Boyd County Public Library Application for Employment
Personal Data
Date Submitted: (*)
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Last Name, First Name, Middle Initial: (*)
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Mailing Address: (*)
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City: (*)
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State: (*)
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Zip Code: (*)
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Home Phone: (*)
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Alternate Phone:
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Email:
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Are you legally eligible for employment in the United States? (Proof of U.S. citizenship or immigration status will be required upon employment.) (*)
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Have you ever been convicted of a felony within the last seven years? (Such conviction may be relevant if job related, but does not necessarily disqualify you from employment.) (*)
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Position applying for: (*)
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Date available to begin employment: (*)
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Do you have schedule limitaitons? (*)
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If yes, list unavailable times:
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Have you ever been employed by Boyd County Public Library:
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If yes, which branch or department:
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Employed from when to when:
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Does the Boyd County Public Library employ any of your relatives? (*)
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If yes, please list their name, department and how they are related to you.
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Education and Employment Data
High School Attended (Name and Location): (*)
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Diploma Received: (*)
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GED
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List all schools attended; technical/vocational school, college, business, military, etc.
Name & city, state of school
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Did you graduate:
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Principal field of study:
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No. of years completed
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Degree/Certificate received:
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Name & city, state of school
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Did you graduate:
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Principal field of study:
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No. of years completed
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Degree/Certificate received:
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Name & city, state of school
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Did you graduate:
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Principal field of study:
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No. of years completed
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Degree/Certificate received:
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Name & city, state of school
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Did you graduate:
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Principal field of study:
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No. of years completed
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Degree/Certificate received:
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Employment History
(List current or most recent job first)
Employer: (*)
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Dates
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Address:
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Hourly Rate/Salary: (*)
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Work Performed: (*)
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Supervisor's Name & Phone Number:
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May we contact him/her?
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Reason for leaving: (*)
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Employer:
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Dates:
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Address:
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Hourly Rate/Salary:
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Work Performed:
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Supervisor's Name & Phone Number:
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May we contact him/her?
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Reason for leaving:
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Employer:
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Dates:
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Address:
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Hourly Rate/Salary:
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Work Performed:
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Supervisor's Name & Phone Number:
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May we contact him/her?
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Reason for leaving:
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Employer:
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Dates:
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Address:
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Hourly Rate/Salary:
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Work Performed:
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Supervisor's Name & Phone Number:3
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May we contact him/her?
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Reason for leaving:
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Affiliations
List Professional Memberships and Affiliations:
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List Professional & Trade Licenses Held:
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Skills
Profficient with Information Management Tools (Such as Windows applications and Microsoft Office):
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List any integrated library systems used:
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Check all skills that apply:
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List Additional skills & Proficiencies:
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Why would you like to work at Boyd County Public Library?
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What skills and training qualify you for this position?
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What portions of your work experience qualify you for this job?
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Professional References
Name: (*)
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Address:
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Email:
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Phone: (*)
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Relationship: (*)
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Name:
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Address:
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Email:
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Phone:
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Relationship:
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Name:
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Address:
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Email:
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Phone:
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Relationship:
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By clicking SUBMIT:
I certify that answers given herein are true and complete to the best of my knowledge and that failure to provide the information requested in a truthful, accurate, and complete manner may result in disqualification, revocation of conditional employment, or termination.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that successfully passing a criminal background review, reference check, and if applicable, a credit check, may be required as a condition for employment. Also, I am aware that I must provide proof of U.S. citizenship, proof of permanent residence, or authorization to work if I accept the position.
I understand that this application for employment shall be considered active for a period of time not to exceed 90 days. Any applicant wishing to be considered for employment beyond this time period should resubmit a new application for any open positions.
I hereby understand and acknowledge that unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means employment may be terminated either by the organization or the employee, and that such termination can be made with or without notice or cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.
