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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.
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* Indicates required question
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
ZIP
*
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?
*
Yes
No
What position are you applying for?
*
Any Position Available
What date could you start?
*
MM
/
DD
/
YYYY
How did you hear about this position?
Library website
Library employee
Craigslist
Other:
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