Livonia Public Library Application for Employment Form

APPLICATION FORM MUST BE COPY AND PASTED THEN SUBMITTED IN PERSON TO THE LIBRARY

Livonia Public Library

Application for Employment

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for positions without regard to race, color, religion, sex, national origin, age, marital status, or the presence of non-job related medical condition or disability.

Date________________

Name__________________________________________________

Address

__________________________________________________________________________  Street                                              City                            State                 Zip

Phone______________________   

EDUCATION

High School__________________________________________________________

College______________________________________________________________ 

Other________________________________________________________________

EMPLOYMENT EXPERIENCE: (List most recent first) – You may attach an extra sheet or a resume

  Employer                 Address/Phone #             Supervisor’s Name             Dates

1.________________________________________________________________________

2.________________________________________________________________________

3.________________________________________________________________________ 

May we contact previous employer ___________

VOLUNTEER ACTIVITIES:

Have you worked in libraries before? Yes___   No___

If yes, what were your duties?______________________________________________________________________________________________________________________________________________

Computer experience?  Extensive_____ Some____ None _____

If yes, what? ____________________________________________________________

Any other pertinent skills?

When are you available to work?  Day______ Evening _____Sat. _____

Date available to start. ____________

Are you legally eligible for employment in the United States?  Yes___   No ____

(Proof of citizen or immigration is required upon employment)

If you are less than 18 years of age, please give your age. ________________

Have you been convicted of a felony within the last 7 years?  Yes ________  No _______

If yes, please indicate date and place of conviction and describe the nature of the offense.

REFERENCES

            Name                                     Address                                Phone Number

1.  _______________________________________________________________________

2. _______________________________________________________________________

3. _______________________________________________________________________

Please read carefully before signing

      I certify that the information given by me in this application is true and complete.  In the event of employment, I understand that any false or misleading information given on the application or in the interview may result in discharge.

I understand and agree that all information furnished in this application may be verified by the Livonia Public Library.  I hereby release employers, schools, organizations or individuals named or referred to above from liability in responding to inquiries in connection with my application.

In consideration of my employment, I agree to comply with the policies, rules, regulations, and procedures of the Livonia Public Library and understand that my employment and compensation can be terminated with or without cause or notice, at any time, at the option of either the library or myself.  I further understand and acknowledge that this is an application for employment, that no employment contract is being offered and that if I am employed such employment is for an indefinite period of time and that the library can change wages, benefits and conditions at any time.

Signature_______________________________________   Date_____________

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