BRIGGS LAWRENCE COUNTY PUBLIC LIBRARY
ONLINE EMPLOYMENT APPLICATION

BRIGGS LAWRENCE COUNTY PUBLIC LIBRARY CONSIDERS ALL APPLICANTS WITHOUT REGARD TO RACE, COLOR, RELIGION, CREED, GENDER, NATIONAL ORIGIN, AGE, DISABILITY OR OTHER LEGALLY PROTECTED STATUS

ALL APPLICATIONS RECEIVED BY THE LIBRARY, ONLINE OR PRINT, ARE KEPT ON FILE FOR 6 MONTHS, AND ARE THEN DISCARDED. 

POSITION APPLIED FOR:
DATE OF APPLICATION:
FULL NAME
ADDRESS
PHONE
   
CHECK ONE FOR EACH OF THE FOLLOWING:
ARE YOU LEGALLY ELIGIBLE FOR EMPLOYMENT IN THE UNITED STATES?
ARE YOU CURRENTLY EMPLOYED?
IF EMPLOYED, MAY WE CONTACT YOUR CURRENT EMPLOYER?
ARE YOU CURRENTLY ON LAY-OFF STATUS AND SUBJECT TO RECALL?
ARE YOU 18 YEARS OF AGE OR OLDER? 
CAN YOU TRAVEL IF THE JOB REQUIRES IT?
DO YOU HAVE A VALID DRIVER’S LICENSE?
CAN YOU WORK FULL TIME?
CAN YOU WORK PART TIME?
CAN YOU WORK MORNINGS? 
CAN YOU WORK AFTERNOONS?
CAN YOU WORK EVENINGS?
CAN YOU WORK WEEKENDS AND OR HOLIDAYS?
WHAT IS THE EARLIEST DATE YOU WOULD BE AVAILABLE TO WORK IF HIRED?
   
HIGH SCHOOL/VOCATIONAL
COURSE OF STUDY
# YEARS COMPLETED/DEGREE
   
COLLEGE
COURSE OF STUDY
# YEARS COMPLETED/DEGREE
   
COLLEGE
COURSE OF STUDY
# YEARS COMPLETED/DEGREE
   
DESCRIBE YOUR EMPLOYMENT EXPERIENCE, LISTING YOUR LAST FOUR WORKPLACES
   
EMPLOYER-NAME AND PHONE #
JOB TITLE AND DUTIES
DATES EMPLOYED (FROM-TO)
REASON(S) FOR LEAVING
SUPERVISOR
   
EMPLOYER-NAME AND PHONE #
JOB TITLE AND DUTIES
DATES EMPLOYED (FROM-TO)
REASON(S) FOR LEAVING
SUPERVISOR
   
EMPLOYER-NAME AND PHONE #
JOB TITLE AND DUTIES
DATES EMPLOYED (FROM-TO)
REASON(S) FOR LEAVING
SUPERVISOR
   
EMPLOYER-NAME AND PHONE #
JOB TITLE AND DUTIES
DATES EMPLOYED (FROM-TO)
REASON(S) FOR LEAVING
SUPERVISOR
 
DESCRIBE ANY SPECIAL SKILLS, TRAINING, COMMUNITY SERVICE, VOLUNTEER WORK, INTERNSHIPS OR ACTIVITIES THAT YOU HAVE PARTICIPATED IN THAT WOULD BE RELEVENT TO YOUR APPLICATION
 
DESCRIBE ANY TRAINING RECEIVED IN THE UNITED STATES MILITARY RELEVENT TO YOUR APPLICATION.
 
LIST THE NAME, RELATIONSHIP AND PHONE NUMBER OF ANY REFERENCES WE COULD CONTACT ABOUT YOU. DO NOT LIST FAMILY MEMBERS
   
SUBMISSION OF THIS APPLICATION IS CONFIRMATION THAT ALL THE INFORMATION YOU PROVIDED AND CONTAINED HEREIN IS TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE.