Job Application - Galion Public Library

Galion Public Library

Application for Employment

We consider applicants for all positions without regard to race, color, creed, gender, national origin, age, disability, marital status, veteran status, sexual orientation, or any other legally protected status.

Job Announcement

See the full job announcement here.

Job Description

See the full job description here.

-Personal Information

Last Name
First Name
Middle Name
Street Address
City
State
Zipcode
Home Phone
Cell Phone
Are you currently employed?		Yes No
May we contact your present employer?		Yes No
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?		Yes No
Have you been convicted of a felony?		Yes No
How did you learn about us?		Advertisement Employment Agency Relative/Friend Walk-in Other:

-Education

	Name & Address	Course of Study	Years Completed	Diploma/Degree
High School
College
Other (Specify)

-Military

(Complete If You Have Served In The U.S. Armed Forces.)

Branch of Service
Start of Active Duty (month & year)
End of Active Duty (month & year)
Describe your duties and any special training.

-Experience

1
Count
	Employer
	Dates Employed
	Employer Address
	Employer Phone #
	Job Title
	Supervisor
	Hourly Pay / Salary
	Reason for Leaving
	Work Performed
2
	Employer
	Dates Employed
	Employer Address
	Employer Phone #
	Job Title
	Supervisor
	Hourly Pay / Salary
	Reason for Leaving
	Work Performed
3
	Employer
	Dates Employed
	Employer Address
	Employer Phone #
	Job Title
	Supervisor
	Hourly Pay / Salary
	Reason for Leaving
	Work Performed

-Additional Information

Other Qualifications

Summarize special job-related skills and qualifications acquired from employment or other experience.

-Specialized Skills

Do you have skills with this equipment?

Copy Machine		Yes No
Fax Machine		Yes No
Telephone		Yes No
Scanner		Yes No
Computer		Yes No
internet		Yes No
Social Media		Yes No
ebook Reader		Yes No

-References

1
Count
	Name
	Telephone
	Relationship
2
	Name
	Telephone
	Relationship
3
	Name
	Telephone
	Relationship

-Attachments

1
Cover Letter		Select your file for upload. Our most preferred format for this is PDF.
Resume		Select your file for upload. Our most preferred format for this is PDF.

Count
1	Other Documentation		Select your file for upload. Our most preferred format for this is PDF.
2
2	Other Documentation		Select your file for upload. Our most preferred format for this is PDF.
3
3	Other Documentation		Select your file for upload. Our most preferred format for this is PDF.

	The facts set forth above in my application for employment are true and complete to the best of my knowledge. I understand falsified information or significant omissions may disqualify me from further consideration for employment and may be considered grounds for dismissal if discovered at a later date.

Session Link

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