Delta County Libraries Employment Application Form

Employment Application Form:
Answer each question fully and accurately. No action can be taken on this application until you have answered all questions. If you need to save your application before it is complete, scroll to the bottom of the form and click "save." You will receive an email with a link to continue your application later. Once you have competed the application, please click "submit."
Personal Information:
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
E-mail*
example@example.com
Job for which you are applying:*
Are You at Least 18 Years of Age?*

YesNo
Are You Eligible to Work in the United States*

YesNo
If employed, do you expect to be engaged in any additional business activities outside of your job.*

YesNo
If "Yes," give details here.
Employment Desired:
Date You Can Start*

MonthDayYear
Salary Desired*
Employment Type*

Full TimePart TimeTemporary
Have You Worked Here Before?*

YesNo
Have You Applied Here Before?*

YesNo
Education:
High School*
Name of High School Attended
Number of Years Attended*
Graduated?*

Yes
College
Name of College/University Attended
Number of Years Attended
Graduated?

Yes
Area of Study/Degree
Graduate School
Name of Graduate School Attended
Number of Years Attended
Graduated?

Yes
Area of Study/Degree
Trade School/Other
Name of Trade/Technical/Other School Attended
Number of Years Attended
Graduated?

Yes
Area of Study/Degree
Skills/Qualifications:
Skills*
List any relevant skills
Qualifications*
List any relevant certifications or qualifications
Community
List professional, trade, business or civic activities and offices held.
Current Employment:
List names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, give firm name and supply business references. Maximum of 10 years is needed.

Note: A job offer may be contingent upon acceptable references from current and former employers.
Current Employer*
Name of Current Employer or NONE if not Employed
Position*
Reason for Leaving?*
Start Date*

MonthDayYear
May We Contact?*

YesNo
Previous Employment :
Previous Employer*
Name of Previous Employer
Position*
Reason for Leaving?*
Start Date*

MonthDayYear
End Date*

MonthDayYear
Previous Employer
Name of Previous Employer
Position
Reason for Leaving?
Start Date

MonthDayYear
End Date

MonthDayYear
Professional and Work Related References:

No Relatives
Reference 1*
Name of Reference
Relationship
Years Acquainted
Phone
Email
Reference 2*
Name of Reference
Relationship
Years Acquainted
Phone
Email
Reference 3*
Name of Reference
Relationship
Years Acquainted
Phone
Email
Computer Technology Skills Self Evaluation
What operating systems are you familiar with? Check all that apply.*

Microsoft WindowsAppleChromeAndroid
What Office 365 applications have you used? Check all that apply.*

OutlookSharePointOneDriveOffice Programs (Word, Excel, etc.)
What devices are you familiar with? Check all that apply.*

Windows or Apple computersKindleAndroidiPhone, iPadChromebookMobile hotspot
Cover Letter & Resume:
Your application should include a cover letter and resume. Your references should be professional and work related.
Cover Letter*

Cancelof
Resume*

Cancelof
Send Application:
By clicking the submit button below, I certify that all of the information provided by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option.

I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.

I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers, and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.

I understand that if I am extended an offer of employment, it may be conditioned upon my successfully passing a complete pre-employment background screening.
I understand and agree to the terms listed above (please sign).

Clear
This application for employment will remain active for a limited time.
The Delta County Libraries is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors.

In reading and answering the above questions, be aware that none of the questions are intended to imply illegal preferences or discrimination based upon non-job-related information.
Should be Empty:

Employment Application Form:

Personal Information:

Employment Desired:

Education:

Skills/Qualifications:

Current Employment:

Previous Employment :

Professional and Work Related References:

Computer Technology Skills Self Evaluation

Cover Letter & Resume:

Send Application: