Fillable Application For Employment Form - Library (Sample) printable pdf download

Date: _______________________________

Position: ___________________________________

Date Applicant Available: _____________________

Application for Employment

Lake Agassiz Regional Library

I. Personal Data

Applicant’s Name: _______________________________________________________________________________

Address: _____________________________________ City: _______________ State: ____ Zip Code: ____________

Telephone Number: __________________________ Email Address: _______________________________________

Please list all other names under which you have been employed or under which your employment or educational

records may be found. _____________________________________________________________________________

Are you either a U.S. citizen or legally eligible to hold employment in the United States?

Yes

Are you over the age of 14 and legally able to work the hours required by the position work which you are applying?

Yes

Have you previously been employed by Lake Agassiz Regional Library?

Yes

If yes, where? ____________________________ Dates of former employment: ________________________

Are you available to work:

Sub

Temp

Days

Evenings

Weekends

*LARL requires weekend work for some positions but makes reasonable effort to accommodate religious needs and preferences.

Do you have any special needs that may necessitate accommodations in the application or interview process?

Yes

No If yes, please describe the type of accommodations requested: ___________________________

Why are you interested in working for Lake Agassiz Regional Library? _____________________________________

_______________________________________________________________________________________________

II. Educational Background

Last Grade Completed (please check):

12 or

GED

Some College

2-yr Degree (Technical/Associate)

4-yr Degree (BA/BS)

Graduate Degree

List all schools/institutions attended, most recent first. Do not list dates of attendance for high school:

Name of School: _________________________________________________________________________________

Address of School: _______________________________________________________________________________

Degree/Diploma Received: _________________________________________________________________________

Major/Minor: ____________________________________________________________________________________

Dates of Attendance: ______________________________________________________________________________