Job Application

Name*
First Last
Date*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Date Available
MM slash DD slash YYYY
What position are you applying for?
What about the position interests you?*
What interests you about working at the Library?*
How did you hear about this vacancy?

Where did you go to high school?
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
From Date to Date
Did you graduate?
College Attended
College Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
From Date to Date
Did you graduate?
Degree/Degrees
Other Education?
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
From Date to Date
Degree/Degrees

Reference 1
First Last
Relationship
Phone
Reference 2
First Last
Relationship
Phone
Reference 3
First Last
Relationship
Phone

Organization Name (Most Recent)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Supervisor
First Last
Job Title
Duties and Experience
Start Employment Date
MM slash DD slash YYYY
End Employment Date
MM slash DD slash YYYY
Reason for leaving
May we contact your previous supervisor as a reference?
Organization Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Supervisor
First Last
Job Title
Duties and Experience
Start Employment Date
MM slash DD slash YYYY
End Employment Date
MM slash DD slash YYYY
Reason for leaving
May we contact your previous supervisor as a reference?
Organization Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Supervisor
First Last
Job Title
Duties and Experience
Start Employment Date
MM slash DD slash YYYY
End Employment Date
MM slash DD slash YYYY
Reason for leaving
May we contact your previous supervisor as a reference?
Organization Name
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor
First Last
Job Title
Duties and Experience
Start Employment Date
MM slash DD slash YYYY
End Employment Date
MM slash DD slash YYYY
Reason for leaving
May we contact your previous supervisor as a reference?

Attach Files
Drop files here or

Accepted file types: pdf, doc, Max. file size: 512 MB.
It is strongly recommended that you provide a Cover Letter, Resume or other professional documents with your application.
Equal Opportunity Employment*
- I understand the DeKalb Public Library's Equal Opportunity Employment Policy
The DeKalb Public Library will provide equal opportunity to all employees and applicants for employment regardless of race, color, religion, age, sex, pregnancy, national origin, ancestry, disability (mental or physical), military status, marital status, order of protection status, genetic information, citizenship, parental status, sexual orientation, transgender status, or any other category protected by law. Such action shall include, but is not limited to: initial consideration for employment; job placement and assignment of responsibilities; performance evaluation; promotion and advancement; compensation and fringe benefits; training and professional development opportunities; formulation and application of human resource policies and rules; facility and service accessibility; and discipline and termination.
Signature*

"I certify that the information contained in this application is correct to the best of my knowledge and understand that falsification or omission of facts is grounds for dismissal.” “I understand that I may be asked to consent to a full review and disclosure of all employment, education, or criminal history information concerning myself, including any criminal conviction information which has not been expunged, sealed, or impounded."
Date*
MM slash DD slash YYYY

Job Application

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Job Application

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