Application for Employment
Prairie River Library District
Name
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Are you a citizen of the United States?
*
Yes
No
Can you travel if the job requires it?
*
Yes
No
Education
Do you have a high school diploma or GED certificate?
*
Yes
No
Name of College or University
Location
Course of Study
Starting Date
-
Month
-
Day
Year
Date
Ending Date
-
Month
-
Day
Year
Date
Degree
Skills
Library Related Skills
Rows
Low Level
Middle Level
High Level
KOHA ILS
Computer Skills
Public Speaking
Customer Service
Working with the Public
Presentations
Employment Information
Employment Desired
*
District Substitute
Branch Assistant, Lapwai
Date Available
-
Month
-
Day
Year
Date
*If applying for substitute position what branches are you available to sub at?
Branch Locations: Craigmont, Culdesac, Kamiah, Kooskia, Lapwai, Nezperce, Peck, Winchester.
Are you related by blood or marriage to anyone employed by Prairie River Library District including any branch libraries
Yes
No
Current/Most Recent Employment
Company Name
Supervisor Name
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Reason for Leaving
Work Reference
Title
Reference Name
First Name
Last Name
Company Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Additional Notes
Please upload a resume
*
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