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Employment Application

It is the policy of the library not to discriminate on the basis of race, color, religion, national origin, sex, ancestry, disability or age. The library is an Equal Opportunity Employer.

Your Contact Information

First Name: *

Middle Initial:

Last Name: *

Email: *

Mailing Address: *

City: *

State: *

Zip Code: *

Phone Number: *

Include area code

Alternate Phone Number:

Include area code

Permanent Addres

(If different from above)

Street:

City:

State:

Zip Code:

Position

Applying for:

How did you learn about the position?:

What location are you applying for?:

What department are you applying for?:

What type of job are you seeking?:

If part-time, indicate maximum hours desired per week:

When are you available to begin work?:

List the hours you're available to work:

Daytime

Evening

Weekend

If you are only available specific hours, please explain:

Are you eligible for employment in the US?:

Yes

Are you at least 15 years of age?:

Yes

Are you at least 16 years of age?:

Yes

Do you have a relative either employed by the Olathe Public Library or on the Library Board?:

Yes

If yes, please name the employee/board member:

Employment

In the spaces below give your complete record of employment during at least the past ten years. List your positions in the order you held them, starting with your present or most recent position. Explain any gaps between periods of employment under "Comments" below.

Employer:

Position:

Address:

City:

State:

ZIP:

Employment Dates:

Salary: $

Supervisor Name, Title, Phone:

Specific Duties:

Reason for Leaving:

Employer:

Position:

Address:

State:

ZIP:

Employment Dates:

Salary: $

Supervisor Name, Title, Phone:

Specific Duties:

Reason for Leaving:

Employer:

Position:

Address:

State:

ZIP:

Employment Dates:

Salary: $

Supervisor Name, Title, Phone:

Specific Duties:

Reason for Leaving:

Employer:

Position:

Address:

State:

ZIP:

Employment Dates:

Salary: $

Supervisor Name, Title, Phone:

Specific Duties:

Reason for Leaving:

Miscellaneous

If presently employed, please explain why you wish to leave your current position:

Have you ever supervised other employees?:

Yes

If Yes, in which position?:

Describe the extent of your responsibilities as a supervisor:

Do you have a valid Kansas driver's license?:

Yes

Do you have a valid Kansas chauffeur's license?:

Yes

Have you ever been discharged or forced to resign from any job for misconduct or unsatisfactory service?:

Yes

If Yes, please explain:

Have you ever been convicted of a felony?:

Yes

If Yes, please explain:

Check the following areas in which you have skill or experience. In the space provided below, describe your skill, experience, o:

Library Skills

Computer Experience

Volunteer Experience

Oral Communication

Writing

Art

Media

Mechanical

Clerical

Typing or Keyboard

Office Equipment

Other Skills/Licenses

Educational Record

Choose highest grades completed.

High School:

College:

Graduate/Professional:

GED Date:

month/year

Name:

High School

Name:

City/State:

Dates Attended:

month/year

Major Subjects/Courses:

Graduation Date:

Colleges/Other Schools

Name:

City/State:

Dates Attended:

month/year

Major Subjects/Courses:

Graduation Date:

Name:

City/State:

Dates Attended:

month/year

Major Subjects/Courses:

Graduation Date:

Name:

City/State:

Dates Attended:

month/year

Major Subjects/Courses:

Graduation Date:

References

Please provide as references any three individuals who are not related to you and who have knowledge of your work related abilities and skills.

Name:

Occupation:

Address/Phone:

Name:

Occupation:

Address/Phone:

Name:

Occupation:

Address/Phone:

Do you object if we contact your present employer for a reference?:

Yes

If yes, please explain:

By submitting this application I agree that the information on this application is true and complete. If employed, I understand that misrepresentation on this application may be sufficient cause for dismissal. The Olathe Public Library is authorized to investigate all statements made on this application.

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Employment Application