Basic Employment Application

THIS IS NOT A REAL APPLICATION. Practice filling out an online application. Use the tab key to move to the next box. Information entered into the practice application will not be used by the library in any way.

* Required

Last Name *

First Name *

Date of Application *

Present Address *

Telephone *

If under 18, please list current age:

Position applied for

Salary desired * Please be specific.

How many hours can you work weekly? *

Can you work nights? *

Employment desired *

FULL-TIME only
PART-TIME only
FULL or PART-TIME

Educational History * Please list all educational history, including a list of schools attended (name + address), # of years completed, and any major/degree.

Have you ever been convicted of a crime? *

If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.

References * Please list two references other than relatives or friends.

Do you have a driver's license? *

Have you ever been in the Armed Forces?

Are you now a member of the National Guard?

Military History Please list your specialty, date entered, and discharge date as appropriate.

Work Experience * Please provide a list of work experience from most recent to least recent for the last 5 years. Please include employer address, name of supervisor, dates of employment, salary, title, and reason for leaving.

Please tell us how you feel about the following statements. *

	1 - strongly disagree	2 - disagree	3 - neutral	4 - agree	5 - strongly agree
I am always late for appointments.
I often lose my temper when dealing with people.
I work best alone.
It's important to be honest at all times
Working in a group can be difficult.

Additional Information Please summarize any additional information necessary to describe your qualifications for the specific position you are applying for.

May we contact your current employer? *

Did you complete this application yourself? *

Yes
No
Other: