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GCDPL Application for Employment
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Name *
Address
Phone
Position Applying For?
Availability? *
Desired Location?
Clear selection
Are you available to perform the job function of the position for which you are applying with or without reasonable accommodation?
Do you have a library card?
Clear selection
Do you have a valid drivers license?
Clear selection
Are you legally authorized to work in the United States?
Clear selection
Are you at least 18 yeas of age?
Clear selection
Do you have any relatives currently employed by the library?
Clear selection
If yes, please list names and titles
Education
High School
Dates attended High School?
Did you graduate?
Clear selection
Education
College
Dates attended College?
Did you graduate?
Clear selection
Degree earned?
Please list any additional skill, certifications, or training:
Do you have any computer experience?
Clear selection
Employment History
Employer/Company:
Address/Phone:
Position held:
Name & Title of Supervisor:
Dates employed:
Reason for leaving:
May we contact this employer?
Clear selection
Employer/Company:
Address/Phone:
Position held:
Name & Title of Supervisor:
Dates employed:
Reason for leaving?
May we contact  this employer?
Clear selection
References:
Name, Address, Phone, & Relationship
Employment eligibility is contingent upon a satisfactory criminal background check. 
Signature of Applicant:
The Guernsey County District Public Library is an equal Opportunity Employer
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