Birmingham Public Library Employment Application

Birmingham Public Library

Employment Application
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Position Applied for:
Are you seeking:
Salary Requirement
Have you ever worked at Birmingham Public Library?
Do you have any relatives working here?
If so, who?
This application may be considered for any location. Please select all locations where you are available to work.
EDUCATION
Name of School
Major Subject
Graduated
Degree Completed
Last Year Attended
Name of School
Major Subject
Graduated
Degree Completed
Last Year Attended
Name of School
Major Subject
Graduated
Degree Completed
Last Year Attended
Employment Experience
Job Title
Employer Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor's Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Employment Status
May we contact this employer
Job Duties Performed:
Salary Start/End
From

MonthDayYear
Date
To

MonthDayYear
Date
Reason for leaving:
Job Title
Employer Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor's Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Employment Status
May we contact this employer
Job Duties:
Salary Start/End
From

MonthDayYear
Date
To

MonthDayYear
Date
Reason for leaving:
Job Title
Employer Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor's Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Employment Status
May we contact this employer
Job Duties:
Salary Start/End
From

MonthDayYear
Date
To

MonthDayYear
Date
Reason for leaving:
Please include Resume and Transcript for positions requiring a degree

word, pdf file
Cancelof
Please Read Carefully before signing

Application Statement
As part of our employment process, an investigation may be made with respect to an applicant's credit status, character, general reputation, personal characteristics and mode of living. Additional information as to the nature and scope of such report, if made, will be provided upon written request of the applicant.
Date

MonthDayYear
Date
LIABILITY RELEASE

TO WHOM IT MAY CONCERN:

As an applicant for employment with Birmingham Public Library, I understand that a thorough background investigation may be conducted to qualify me for eligibility.

"I hereby authorize the custodian of any information related to my previous employment, driving record, education, residence, criminal convictions, credit standing, or character, to release said information to the purpose of employment only. Upon receipt of this document, please release information directly related to the categories shown, and to which you have direct knowledge or documented evidence. I agree to hold harmless any individual agency involved with the authorized release of legitimate information". Thank you for your cooperation.

Authorized by:
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Drivers License #, State of Issue
Company/Agency Requesting Info
Signature
Date

MonthDayYear
Date
Should be Empty:

Birmingham Public Library

EDUCATION

Employment Experience

Please Read Carefully before signing