Application For Employment (Page 4 of 4) in pdf

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Are you a United States citizen?

Yes __________

No__________

If not, are you authorized to work in the United States, and do you understand that under the Immigration

Reform and Control Act of 1986, upon hire, you will be required to provide documents verifying your

identity and eligibility to work in the United States?

Yes _________

Have you ever been convicted of a crime?

Yes __________

No__________

Conviction will not necessarily disqualify an applicant from employment.

If yes, please explain and provide date(s)/location(s): __________________________________________

_____________________________________________________________________________________

Please read carefully and sign:

Permission is hereby granted to the Montgomery County-Norristown Public Library to conduct a thorough

investigation and to solicit information as to my educational and employment history, character and general

reputation, credit and criminal conviction record. I release, indemnify and hold harmless Montgomery County-

Norristown Public Library and all persons or organizations from and against any and all liability arising from such

statements, their solicitation or use. I understand I have the right to make a written request within a reasonable

period of time to receive complete information about the nature and scope of my credit investigation.

I understand that this employment application, granting of an interview and any other Library documents are not

contracts of employment or for the granting of benefits, and that any individual who is hired may voluntarily leave

or be terminated at any time, with or without any cause. No promises regarding employment have been made to me,

and I understand that no such promise or guarantee is binding upon Montgomery County-Norristown Public Library

unless made in writing. If an employment relationship is established, I understand and agree that it is not for a

definite period of time and that I have the right to terminate my employment at any time and that Montgomery

County-Norristown Public Library retains a similar right. If terminated, I authorize Montgomery County-Norristown

Public Library to deduct to the extent permitted by law, any amount which I may owe to Montgomery County-

Norristown Public Library from any amount Montgomery County-Norristown Public Library may owe me. I

understand that no representative of Montgomery County-Norristown Public Library has any authority to offer or

enter into any agreement for employment for any specified period of time or to make any agreement contrary to the

foregoing.

I certify that all statements made by me on my application are true and correct to the best of my knowledge and

belief. I understand that any false, inaccurate or omitted statements of a material fact could be a cause for rejection

of my application or termination of my employment at any time. I, furthermore, agree to maintain the accuracy of

the information contained in this application if I am employed by Montgomery County-Norristown Public Library.

I understand that, if accepted for employment, it is necessary for me to abide by the rules and policies of

Montgomery County-Norristown Public Library.

If hired, I agree to complete PA State Mandated Reporter Training, and to apply for, at my own expense, the FBI

and Pennsylvania State Police Criminal History background checks , and the Pennsylvania Child Abuse History

Clearance with the understanding that continued employment is contingent upon the results of these background

checks.

I have read, understand, and by my signature consent to these statements.

Date: ______________

Signature of Applicant: ____________________________________________________

-N

ONTGOMERY

OUNTY

ORRISTOWN

UBLIC

IBRARY IS AN EQUAL OPPORTUNITY EMPLOYER

Application For Employment Page 4

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