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Position
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Full-Time Banker (Pittsfield)
Full-Time Banker (Jerseyville)
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Internship
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Farmers State Bank Employee
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Please upload a copy of your resume here. (PDF file please)
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Have you ever filed an application with us before?
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Have you ever been employed with us before?
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Are you currently employed?
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If so, where
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May we contact your present employer?
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On what date would you be available for work?
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Are you currently on lay-off status and subject to recall?
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Have you ever been convicted of a felony?
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If yes, please provide date of conviction and a description of what conviction was for.
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Have you read the job description/posting giving the requirements of the job for which you are applying?
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Education
*Please fill out the education section of the application OR select see resume for education details.
See resume for education details.
High School
Name and Location of School
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Course of Study
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Years Completed
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Diploma Degree
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Undergraduate College
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Diploma Degree
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Graduate Professional
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Other (Specify)
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Years Completed
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Diploma Degree
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Professional Organizations
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List Professional, Trade, Business or Civic Activities and Offices Held
You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability, or other protected status.
Describe any specialized training, apprenticeships, skills, extra-curricular activities, job-related training received in the United States military or qualifications acquired from employment or other experience.
Professional, Trade, Business or Civic Activities and Offices Held
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Specialized Skills
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Do you hold any State Certificates or Licenses?
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State any other additional information which you feel may be helpful to use in considering your application
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Employment Experience
See resume for employment experience.
Start with your present or most recent job. Include any job-related military service assignment and volunteer activities. You may exclude employment which would reveal gender, race religion, national origin, age, ancestry, disability, or other protected status.
Most Recent Position
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Previous Position
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Previous Position
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References
See resume for references.
Reference 1
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Zip
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Reference 2
Name
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Zip
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Reference 3
Name
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Address
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City
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Zip
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Voluntary Survey
Government agencies at times require periodic reports on the sex, ethnicity, disability, veteran and other protected status of employees. This data is for statistical analysis with respect to the success of the Affirmative Action program.
SUBMISSION OF THE FOLLOWING INFORMATION IS VOLUNTARY
Date
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Name
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Address
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Current Job
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Male
Female
Ethnicity (check one of the following)
White
Native Hawaiian or other Pacific Islander
Hispanic or Latino
Asian
American Indian/Alaskan Native
Black or African American
Two or more races
Other
Check if any of the following are applicable
Vietnam Era Veteran
Disabled Veteran
Disabled Individual
Veteran
Birthdate
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Help us get to know you
What excites you most about this role?
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If we chose another candidate other than you for this role, why might we regret it?
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If you chose a job other than this one, who would you work for and what would that role look like? (Hypothetically)
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Describe a time when you were materially wrong at work. What happened, how did you fix it, and how did you keep from it happening again?
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Conversely, describe a time when you absolutely crushed a goal or exceeded expectations. How did you do it?
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