Employment

Completed applications may be returned to any of our 3 locations at Morganfield, Uniontown, or Sturgis.

 

Union County Public Library District

Application for Employment


________________________________________________________________________________
Name (First)    (Middle)    (Last)   (date)

________________________________________________________________________________
Address (street)    (city)   (state)    (zip code)

Social Security number__________________ Home phone____________Cell phone________________

Email address: __________________________________________________________________________

Are you between the ages of 18 – 64 yrs. of age? _____Are you legally authorized to work in the U.S.?____

Have you previously been employed by the Library District? ______ if yes, give dates_________________

Position you are applying for____________________________________salary expected______________

If you have any relatives working for the Library District, please list them below:

________________________________________________________________________________
  (Name)        (Relationship)

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Education:

________________________________________________________________________________
Elementary school (name & location)       Graduation date

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High School (name & location)        Graduation date

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College (name & location)

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Area of study

________________________________________________________________________________
Major      Minor      Degree

________________________________________________________________________________
Grad school (name & location)                       Degree

Further education contemplated: ____________________________________________________________

 

Employment History

Please list last position first

*________________________________________________________________________________
Company         dates of employment

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Address       City   State  Zip code


Name & Title of immediate supervisor                         may we contact them?

________________________________________________________________________________
Duties & responsibilities                    rate of pay

________________________________________________________________________________
Reason for leaving

*________________________________________________________________________________
Company         dates of employment

________________________________________________________________________________
Address       City   State  Zip code

________________________________________________________________________________


Name & Title of immediate supervisor                         may we contact them?

________________________________________________________________________________
Duties & responsibilities                    rate of pay

________________________________________________________________________________
Reason for leaving


*________________________________________________________________________________
Company         dates of employment

________________________________________________________________________________
Address       City   State  Zip code

________________________________________________________________________________
Name & Title of immediate supervisor                         may we contact them?

________________________________________________________________________________
Duties & responsibilities                    rate of pay

________________________________________________________________________________
Reason for leaving

Military Service

________________________________________________________________________________
Branch of service    highest rank achieved   dates of service

________________________________________________________________________________
Are you a disabled veteran?  


Personal References


Other than relatives

________________________________________________________________________________
Name        phone number   years known

________________________________________________________________________________
Address     City    State   Zip code

May we contact them? ________________________

________________________________________________________________________________
Name        phone number   years known

________________________________________________________________________________
Address     City    State   Zip code

May we contact them? ________________________
 

________________________________________________________________________________
Name        phone number   years known

________________________________________________________________________________
Address     City    State   Zip code

May we contact them? ________________________

Physical Data

Please describe any positions or types of positions you should not be considered for, or job duties you cannot perform because of a medical, physical or mental disability or handicap:

 

Please also email resume to unionlib@roadrunner.com 


 

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Signature