SHERIDAN PUBLIC LIBRARY

APPLICATION FOR EMPLOYMENT AS A PAGE

 

Today’s Date_____________________

Name (Print)___________________________________________________________________

Address_______________________________________________________________________

City/Zip___________________________________     Telephone (_____)_________________

Email _______________________________________________________

Are you legally eligible for employment in the U.S.?   ___Yes    ___No

What is your age?___________                                  What grade level are you in at school?_______

What is your latest grade point average?_________  How many hours would you like to work?_____

How soon are you available for employment?__________________________________________

 

Educational Background:

   High School attending and city/state__________________________________________________

Work History:  List the last 3 places of employment, addresses and reasons for leaving.

1.______________________________________________________________________

________________________________________________________________________

2.______________________________________________________________________

_______________________________________________________________________

3.______________________________________________________________________

________________________________________________________________________

 

References:   List 3 personal references with addresses and telephone numbers;  NO relatives.

Name                        Phone                       How do you know them

1.______________________________________________________________________

2.______________________________________________________________________

3.______________________________________________________________________ (over)

Please indicate your computer proficiency:

_____Beginner

_____Intermediate

_____Advanced

Please list any specific qualities or training_______________________________________________

________________________________________________________________________________

________________________________________________________________________________

Please list any extra-curricular activities that you are involved in_______________________________

________________________________________________________________________________ ________________________________________________________________________________

Do you have any library experience?     _________ Yes       ____________No

If yes, please describe_______________________________________________________________

Have you ever been convicted of or pled guilty to a felony or misdemeanor?  ______Yes    _______No

If yes, what were you convicted of or what did you plead guilty to and when did that occur?_________

________________________________________________________________________________

I certify that the facts contained in this application are true and complete to the best of my knowledge and I understand that, if employed, falsified statements on the application shall be grounds for dismissal.

I also authorize agents of the Sheridan Public Library to investigate anything contained in this application including contacting personal references and past employers.

Signature of applicant_______________________________________    Date________________