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  • County Farm Bureau Application for Employment

  • Basic Contact Information


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  • Educational Background

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    • Click to add another University/College/Institution 
    • Entry 2

    • End 
    • Click to add another University/College/Institution 
    • Entry 3

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    • Other Education 
    • Other Education / Training / Certifications

    • Click to add another Education/Training/Certification 
    • Entry 2

    • End 
    • Click to add another Education/Training/Certification 
    • Entry 3

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    • Employment History Section 
    • Employment History

      (This section may be omitted if a resume is uploaded at the end of the form)
    • Current or most recent employer 
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    • If it is possible to contact this employer, please provide their phone and email below

    • Click to add another prior employer 
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    • If it is possible to contact this employer, please provide their phone and email below

    • Click to add another prior employer 
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    • If it is possible to contact this employer, please provide their phone and email below

    • References 
    • References

    • List name and phone number of three business/work references who are not related to you and are not already included as an immediate supervisor on your Employment History. If you have no prior employment history, please list three non-related school or personal references.




    • Submitting your information

    • You have the option to attach a cover letter and/or resume below:

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    • Upload a File
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    • Affirmation to the Truthfulness of the Information Provided on this Application and Agreement Permitting the "Employer" to Seek Additional Job-Related Information

        It is understood and agreed upon that any misrepresentations by me in this application is sufficient cause for cancellation of this application and/or separation from the employer's service if I have been employed. Furthermore, I understand employment within the organization (hereafter "Employer") is at-will. That means I am free to resign at any time and the Employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the Employer has the authority to make any assurances to the contrary. I affirm that I have a genuine intent and no other purposes in applying for a job with this company. I give the Employer the right to investigate all references and to secure additional information about me, if job-related. I hereby release from liability the Employer and its representative for seeking such information and all other persons, corporations or organizations for furnishing such information. The Employer is an Equal Opportunity Employer. The Employer does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant's consideration for employment on a basis prohibited by local, state or federal law. This application is current for 90 days. At the conclusion of this time, if I have not heard from the Employer and still wish to be considered for employment, it will be necessary to re-apply by completing a new application for employment.

    • Take this moment to go back through your application and check for errors.

      You will receive an email confirmation with all the information you submitted. If you have something you need to correct after submitting, there is a link in that email you can click to edit your original submission.

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