SMRLD Application for Employment

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The information in this form is for the Six Mile Regional Library District only. Your information will not be shared with anyone else.

Name *

Please type your full name (first, middle, last).

Address *

Please type your current home address (example: 1234 Main Street).

City *

Please type the city in which you live (example: Granite City).

State *

Please type the two character postal abbreviation for your state (example: IL).

ZIP *

Please type your 5-digit ZIP code.

Primary Phone *

Please enter your primary phone number (mobile or home), including area code.

Secondary Phone

Please enter a secondary phone number if available.

E-mail Address *

Are you legally eligible for employment in the United States? *

Yes

What position are you applying for? *

Any Position Available

What date could you start? *

YYYY

How did you hear about this position?

Library website

Library employee

Craigslist

Other:

Clear selection

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