Employment Application

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?	YES NO
ARE YOU CURRENTLY EMPLOYED?	YES NO
IF EMPLOYED, MAY WE CONTACT YOUR CURRENT EMPLOYER?	YES NO
ARE YOU CURRENTLY ON LAY-OFF STATUS AND SUBJECT TO RECALL?	YES NO
ARE YOU 18 YEARS OF AGE OR OLDER?	YES NO
CAN YOU TRAVEL IF THE JOB REQUIRES IT?	YES NO
DO YOU HAVE A VALID DRIVER’S LICENSE?	YES NO
CAN YOU WORK FULL TIME?	YES NO
CAN YOU WORK PART TIME?	YES NO
CAN YOU WORK MORNINGS?	YES NO
CAN YOU WORK AFTERNOONS?	YES NO
CAN YOU WORK EVENINGS?	YES NO
CAN YOU WORK WEEKENDS AND OR HOLIDAYS?	YES NO

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.

BRIGGS LAWRENCE COUNTY PUBLIC LIBRARY ONLINE EMPLOYMENT APPLICATION

BRIGGS LAWRENCE COUNTY PUBLIC LIBRARY
ONLINE EMPLOYMENT APPLICATION