Application for Employment
Iola Public Library / Southeast Kansas Library System
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Email *
Date:
MM
/
DD
/
YYYY
Full Name (First, M.I., Last)
Address
Phone
Applying for employment
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Do you type proficiently?
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If applying in response to a help wanted advertisement, please list the position:
Reference (1) One (Name, address, phone, occupation, relationships):
Reference (2) Two (Name, address, phone, occupation, relationships):
Reference (3) Three (Name, address, phone, occupation, relationships):
Education: High School (Institution and location, diploma or degree/major, and GPA (if currently a student, or within 2 years of graduation))
Education: College (Institution and location, diploma or degree/major, and GPA (if currently a student, or within 2 years of graduation))
Education: Additional College (Institution and location, diploma or degree/major, and GPA (if currently a student, or within 2 years of graduation))
Education: Other (Institution and location, diploma or degree/major, and GPA (if currently a student, or within 2 years of graduation))
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.
Employer (2) Two: Name, address, dates of employment, position/work, earning rate, reason for leaving, Contact information if we may contact them.
Employer (3) Three: Name, address, dates of employment, position/work, earning rate, reason for leaving, Contact information if we may contact them.
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) *
Submit
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