Employment Application

Date

First Name

Last Name

Address

City/Town

State/Province

ZIP/Postal Code

Home Phone

Cell Phone

Email Address

Position Applying For

Availability

Days

After School

Evenings

Weekends

Date you can start

Education

High School

Name/Address of School, Years Completed, Did you graduate?, and Degree or Major

College

Name/Address of School, Years Completed, Did you graduate?, and Degree or Major

Other

Name/Address of School, Years Completed, Did you graduate?, and Degree or Major

Additional Training/Skills/Software

Employment/Volunteer History

Paid Work Experience (include any paid jobs including babysitting, pet sitting, lawn mowing, etc.)

Employer

Your Job Title

Employer

Your Job Title

Employer

Your Job Title

Address

City/Town

State/Province

ZIP/Postal Code

Employer's Phone Number

Supervisor's Name

Dates of Employment

Job Duties

Reason for Leaving

May we contact them?

Yes

No

Employer's Phone Number

Supervisor's Name

Dates of Employment

Job Duties

Reason for Leaving

May we contact them?

Yes

No

Employer's Phone Number

Supervisor's Name

Dates of Employment

Job Duties

Reason for Leaving

May we contact them?

Yes

No

Volunteer Experience

Include school/church activities, etc. -- list each activity separately along with a brief description and how long you were involved.

Signature

Important: Please read and sign

As an equal opportunity employer, this company's policy, as well as Federal and State Law, prohibits discrimination in employment based on race, color, religion, sex, national origin, physical handicap, or age with respect to individuals who are at least 18 years of age.
As part of this application for employment, I hereby authorize the company to investigate my references and to make an independent investigation of my character, conduct, and employment records.
I further agree that the giving of false or misleading information by me will be grounds for termination of employment.

Cover Letter and Resume

One file only.
100 MB limit.
Allowed types: txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods.

Town & Country Public Library

Employment Application

Education

Employment/Volunteer History