Employment Application Date:Position Applied For: Name: First Last Address: Street AddressStreet Address Line 2CityStateZip CodePhone: Area Code - Phone Number E-mail:Are you 18 years or older? YesNoHave you ever been convicted of violating any law? (all convictions are to be included except minor traffic offenses)YesNoIf yes, please provide the following information: Date Location Offense: Comments:EducationList high schools, colleges, night schools, or technical schools you've attended (list most recent first):1. School Name, Location, Concentration/Degree2. School Name, Location, Concentration/Degree:3. School Name, Location, Concentration/Degree:4. School Name, Location, Concentration/Degree:Are you currently attending school? YesNoPlease list other training, qualifications or job skills:Previous Work ExperienceList work experience below (most recent/current first)1. Work Experience: Employer Name and LocationPosition/TitleStart DateEnd Date2. Work Experience: Employer Name and LocationPosition/TitleStart DateEnd Date3. Work Experience: Employer Name and LocationPosition/TitleStart DateEnd DateReferences1. Reference: Name Relationship Phone Number 2. Reference: Name Relationship Phone Number 3. Reference: Name Relationship Phone Number Number of hours desired: Are you willing and able to work evenings and/or Saturdays?YesNoAre you willing and able to shelve books?YesNoDate you are available for employment:If you have a resume and/or cover letter, you may upload those items here:The Lincoln Township Public Library is an equal opportunity employer.PLEASE READ THE FOLLOWING CAREFULLY PRIOR TO SIGNING:I have read and understand the statements contained in this application and I certify that they are true.I understand making any false or incomplete statements in this application or in my resume could be grounds for dismissal.Previous employers who are contracted by Lincoln Township Public Library in connection with my application for employment have my authorization to respond to all inquiries to release information to Lincoln Township Public Library relating to my education, degrees and other achievements I have claimed on this application and/or in any resume I have supplied. I further authorize and acknowledge the Lincoln Township Public Library may perform a criminal background check to confirm the information on this application. I release Lincoln Township Public Library, previous employers and educational institutions of any claimed liability out of such a response and disclosure in consideration of acceptance of my application.I understand that Lincoln Township Public Library is a drug-free workplace, and that any offer of employment may be conditional upon the results of a drug screen by a physician selected by Lincoln Township Public Library. If I become employed by Lincoln Township Public Library I agree to comply with applicable policies, rules and regulations. I understand and agree that my employment and compensation can be terminated, with or without notice, at any time, by either the Lincoln Township Public Library or myself. Length of time during which an employee, applicant for employment or a terminated employee may bring a lawsuit against the library: Any claim or lawsuit resulting from my service with the Lincoln Township Public Library must be filed no more than six (6) months from the date of the employment action that is subject to the claim or lawsuit. I waive any statute of limitations to the contrary. This application will be considered active for six months from the date filed. If you are hired, it becomes part of your official employment record. Please type your full name below to electronically sign your application: First Last Today's Date:SubmitReset
