If applying in response to a help wanted advertisement, please list the position:
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Reference (1) One (Name, address, phone, occupation, relationships):
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Reference (2) Two (Name, address, phone, occupation, relationships):
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Reference (3) Three (Name, address, phone, occupation, relationships):
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Education: High School (Institution and location, diploma or degree/major, and GPA (if currently a student, or within 2 years of graduation))
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Education: College (Institution and location, diploma or degree/major, and GPA (if currently a student, or within 2 years of graduation))
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Education: Additional College (Institution and location, diploma or degree/major, and GPA (if currently a student, or within 2 years of graduation))
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Education: Other (Institution and location, diploma or degree/major, and GPA (if currently a student, or within 2 years of graduation))
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Previous Employment Record:
Account for all employment for the past 3 years. Do not list unemployment.
Employer (1) One: Name, address, dates of employment, position/work, earning rate, reason for leaving, Contact information if we may contact them.
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Employer (2) Two: Name, address, dates of employment, position/work, earning rate, reason for leaving, Contact information if we may contact them.
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Employer (3) Three: Name, address, dates of employment, position/work, earning rate, reason for leaving, Contact information if we may contact them.
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Authorization
I authorize the Iola Public Library/SEK Library System to contact the references and former employers I have designated; and to hold them harmless for the information they provide.
Signature (Provide full name as Authorization) *
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