McKinley Memorial Library Employment Application

Last Name

First Name

Position(s) Applied For

Date of Application

Address

Phone number

Email address

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Have you ever filed an employment application with McKinley Memorial Library in the past?

If you answered "Yes" to the above question, please provide the month/year that you applied:

Have you ever been employed with McKinley Memorial Library in the past?

If you answered "Yes" to the above question, please provide the month/year that you were employed with us:

Are you currently employed?

Do you give McKinley Memorial Library permission to contact your current employer?

Are you authorized to work in the United States?

On what date would you be available for work?

Please select any/all of your work availability from the following options

Are you currently on "lay-off" status and subject to recall?

Do you have any relatives who work for this library or who are on the Board of Trustees?

Please enter the name & location of the High School you attend(ed):

If yes, please list their name(s) & relationship

Years Completed (High School)

Course of Study (High School)

Diploma/Degree Earned (High school)

Please enter the name & location of College/University you attend(ed)

Course of Study (College/University)

Diploma/Degree Earned (College/University)

Please list any other schools you have attended along with diplomas/degrees earned in the box below:

Describe any specialized training, skills and/or extra-curricular activities that may be relevant to the position you are seeking:

Describe any honors/special recognitions you have received:

State any additional information that you feel may be helpful to us in considering your application:

List professional organization memberships

Employer (1)

Dates Employed (1)

Employer's Phone Number (1)

Employer's Address (1)

Your Job Title (1)

Starting Salary/Hourly Rate (1)

Final Salary/Hourly Rate (1)

Supervisor's Name (1)

Duties Performed (1)

Reason for Leaving (1)

Employer (2)

Dates Employed (2)

Employer's Phone Number (2)

Employer's Address (2)

Your Job Title (2)

Starting Salary/Hourly Rate (2)

Final Salary/Hourly Rate (2)

Supervisor's Name (2)

Duties Performed (2)

Reason for Leaving (2)

Employer (3)

Dates Employed (3)

Employer's Phone Number (3)

Employer's Address (3)

Your Job Title (3)

Starting Salary/Hourly Rate (3)

Final Salary/Hourly Rate (3)

Supervisor's Name (3)

Duties Performed (3)

Reason for Leaving (3)

Summarize special job-related skills and qualifications acquired from employment or other experience:

Have you ever had any job-related training in the United States military?

If you answered "Yes" to the above question, please describe the training you had in the space below:

Are you physically or otherwise unable to perform the duties of the job for which you are applying?

Reference #1

Reference #2

Reference #3

I have read the following statement completely, and by checking the box below, I certify that I agree to everything stated within

Position Applying For

Race/Ethnic Group

Sex

Vietnam Era Veteran

Disabled Veteran

Do you have a disability or medical condition that needs to be accommodated to provide you with an accessible work environment?

Referred by: