Champaign County Library Job Application
Library staff play an integral role in helping the library serve our community and endeavoring to meet their information needs.  The Champaign County Library is looking for driven, dedicated, and professional people to help make our library a friendly and patron-minded place for the people of Champaign County.
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First Name *
First and last name
Last Name *
Today's date
 *
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Street Address *
City, State, Zip *
Email *
Phone number *
Which position(s) are you interested in? *
Required
1. Employer (most recent) *
Dates Employed *
Work Performed *
2. Employer
Dates Employed
Work Performed
3. Employer
Dates Employed
Work Performed
Are you over the age of 18? (If under 18, hire must provide proof of eligibility to work) *
Have you ever been employed with us before? If yes, give approximate dates, position and department. *
Do any of your friends or relatives work for the Champaign County Library? *
If you are currently employed, may we contact your employer? *
Are you legally eligible to work in the United States? (Proof of citizenship or immigration status will be required upon employment) *
When would you be available to start? *
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DD
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When are you available to work?  Check all that apply. *
Required
What level of education have you completed? Check all that apply. *
Required
Please provide the name of the school(s) and specific degrees earned. *
Describe any additional job-related skills and qualifications.
Please list 2 professional references with name, company, address, phone number and relationship (e.g. supervisor, co-worker). *
Applicant's Statement: I certify that the information provided by me on this application for employment is true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. *
Resume (optional)
Please send resume and/or cover letter to

Ty Henderson, Director
thenderson@champaigncountylibrary.org

Champaign County Library
1060 Scioto Street
Urbana, OH 43078
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