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Application for Employment

CONTACT INFORMATION

Name:

Street Address:

City: State: Zip:

What Position are you applying for?

I understand the job requires working some evenings,Saturdays, and/or Sundays

Yes: No:
Home Phone: Work Phone:

List the name and relationships of relatives already employed by Ouachita Parish Public Library:


EDUCATION

Name of High School:

Highest Grade Completed: Graduated? Yes: No: Year

Name of College:

Highest Grade Completed: Graduated? Yes: No: Year

Additional School:

Highest Grade Completed: Graduated? Yes: No: Year

List any equipment or Machine you can operate

List your Computer experience or any Computer courses you have completed


PREVIOUS EMPLOYMENT
Begin with your most recent employer

Company Name:

Address:

City: State/Zip: Phone:

Dates employed: From To Wage:

Duties:

Reason for Leaving


Company Name:

Address:

City: State/Zip: Phone:

Dates employed: From To Wage:

Duties:


Reason for Leaving



Company Name:

Address:

City: State/Zip: Phone:

Dates employed: From To Wage:

Duties:


Reason for Leaving


Are you a Veteran? Yes: No:


PERSONAL AND BUSINESS REFRENCES
Two Required

Name of Reference:

Title: Email:

Company Name:

Address:

City: State/Zip: Phone:

Name of Reference:

Title: Email:

Company Name:

Address:

City: State/Zip: Phone:

Additional Information:

Special Skills,as story telling,public speaking,media expectation,art,awards,training,professional training courses:


Your Signature to the following statement is necessary to secure consideration of your application.

"I hereby warrant that the information given by me on and with this form is true,correct,and complete,and i understand that if I am employed by the Ouachita Parish Public Library and it is found at any time during my employment that any of any such information is false,I will be subject to dismissal.I furthermore agree if employed to follow all rules and regulations of the library.I hereby authorize my former employers or references whose names i will give to furnish any information concerning my personal character,habits,ability,disposition,and other qualification and i release them from any and all liabilities or damages of whatsoever nature on account of furnishing such information".

"If offered employment at the Ouachita Parish Public Library,I agree to be tested and to successfully pass a drug screening in order to be added to the payroll.The screening will be done by an Independent laboratory with the cost to be covered by the Ouachita Parish Public Library.I agree and give my permission for the Ouachita Parish Public Library to conduct a background check."


I agree to the above statement,

Name:

Date:

A digital signature is recommended to fill this form and submit it via email.Digital signatures can be acquired from sources on the web like Verisign,Formdocs,etc.
Digital Signature Field:


If you have a resume please email it seperately to Carolyn Chatham,cchatham@oplib.org.Please mention in the email that your on line application has been filled.


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