records to include traffic citations and registration; and any other public records.

Please complete the form below. Mandatory fields marked *

Current Address

  1. Month/Year, i.e. 12/06 for December 2006
  2. ,

Most Recent Prior Address

  1. Month/Year, i.e. 12/06 for December 2006
  2. ,

Second Most Recent Prior Address

  1. Month/Year, i.e. 12/06 for December 2006
  2. ,

Identification and Contact Information

  1. for I.D. purposes only
  2. ,
Personal Information
  1. Are you at least 18 years old? *
  2. Are you a U.S. citizen? *
  3. If you are not a citizen, do you have the legal right to work in the U.S. (i.e. green card)?
  4. How did you find out about this job?
  5. If hired, do you have a reliable means of transportation to get to work?
Employment Data
  1. What type of work are you seeking? *
  2. Are you willing to work...

Experience, special skills, or training

  1. Are you currently employed? *
  2. Are you on layoff and subject to recall?
  3. Have you worked for this organization before? *
  4. Have you ever been discharged or asked to resign from any position?
Education and Military Service
  1. If you are in high school, are you in a recognized co-op program, such as D.E., C.V.A, or V.O.E.?

Military Service

  1. Are you a veteran?
  2. from to
Work History

Most Recent Employer

  1. from to
  2. starting: ending:

Second Most Recent Employer

  1. from to
  2. starting: ending:

Third Most Recent Employer

  1. from to
  2. starting: ending:

Fourth Most Recent Employer

  1. from to
  2. starting: ending:
Add another employer

Additional Employment Information

  1. May we contact the employer(s) listed above?

Criminal Background

  1. Bonding and money handling security policies require that we ask if you have ever pled guilty,
    nolo contendere (no contest), or been convicted of burglary, robbery, crime of violence against
    another person or any other criminal charge? *
  2. Are you or have you ever been on parole or probation? *
  3. Are you currently awaiting trial? *

NOTE: Felony convictions or the existence of a criminal record does not constitute an automatic bar to employment.


I authorize this company to make an investigation of all information contained in this application for employment and I release from all liability all companies and corporations supplying such information. I understand that any false answers, statements or implications made by me on this application or other required documents shall be considered sufficient cause for denial of employment or discharge. Upon termination of my employment for whatever reason, I release this company from all liability for supplying any information concerning my employment to any potential employer. I authorize this company, if applicable, to request a copy of my credit report, motor vehicle driving record and any other investigative report they deem necessary through various third party sources. Upon my formal written request, within a reasonable period of time, I will be notified as to the nature and scope of such investigation. I realize I hereby agree to any drug test that may be required of me prior to my employment or if employed by this company at any time thereafter. If requested, I will take a physical examination post job offer and employment will be conditional upon passing such examination. During such employment, I understand and agree that in the event that I receive medical treatment for any condition, including a physical, psychological, emotional, or psychiatric condition that is job related, I hereby authorize the limited release and exchange of such medical information relating to my condition between the treatment provider and a company designated physician. I further understand that this is an application for employment and that no employment contract is being offered. I understand that if I am employed, such employment is for an indefinite period of time and that the company may change wages, benefits and conditions at any time. My employment is at will. I have read and understand the above.

  1. Please enter the text as it appears below:
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