Putnam County Public Library - Application for Employment
In order for you to be considered for employment, this application must be filled out in its entirety.
Resumes are welcome, but will not replace information requested in the application.
Are you applying for... *
Required
What position are you applying for?
Your answer
Why do you wish to work here? *
Your answer
Name *
Your answer
Address 1 *
Your answer
Address 2
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Email Address
Your answer
Are you legally able to work in the U.S.? *
What date are you be able to start? *
MM
/
DD
/
YYYY
Please Add the Times You Are Able to Work for Each Day
Monday
Please add the Times You Are Available to Work or "Anytime"
Your answer
Tuesday
Please add the Times You Are Available to Work or "Anytime"
Your answer
Wednesday
Please add the Times You Are Available to Work or "Anytime"
Your answer
Thursday
Please add the Times You Are Available to Work or "Anytime"
Your answer
Friday
Please add the Times You Are Available to Work or "Anytime"
Your answer
Saturday
Please add the Times You Are Available to Work or "Anytime"
Your answer
Have you been convicted or pled guilty to a felony or misdemeanor? *
If yes, please explain:
Your answer
Education
High School
Name of High School *
Your answer
Location of High School *
Your answer
Did you Graduate from High School? *
Education
College/Other
Name of College/Other
Your answer
Location of College/Other
Your answer
Major of Study
Your answer
Did You Graduate?
Licenses, Certificates, Degrees? *
Your answer
Other courses, seminars, volunteer work that would apply for this position? *
Your answer
What office equipment, software, apps, and others computer programs do you use? *
Your answer
Present Employer (or Most Recent)
Present Employer (or Most Recent) Name *
Your answer
Street Address and Phone Number *
Your answer
Employed From: *
MM
/
DD
/
YYYY
Employed To:
MM
/
DD
/
YYYY
Ending Salary *
Your answer
Name of Immediate Supervisor *
Your answer
Your Position *
Your answer
Reason for Leaving *
Your answer
Previous Employer #1
Previous Employer #1 Name
Your answer
Previous Employer #1 - Street Address and Phone Number
Your answer
Previous Employer #1 - Ending Salary
Your answer
Previous Employer #1 - Employed From:
MM
/
DD
/
YYYY
Previous Employer #1 - Employed To:
MM
/
DD
/
YYYY
Previous Employer #1 - Ending Salary
Your answer
Previous Employer #1 - Name of Immediate Supervisor
Your answer
Previous Employer #1 - Your Position
Your answer
Previous Employer #1 - Reason for Leaving
Your answer
Previous Employer #2
Previous Employer #2 Name
Your answer
Previous Employer #2 - Street Address and Phone Number
Your answer
Previous Employer #2 - Ending Salary
Your answer
Previous Employer #2 - Employed From:
MM
/
DD
/
YYYY
Previous Employer #2 - Employed To:
MM
/
DD
/
YYYY
Previous Employer #2 - Name of Immediate Supervisor
Your answer
Previous Employer #2 - Your Position
Your answer
Previous Employer #2 - Ending Salary
Your answer
Previous Employer #2 - Reason for Leaving
Your answer
By checking this box you affirm that all information in this application is true and complete to the best of your knowledge. Any misrepresentation may disqualify you for consideration of employment or may cause your dismissal. I acknowledge and consent to the investigation being carried out by telephone or in writing with former, current employers. *
Required
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