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RRLIB Employment Application Step 1 of 5 20% Name(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email(Required) Phone(Required)Gender (for insurance/labor stats)(Required)Pronouns(Required)Position desired(Required)Date available(Required) MM slash DD slash YYYY Desired pay(Required)Are you a citizen of the United States?(Required)Please choose one...YesNoIf not, are you authorized to work in the U.S.?(Required)Please choose one...YesNoHave you ever worked for the library system?(Required)Please choose one...YesNoIf yes, when and where?Have you ever been convicted of a felony?(Required)Please choose one...YesNoIf yes, explain. EDUCATIONHIGH SCHOOLHigh School(Required)High School Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code From(Required) MM slash DD slash YYYY To(Required) MM slash DD slash YYYY Did you graduate?(Required)Please choose one...YesNoDid you attend college?(Required)Please choose one...YesNoCOLLEGECollege Attended?College From MM slash DD slash YYYY College To MM slash DD slash YYYY Did you graduate college?(Required)Please choose one...YesNoDegreeDid you have a secondary education?(Required)Please choose one...YesNoSECONDARY EDUCATIONOtherFrom MM slash DD slash YYYY To MM slash DD slash YYYY Did you graduate secondary education?(Required)Please choose one...YesNoSecondary Degree: PREVIOUS EMPLOYMENTCompany #1Company #1 PhoneCompany #1 Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Company #1 SupervisorCompany #1 Job titleCompany #1 Starting salaryCompany #1 Ending salaryCompany #1 Start date MM slash DD slash YYYY Company #1 End date MM slash DD slash YYYY Company #1 ResponsibilitiesCompany #1 May we contact your previous supervisor for a reference?(Required)Please choose one...YesNoCompany #2Company #2 PhoneCompany #2 Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Company #2 SupervisorCompany #2 Starting salaryCompany #2 Ending salaryCompany #2 Job titleCompany #2 Start date MM slash DD slash YYYY Company #2 End date MM slash DD slash YYYY Company #2 ResponsibilitiesCompany #2 May we contact your previous supervisor for a reference?(Required)Please choose one...YesNoCompany #3Company #3 PhoneCompany #3 Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Company #3 SupervisorCompany #3 Starting salaryCompany #3 Ending salaryCompany #3 Job titleCompany #3 Start date MM slash DD slash YYYY Company #3 End date MM slash DD slash YYYY Company #3 ResponsibilitiesCompany #3 May we contact your previous supervisor for a reference?(Required)Please choose one...YesNo MILITARY SERVICEBranchMilitary Start date MM slash DD slash YYYY Military End date MM slash DD slash YYYY Rank at dischargeIf other than honorable, please explain DISCLAIMER & SIGNATURESignatureI certify my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand false and misleading information in my application or interview may result in my release. Still Have A Question? Ask A Librarian
