Contact-Online Application Form

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Online Application for Employment

Employment Application Information

Thank you for your interest in employment with Louisburg Library District No. 1, Miami County.

It is our policy to provide equal employment opportunities to all qualified persons without regard to race, age, color, sex, religion, national origin, disability, or marital status.

Please complete the entire application form. Incomplete applications may not be considered. You may attach additional information such as a resume, cover letter, or references to supplement your application.

All information provided will be kept confidential and used only for the purpose of evaluating your qualifications for employment.

If you have any questions about the application process, please contact the Library at 913-837-2217.

Date*

Position applying for:

Name*

Mailing Address*

E-Mail Address*

Cell Phone*

Are you a US citizen or authorized to work in the US on an unrestricted basis?*

Are you 16 years of age or older?*

Are you willing to work on Saturdays?

Are you willing to work Sundays?

Are you willing to work weekends?

If applying for part-time employment, do you prefer

Can you fulfill all the essential functions listed on the posted job description?*

Explain:

Have you ever been employed by this library?*

Reason for leaving:

Are you related to anyone who works at this library or who serves on the Board of Trustees?*

Name and relationship:

May we check with you past employers for references?*

May we check with your present employer for a reference?*

Would you be willing to use your car for job related business, with per mile reimbursement?*

Have you ever been convicted of or pled guilty to a felony?*

If yes, please give the date, place and nature of the charge for which you were convicted:

EDUCATION

WORK and/or MILITARY EXPERIENCE

REFERENCES (2)