Application for Employment - Deuel County Farmers Union

We consider applications for all positions without regard to race, color, religion, sex (including pregnancy, sexual orientation and gender identity), national origin, age, disability, citizenship status, genetic information or any other legally protected status.

*We are an equal opportunity employer.

Position Applying For:

Date of Application

How did you hear about us?

First and Last Name

Address

Phone

Email

Have you ever been employed with us before?

Yes

No

If yes, when?

Are you currently employed?

Yes

No

May we contact your present employer?

Yes

No

Are you lawfully authorized to work in the United States?

Yes

No

Date available for work

What is your desired salary range?

Are you available to work

Full Time

Part Time

Temporary

Can you travel if a job requires it?

Yes

No

High School Education

High School Name and Address

Did you graduate?

Undergraduate College

Undergraduate College Name and Address

Course of Study

Number of years completed

Diploma/Degree

Graduate Professional

Graduate Professional Name and Address

Course of Study

Number of years completed

Diploma/Degree

Other (specify)

Name and Address of School

Course of Study

Number of years completed

Diploma/Degree

Describe any specialized training, including job related training in the military, apprenticeship, skills and extra-curricular activities.

Employment Experience

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, sex (including pregnancy, sexual orientation and gender identity), national origin, age, disability, citizenship; status, genetic information or any other legally protected status.

1. Employer Name and Address

Phone Number

Job Title

Dates Employed

Work performed

2. Employer Name and Address

Phone Number

Job Title

Dates Employed

Work performed

3. Employer Name and Address

Phone Number

Job Title

Dates Employed

Work performed

Additional Information

Please list any specialized skills, training or job-related qualifications that you feel may be helpful to us in considering your application.

References

1. Reference name, address and phone number.

2. Reference name, address and phone number.

3. Reference name, address and phone number.

Applicant's Statement

-I certify that answers given herein are true and complete.

-I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

-This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond that time period should inquire as to whether or not applications are being accepted at that time.

-I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause.

-In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

PLEASE TYPE FULL NAME. **By typing my name and clicking the "Submit" button below, I acknowledge that I have carefully read and understand this application of employment.

Employment Application

Application for Employment - Deuel County Farmers Union

High School Education

Undergraduate College

Graduate Professional

Other (specify)

Employment Experience

Additional Information

References

Applicant's Statement