Personal Information







Full Time     Summer     Part Time

Read Carefully Before Filling Out This Application
  1. The application will remain in our files as a permanent record of the information which you give.
  2. Any false statement knowingly made in this application or any deception or fraud on your part or on the part of any person acting on your behalf will be cause for eliminating you from consideration of or removal from library employment.
  3. Answer all questions as completely as possible.
  4. You are not required to furnish any information prohibited by federal, state or local law.











Yes     No    

Yes     No
Your employment will be subject to verification that you meet state and federal minimum age requirements for the type of work you are applying for and have a valid work permit, if necessary.

Yes     No




Yes     No

Yes     No





Yes     No



Availability

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Professional References






Education & Training
High School
College/Univ./Tech
College/Univ./Tech
Other
Employment History



Full Time     Part Time     Temporary



Primary Duties:





Full Time     Part Time     Temporary



Primary Duties:



May we refer to your present and previous employers? Yes     No    


Specialized Training



By clicking on on the Submit Application button below, you declare that the foregoing statements are true, complete and correct to the best of your knowledge and belief. You understand and agree that any misstatements, omissions or falsification may result in disqualification or removal from a library position.