Application for Employment
Prairie River Library District
Name
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit 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
2 digit month, 2 digit day, 4 digit year
Date
Ending Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Degree
Skills
Library Related Skills
Rows
Low Level
Middle Level
High Level
Computer Skills
Customer Service
Working with the Public
Presentations
Employment Information
Employment Desired
*
Materials Courier
Circulation Specialist (Kamiah & Kooskia)
Date Available
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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
2 digit month, 2 digit day, 4 digit year
Date
End Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit 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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