ARLINGTON PUBLIC LIBRARY Application For Employment
500 W. 1st Street, Arlington, Oregon | (541) 705-2555 | arlingtonpubliclibraryor97812@gmail.com
Position & Availability
Position Applying For:
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Available Start Date:
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Are you available to work 26-30 hours per week, Monday-Friday and occasional Saturdays?
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Yes
No
Do you have reliable transportation?
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Yes
No
Are you willing to submit to a standard screening and criminal background check?
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Yes
No
Are you legally eligible to work in the United States?
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Yes
No
Personal Information
Full Name
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First Name
Last Name
Street Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
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Other
Country
Mailing Address
*
City, State, Zip
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Education
High School Name & Location
*
Do you have a high school diploma or GED certificate?
*
Yes
No
College/Trade School Name & Location (if applicable):
Degree or Major (if applicable):
Employment/Volunteer History
(beginning with your most current or most recent position)
Employer 1 Name
*
Employer 1 City, State
*
Employer 1 Job Title
*
Employer 1 Dates (From)
*
Employer 1 Dates (To)
*
Employer 1 Duties and Responsibilities
*
Employer 1 Reason for Leaving
*
Employer 2 Name
Employer 2 City, State
Employer 2 Job Title
Employer 2 Dates (From)
Employer 2 Dates (To)
Employer 2 Duties and Responsibilities
Employer 2 Reason for Leaving
Employer 3 Name
Employer 3 City, State
Employer 3 Job Title
Employer 3 Dates (From)
Employer 3 Dates (To)
Employer 3 Duties and Responsibilities
Employer 3 Reason for Leaving
Employer 4 Name
Employer 4 City, State
Employer 4 Job Title
Employer 4 Dates (From)
Employer 4 Dates (To)
Employer 4 Duties and Responsibilities
Employer 4 Reason for Leaving
Childcare, Education, or Youth Programming Experience
Please list any previous employment, volunteer work, or educational background involving children, youth programs or literacy:
Organization/Employer:
Your Role/Title:
Dates Active:
Duties and Responsibilities:
Organization/Employer:
Your Role/Job Title:
Dates Active:
Duties and Responsibilities:
Short Answer Questions
What interested you most about this position at the library?
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Describe an idea you have for a children's story time or an after-school program
*
Professional References
(Please list two professional references, not friends or family.)
Reference 1 Name
*
First Name
Last Name
Reference 1 Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 1 Relationship
*
Reference 2 Name
*
First Name
Last Name
Reference 2 Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 2 Relationship
*
Authorization
APPLICANT SIGNATURE AND CERTIFICATION - I certify that the information contained in this application is true and complete to the best of my knowledge. I understand that any false statements or omissions may result in the rejection of my application or termination of employment. I consent for Arlington Public Library to contact any of my references, employers, and educational institutions regarding my qualifications, work record, work habits, and performance. I release said parties from all liability for damages which might result from discussing these matters.I permit Arlington Public Library to conduct a background check on me, with notification to me before it occurs. The check will cover criminal history and, if relevant, driving history in Oregon State and federal law enforcement agencies.I certify that I am legally eligible to be employed in the United States and will be required to complete a federal I-9 Employment Eligibility Verification within three days of the date employment begins.If employed, I shall willingly comply with all policies of Arlington Public Library. I also understand that job placement does not guarantee permanent employment.
Applicant Signature
*
Application Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Application
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