Application For Employment Page 2
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4E
DUCATION
No. of Years
Did You
Major Course of
Name and Location of School
Attended
Graduate
Study
High
School
College
Other
Graduate
School
Please describe additional skills, training, or abilities you would like to have considered when evaluating
your qualifications: ____________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Do you have any of the following certificates issued by the Pennsylvania Department of Education? If
yes, include the certificate number.
Library assistant?
No _________ Yes __________________________________________
Provisional librarian?
No _________ Yes __________________________________________
Professional librarian? No _________ Yes __________________________________________
E
H
(List below last three employers, starting with the most current employer.)
MPLOYMENT
ISTORY
Company/Firm: __________________________________________________
From:
Job Title: _________________________
___________________
_______________________________________________________________
Duties: ___________________________
To: ________________
Address: ________________________________________________________
Rate of Pay
Phone: _________________________________________________________
Start:
________________________________
___________________
Supervisor: ______________________________________________________
Finish:
Reason for
___________________
leaving
_________________________________
Company/Firm: __________________________________________________
From:
Job Title: _________________________
___________________
_______________________________________________________________
Duties: ___________________________
To: ________________
Address: ________________________________________________________
_________________________________
Rate of Pay
Phone: _________________________________________________________
Start:
________________________________
___________________
Supervisor: ______________________________________________________
Finish:
Reason for
___________________
leaving___________________________
_________________________________
From:
Company/Firm: __________________________________________________
___________________
Job Title: _________________________
_______________________________________________________________
To: ________________
Duties: ___________________________
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