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Application for Employment

Contact Us

Step 1 of 11

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  • Select the position you are applying for

  • Accepted file types: pdf, doc, rtf, txt, odf, docx, Max. file size: 256 MB.
  • Personal Information 1 of 2

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  • Please check the appropriate category and list the source below.
  • Personal Information 2 of 2

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  • What is your desired salary range or hourly rate of pay?
  • Employment History 1 of 2

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  • Compensation
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  • Compensation
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  • Compensation
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  • Compensation
  • Employment History 2 of 2

  • Skills and Qualifications

  • Educational Background

  • References

    List names and telephone numbers of three business / work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.
  • Reference #2

  • Reference #3

  • Related Information

    To what job-related organizations (professional, trade, etc.) do you belong?
  • When answering the following questions, please exclude any information that would reveal race, creed, color, sex (including pregnancy), religion, national origin, disability, age, genetic information, or any other similarly protected status.
  • Voluntary Affirmative Action and Veteran Status Data

  • PLEASE NOTE: Completion of this form is voluntary

    Voluntary Affirmative Action

    The Farmers Bank is required to comply with the regulations for equal employment opportunity and affirmative action (EEO/AA), we must track our applicants by gender and race/ethnicity and the position they applied for. We are an organization that values diversity and encourages women and minorities to apply. For this reason, we invite you to indicate your gender and race/ethnicity below. This information is kept separate from your application.

    Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. Responses will remain confidential within the Human Resources Department; and will be used only for the necessary information to include in our Affirmative Action Program. When reported, data will not identify any specific individuals.

    Veteran Status Information
  • Voluntary Self-Identification of Disability

  • Why are you being asked to complete this form?

    We are a federal contractor or subcontractor required by law to provide equal employment opportunity to qualified people with disabilities. We are also required to measure our progress toward having at least 7% of our workforce be individuals with disabilities. To do this, we must ask applicants and employees if they have a disability or have ever had a disability. Because a person may become disabled at any time, we ask all of our employees to update their information at least every five years.

    Identifying yourself as an individual with a disability is voluntary, and we hope that you will choose to do so. Your answer will be maintained confidentially and not be seen by selecting officials or anyone else involved in making personnel decisions. Completing the form will not negatively impact you in any way, regardless of whether you you have self-identified in the past. For more information about this form or the equal employment obligations of federal contractors under Section 503 of the Rehabilitation Act, visit the U.S. Department of Labor's office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp

    How do I know if I have a disability?

    You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include, but are not limited to:

    • Autism
    • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, or HIV/AIDS
    • Blind or low vision
    • Cancer
    • Cardiovascular or heart disease
    • Celiac disease
    • Cerebral palsy
    • Deaf or hard of hearing
    • Depression or anxiety
    • Diabetes
    • Epilepsy
    • Gastrointestinal disorders, for example, Crohn's Disease, or irritable bowel syndrome
    • Intellectual disability
    • Missing limbs or partially missing limbs
    • Nervous system condition, for example, migraine headaches, Parkinson's disease, or Multiple sclerosis (MS)
    • Psychiatric condition, for example, bipolar disorder, schizophrenia, PTSD, or major depression

    Reasonable Accommodation Notice

    PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

  • The Farmers Bank Applicant Statement

  • Please read carefully before agreeing.

    I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for The Farmers Bank to hire me. If I am hired, I understand that either The Farmers Bank or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of The Farmers Bank has the authority to make any assurance to the contrary.

    I attest with my agreement below that I have given to The Farmers Bank true and complete information on this application. No requested information has been concealed. I authorize The Farmers Bank to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

  • This field is for validation purposes and should be left unchanged.
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