Library Job Applications

Job Application, open until [date] or until filled

Please direct any questions to our Assistant Director Katie Tyson, katie@loganlibrary.org or 270-726-6129 ex. 108
Please answer all questions as completely as possible. The use of this application does not create a contract between you and the Library and does not in any way obligate you or the Library. The Library does not discriminate in employment on the basis of race, color, sex, gender identity/expression, age, disability, religion, sexual orientation, national origin, status as a disabled Veteran, or because an individual is a smoker or nonsmoker, as long as said individual complies with any workplace policy concerning smoking.
Full Name*

First NameLast Name
E-mail*
Primary Phone Number*

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of employment you are seeking*
Position for which you are applying*
What date are you available to begin employment?*

MonthDayYear
Please indicate the days that you are available each week and what hours you are available for each.
Mondays*

Every WeekEvery Other WeekNever
Hours available Mondays*
Tuesdays*

Every WeekEvery Other WeekNever
Hours available Tuesdays *
Wednesdays*

Every WeekEvery Other WeekNever
Hours available Wednesdays *
Thursdays*

Every WeekEvery Other WeekNever
Hours available Thursdays*
Fridays*

Every WeekEvery Other WeekNever
Hours available Fridays *
Saturdays*

Every WeekEvery Other WeekNever
Hours available Saturdays*
Sundays*

Every WeekEvery Other WeekNever
Hours available Sundays*
Do you foresee any changes in your availability in the future (example: starting/ending school year, beginning/leaving other employment, etc)?*

YesNo
If so, when do you expect this change?

MonthDayYear
From that date forward, you will be available at the following dates and times:
Mondays

Every WeekEvery Other WeekNever
Hours available Mondays
Tuesdays

Every WeekEvery Other WeekNever
Hours available Tuesdays
Wednesdays

Every WeekEvery Other WeekNever
Hours available Wednesdays
Thursdays

Every WeekEvery Other WeekNever
Hours available Thursdays
Fridays

Every WeekEvery Other WeekNever
Hours available Fridays
Saturdays

Every WeekEvery Other WeekNever
Hours available Saturdays
Sundays

Every WeekEvery Other WeekNever
Hours available Sundays
Salary Requirement:
Hourly or Annual?

HourlyAnnual
Hourly Rate
Annual Salary
Are you legally eligible for employment in the United States?*

YesNo
Are you less than 18 years of age?*

YesNo
If yes, please enter your date of birth

MonthDayYear
Have you been convicted of a felony in the last 7 years?*

YesNo
If yes, please state date, place and nature of each conviction.
Have you ever been known by any other name(s) that the Library will need to know to verify any of the information contained on this application?*

YesNo
If yes, give name(s) and identify the related school, employer, etc.
Have you ever been employed by the Logan County Public Library?*

YesNo
If yes, please complete the following:
Branch/Dept.
Start Date

MonthDayYear
End Date

MonthDayYear
Does the Library currently employ any of your relatives?*

YesNo
If yes, please complete the following:
Name(s)
Department
Relationship
Employment Record
List your current or most recent employer first and indicate a continuous record of employment for the last five employers or from the time you left school.
If currently employed, may we contact your employer at this time for reference?

YesNo
#1
Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Start Date

MonthDayYear
End Date

MonthDayYear
Starting Salary
Ending or Current Salary
Name of Supervisor
Job Title and Duties
Reason for Leaving
Do you have another job to add?

YesNo
#2
Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Start Date

MonthDayYear
End Date

MonthDayYear
Starting Salary
Ending or Current Salary
Name of Supervisor
Job Title and Duties
Reason for Leaving
Do you have another job to add?

YesNo
#3
Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Start Date

MonthDayYear
End Date

MonthDayYear
Starting Salary
Ending or Current Salary
Name of Supervisor
Job Title and Duties
Reason for Leaving
Do you have another job to add?

YesNo
#4
Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Start Date

MonthDayYear
End Date

MonthDayYear
Starting Salary
Ending or Current Salary
Name of Supervisor
Job Title and Duties
Reason for Leaving
Do you have another job to add?

YesNo
#5
Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Start Date

MonthDayYear
End Date

MonthDayYear
Starting Salary
Ending or Current Salary
Name of Supervisor
Job Title and Duties
Reason for Leaving
Education
Please select highest grade completed from the drop down list*
List the last 5 schools (high school, technical/vocational school, college, business, military, etc.) you have attended, beginning with the most recent.
#1
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Did you graduate?

YesNo
Certification or degree received
Major/Minor Subjects
Do you have another school to add?

YesNo
#2
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Did you graduate?

YesNo
Certification or degree received
Major/Minor Subjects
Do you have another school to add?

YesNo
#3
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Did you graduate?

YesNo
Certification or degree received
Major/Minor Subjects
Do you have another school to add?

YesNo
#4
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Did you graduate?

YesNo
Certification or degree received
Major/Minor Subjects
Do you have another school to add?

YesNo
#5
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Did you graduate?

YesNo
Certification or degree received
Major/Minor Subjects
Specialized Training Skills
List all current licenses and/or areas of certification (if not listed above)
List all relevant equipment that you operate proficiently
List any other training, skills, aptitudes, and qualifications that you feel are relevant to the type of employment you are seeking at the Library
References
Please provide at least one educational, one professional, and one personal reference. You may provide additional references if you like.
#1
Full Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Years Known*
Relationship*

PersonalEducationalProfessional
#2
Full Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Years Known*
Relationship*

PersonalEducationalProfessional
#3
Full Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Years Known*
Relationship*

PersonalEducationalProfessional
Do you have another reference to add?

YesNo
#4
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Years Known
Relationship

PersonalEducationalProfessional
Do you have another reference to add?

YesNo
#5
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Years Known
Relationship

PersonalEducationalProfessional
Do you have another reference to add?

YesNo
#6
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Years Known
Relationship

PersonalEducationalProfessional
Resume
If you have a resume, please upload it here.

Upload a File

Cancelof
Read carefully before submission.
I certify that the information given by me in this application is true and complete. I understand and agree that any false information, misrepresentation, or concealment of facts is sufficient grounds for either my immediate discharge without recourse or refusal of employment by the Logan County Public Library.

I agree that if I am employed by the Logan County Public Library my employment may be terminated at any time without liability except such wages as may have been earned at the date of my termination. I further understand and acknowledge that this is an application for employment, that no employment contract is being offered and that if I am employed such employment is for an indefinite period of time and that the Library can change wages, benefits, and conditions at any time.

I understand and agree that all information furnished in this application may be verified by the Library. I also understand that any employment is subject to a satisfactory check of references and a criminal background check. I hereby authorize all individuals and organizations named or referred to in this application and any law enforcement organization to give the Library all information relative to my employment, work habits, and character and hereby release such individuals, organizations, and the Library from any liability for any claim or damage that may result.
E-signature*
Date*

MonthDayYear
Should be Empty:

Job Application, open until [date] or until filled

Employment Record

Education

Specialized Training Skills

References

Resume

Read carefully before submission.