EMPLOYMENT APPLICATION
Fairfield County District Library
Qualified applicants will be considered for employment in compliance with all Federal and State equal employment laws.
Date:
*
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Month
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Day
Year
Date
Name:
*
First Name
Middle Initial
Last Name
Street Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
City, State Zip
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Telephone Number
*
Format: (000) 000-0000.
General Information
Check all that apply. Please note that Library positions require day, evening, and weekend shifts.
Preferred Locations:
Lancaster
Amanda
Baltimore
Bremen
Carroll
Full time / Part time / Any available position
Full time
Part time
Any available position
What type of job are you interested in?
Public Service
Youth Service
Custodial
Clerical/Administrative
*Professional Librarian (*Requires MLS or MLIS)
Please check the box for hours you are available to work: Most positions require two weekends a month and one or two evenings per week.
Rows
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Morning
Afternoon
Evening
Education
High School
Name
City
Completed
College/University
Name
City
Completed
Major/Field of Study
Other
Name
City
Completed
Major/Field of Study
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Technology Experience
Technology Experience
Microsoft Word
Microsoft Excel
Internet Searching
Online Databases
Library Catalog
eBook Platforms (OverDrive, Libby, etc.)
Basic Trouble Shooting (PC/Printer)
Social Media Platforms
Technology Comfort Level:
Beginner
Intermediate
Advanced
Work Experience
List your three most recent jobs.
Company:
Position/Title:
From
To
Job duties:
Supervisor:
Telephone No.
Format: (000) 000-0000.
May we contact?
Employer #2
Company:
Position/Title:
From
To
Job duties:
Supervisor:
Telephone No.
Format: (000) 000-0000.
May we contact:
Employer #3
Company:
Position/Title:
From
To
Job duties:
Supervisor:
Telephone No.
Format: (000) 000-0000.
May we contact:
Please note any volunteer work or experience that may relate to the position applied for:
At the present time, do you have an immediate family member working for the Fairfield County District Library? (Immediate family is defined as spouse, child, stepchild, grandchild, parent, grandparent, brother, sister, or a person residing in the trustee or employee household.)
*
Yes
No
If yes, please list
Short Answer Question
Why are you interested in working in the Fairfield County District Library?
*
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Resume/Cover Letter
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Agreement: Please read before signing
I certify that the answers given herein are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my employment and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, or persons from liability in responding to inquiries in connection with my application.
In the event of employment, I understand that false or misleading information given on the application or in the interview(s) may result in discharge. I understand that any offer of employment is contingent upon my ability to comply with the Immigration and Naturalization Service regulations establishing my identity and right to work in the United States. The Library reserves the right to make inquiry into the applicant's criminal record, to conduct a criminal background check and to condition any offer of employment on the information obtained from any such inquiry or background check. In evaluating an applicant's criminal record, the Library shall make an individualized assessment utilizing the factors permitted by applicable law.
I agree that should I become employed, as a condition of my employment and in consideration of my employment, that I will conform to the rules and policies of the Fairfield County District Library and I understand that my employment can be terminated by the Library for any reason not contrary to law. I further understand that should I become employed by the Library that I will not be guaranteed employment for any specific period of time, nor will I be guaranteed any specific pay or benefits, as the Library can change pay and benefits. Moreover, I understand that if I become employed I can terminate my employment at the Library for any reason at any time, though the Library requests the courtesy of 2-weeks notice of resignation. Finally, I understand that no supervisor or representative of the Fairfield County District Library, other than the Director, has the authority to enter into any agreement with me contrary to the foregoing, and any agreement with the Director contrary to the foregoing must be in writing to be valid.
I agree that any claim or lawsuit relating to my service with the Fairfield County District Library or any of its branches or subsidiaries must be filed no more than six (6) months after the date of employment action that is the subject of the claim or lawsuit. I waive any statute of limitations to the contrary.
This application shall be considered active for no more than six (6) months. After that time applicants will be required to resubmit a complete application.
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Month
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