Niagara Credit Solutions, Inc. provides Equal Employment Opportunity for all individuals regardless of race, color, religion, sex age, national origin, disability, marital status, sexual preference, veteran status and any other basis protected by federal, state or local laws.
Click Here for Printable PDF Application
General Information Collection Associate Position Applying for Last Name First Name Middle InitialAre you known by another name which relates to your work record?If Yes, please provide other Last Name, Other First Name, Other Middle Initial.
Current AddressCity State Zip
Previous Address (If you have lived at your current address for less than 5 years)City State Zip
Home Telephone Work Telephone Work Extension Cell Telephone Email Full Time Part Time Date you can start Full Time or part time?Desired Salary
Education LevelHigh School Name High School Years Completed Yes No Did you graduate? High School Diploma or Degree recievedCollege School Name College School years completed Yes No Did you graduate? College School Diploma or Degree Recieved Other Special Skills and/ or Training
General Questions Yes No Do you have CUBS Experience? Yes No Have you ever applied to Niagara Credit Solutions, Inc. Before? How did you hear about Niagara Credit Solutions, Inc? Yes No Have you ever been convicted of a crime involving any violent or dishonest act, or use or possesion of a weapon? Yes No Are you currently out on bail, the subject of a current warrant for arrest or released pending a trial? Yes No Is there any legal reason that would prevent you from accepting immediate employment with NCSI? Yes No Are you currently under a non-disclosure, non-compete or non-solicitationagreement with another company? Yes No Yes No Have you ever been terminated for Have you ever resignedreasons of insubordination, performance in lieu of termination? or violation of company policy? Yes No Have you ever worked for NCSI or an affiliate? List any friends or relatives employed by NCSI.
Former Employment Section Most Recent or Current Employer Name Yes No Are you currently employed?Comany Address 1 Company Address2 Company City Company State Company Zip Company Telephone Number Company Supervisor Supervisor Name Company Supervisor TitleCompany Supervisor Telephone Number Company Supervisor Extension Collection Associate Collection Supervisor Collection Manager Company Position Yes No May we contact?
Second Most Recent Employer Company Name Yes No Are you currently employed? Comany Address 1 Company Address2 Company City Company StateCompany Zip Company Telephone NumberCompany Supervisor Supervisor Name Company Supervisor Title Company Supervisor Telephone Number Company Supervisor Extension Collection Associate Collection Supervisor Collection Manager Company Position Yes No May we contact ?
Third Most Recent Employer Company Name Yes No Are you currently employed? Comany Address 1Company Address2 Company City Company State Company Zip Company Telephone Number Company Supervisor Supervisor NameCompany Supervisor Title Company Supervisor Telephone Number Company Supervisor Extension Collection Associate Collection Supervisor Collection Manager Company Position Yes No May we contact?
References
References Name Reference Address 1 Reference Address2 Reference City Reference StateReference ZipReference Home Telephone Reference Work Telephone Extension Reference Cell TelephoneReference Years Acquainted Reference Relationship / How Aquainted
I affirm that all the information submitted by me on this application is true and completed, and I understand that if any false information, omissions or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform the company’s rules and regulations, and I agree that my employment and compensation can be terminated with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than the President, and then only in writing and signed by the President, has an authority to enter into any agreement for employment for a specific period of time, or to make any agreement contrary to the foregoing.
Please forward resume to tohara@niagaracs.com
