SMRLD Application for Employment
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).
Your answer
Address *
Please type your current home address (example: 1234 Main Street).
Your answer
City *
Please type the city in which you live (example: Granite City).
Your answer
State *
Please type the two character postal abbreviation for your state (example: IL).
Your answer
Please type your 5-digit ZIP code.
Your answer
Primary Phone *
Please enter your primary phone number (mobile or home), including area code.
Your answer
Secondary Phone
Please enter a secondary phone number if available.
Your answer
E-mail Address *
Your answer
Are you legally eligible for employment in the United States? *
What position are you applying for? *
What date could you start? *
How did you hear about this position?
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