Employment Form

EMPLOYMENT APPLICATION

Employment is considered an "at will" agreement - in other words, your employment is not governed by a written or oral contract. This means that your employment may be terminated at any time, with or without cause or notice, at your option or at the option of your employer. AgHeritage Farm Credit Services is an equal opportunity employer. Individuals are judged solely on the basis of their qualifications without regard to race, color, religion, sex, age, disability, genetic information, national origin, political affiliation, marital status, status with regard to public assistance or any other reason protected by law. A copy of AgHeritage’ s Affirmative Action plan is available upon request from Human Resources at the address listed at the end of this application. We have a Standards of Conduct Policy. It is your obligation to review that policy and ensure that you are in compliance prior to your employment.

Today's Date

Personal Data

First Name

Middle Name

Last Name

Email Address

Permanent Address (Street/City/State/Zip Code)

County

(Area Code) Phone Number

Present Address (Street/City/State/Zip Code)

(Area Code) Phone Number

Professional Society Memberships/Licenses

Omit those indicating religious, political, cultural, or social affiliations.

How did you hear about the position?

Can you, after being hired, verify your legal right to work in the United States?

Yes

Proof must be provided.

Position Desired

Desired Position or Type of Work

Date available

Work Schedule of the position you are applying for

Full-time

Part-time

Summer

Temporary

Are you able to travel for business purposes?

Yes

Please indicate the maximum percentage of annual travel is acceptable to you. %

Will you relocate?

Yes

Please list preferred locations:

Education

High School

School Address (City/State)

Graduated?

Yes

Major Coursework

Honors Received

Extra-Curricular Activities

College or Technical School

School Address (City/State)

Graduated?

Yes

Major Coursework

Minor Coursework

Degree/Certificates Granted or Units (Quarters/Semesters)

Honors Received

Extra-Curricular Activities

Post Graduate School

School Address (City/State)

Graduated?

Yes

Major Coursework

Minor Coursework

Degree/Certificates Granted or Units (Quarters/Semesters)

Honors Received

Extra-Curricular Activities

Other Education

School Address (City/State)

Graduated?

Yes

Major Coursework

Minor Coursework

Degree/Certificates Granted or Units (Quarters/Semesters)

Honors Received

Extra-Curricular Activities

Specialized Skills

Keying

Net WPM

Years of Exp.

Personal Computer

Equipment Operated

Years of Exp.

Personal Computer

Software Used

Years of Exp.

Other Skills and Years of Experience

Re-order	Skills	Years of Exp.	Weight	Operations
	Skills	Years of Exp.	Item weight

more items

Employment Record

Please list your present or most recent employer first. In Section 6, please explain any periods of time not accounted for on your record of employment.

Have you ever been employed by a Farm Credit Institution?

Yes

where and dates?

First Employment Record

Employer (Current or Most Recent)

Mailing Address( City/State/Zip Code)

Job Title

Work Phone Number/Extension

Employed Start Date

Employed End Date

Work Schedule

Full-time

Part-time

Total Years on Job:

Reason for Leaving or Seeking Change

Supervisor's Name

May we contact this person

Yes

No, only after employment offer

Phone Number:

Describe your responsibilities

Second Employment Record

Employer (Current or Most Recent)

Mailing Address( City/State/Zip Code)

Job Title

Employed Start Date

Employed End Date

Work Schedule

Full-time

Part-time

Total Years on Job:

Reason for Leaving or Seeking Change

Supervisor's Name

May we contact this person

Yes

No, only after employment offer

Phone Number:

Describe your responsibilities

Third Employment Record

Employer (Current or Most Recent)

Mailing Address( City/State/Zip Code)

Job Title

Employed Start Date

Employed End Date

Work Schedule

Full-time

Part-time

Total Years on Job:

Reason for Leaving or Seeking Change

Supervisor's Name

May we contact this person

Yes

No, only after employment offer

Phone Number:

Describe your responsibilities

Fourth Employment Record

Employer (Current or Most Recent)

Mailing Address( City/State/Zip Code)

Job Title

Employed Start Date

Employed End Date

Work Schedule

Full-time

Part-time

Total Years on Job:

Reason for Leaving or Seeking Change

Supervisor's Name

May we contact this person

Yes

No, only after employment offer

Phone Number:

Describe your responsibilities

Other Experience / Comments

In addition to your other comments, here you can elaborate on any periods of time not covered on the previous page.

Professional References

Name

E-mail Address

(Area Code) Phone Number

Years acquainted

Relationship

Second Professional References

Name

E-mail Address

(Area Code) Phone Number

Relationship

Years acquainted

Third Professional References

Name

E-mail Address

Phone Number

Relationship

Years acquainted

Personal Reference

Name

Mailing Address( City/State/Zip Code)

(Area Code) Phone Number

Years acquainted

Relationship

Certification

I authorize investigation of all statements in this employment application if I am considered for employment. The companies or persons named herein are authorized to give information regarding me whether or not such information is part of their records and they are hereby released from all liability for issuing such information. I also understand that misrepresentation or omission of facts called for herein will be sufficient cause for cancellation for employment or termination of employment.

Signature

Sign above

Date

I agree

CAPTCHA

Please mail or fax your completed application to: Human Resources Department, AgHeritage Farm Credit Services, 119 East 3rd Street, Suite 200, Little Rock, AR 72201, 501-374-2621 or you can e-mail it to:HRAgHeritage@agfcs.com.

See What 100 Years Can Do

In July 2016, Farm Credit marked 100 years of support for rural communities and agriculture, a milestone celebrated throughout the year and now drawing to a close. See highlights from Farm Credit's year-long centennial celebration.

Explore Farm Credit's History

Employment Form

Magazine Sign-Up

Our Heritage - Winter 2024