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Emporia Public Library Application for Employment

PERSONAL INFORMATION:

Please read all instructions carefully and complete all sections of the application completely and accurately. The Emporia Public Library is an equal opportunity employer and considers all applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any legally protected status.

If you have any questions about the job application or requirements, please contact the Emporia Public Library Director, Robin Newell at (620) 340-6464 or newellr@emporialibrary.org.
Position you are applying for: (*)
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First Name:
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Middle Name:
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Last Name:
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Address:
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Apartment No:
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City:
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State:
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Zip:
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Home Phone Number:
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Mobile Phone Number:
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E-Mail:
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NOTE: If you input your e-mail, we will send you a copy of this application once you submit it.
Are you 16 years of age or older?:
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Have you served in the U.S. Armed Forces?:
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If yes, state branch of service:
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Honorable Discharge?:
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Are you a member of a National Guard Unit?:
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If yes, how many weeks per year of obligation?:
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Would you accept full-time work?:
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If yes, please attach a cover letter and resume at the end of the application.
Would you accept part-time work?:
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If yes, please list hours available in the text area at the end of the application.
On what date would you be available to work?:
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Have you previously been employed by the Emporia Public Library?:
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If yes, please provide dates:
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Do you have a legal right to be employed in the U.S.? (If Yes, proof is required):
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Have you ever been convicted of a felony?:
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If yes, please explain:
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Special training or skills: (languages, machine operation, etc.) that would benefit you in the job for which you are applying:
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EDUCATIONAL BACKGROUND:

High School:
Name of High School:
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Have you graduated high school?:
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Vocational/Technical/Trade School:
Name of Vocational/Technical/Trade School:
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Graduate Semester/Year:
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Vocational/Technical/Trade School Course of Study:
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College:
Name of College:
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College Graduate Semester/Year:
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College Course Study:
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Graduate School:
Name of Graduate School:
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Graduate school graduate semester/year:
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Graduate school course of study:
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Other Schooling:
Name of Other Schooling (Specify):
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Other Schooling Graduate Semester/Year:
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Other School Course of Study:
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EMPLOYMENT HISTORY:

Company Name:
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Company Address:
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Company Phone Number:
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Employed From (Month/Year):
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Employed To (Month/Year):
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Rate of Pay:
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Supervisor Name:
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May we contact Supervisor:
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Job Duties:
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Reason for Leaving:
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Company Name:
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Company Address:
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Company Phone Number:
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Employed From (Month/Year):
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Employed To (Month/Year):
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Rate of Pay:
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Supervisor Name:
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May we contact supervisor?:
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Job Duties:
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Reason for Leaving:
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Company Name:
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Company Address:
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Company Phone Number:
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Employed From (Month/Year):
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Employed To (Month/Year):
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Rate of Pay:
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Supervisor Name:
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May we contact supervisor?:
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Job Duties:
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Reason for Leaving:
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PERSONAL REFERENCES:

Give the names and addresses of three individuals who have known you well for at least two years and to whom we may refer for a personal reference if necessary.
Name:
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Phone Number:
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Street:
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City:
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Occupation:
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E-Mail:
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Name:
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Phone Number:
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Street:
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City:
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Occupation:
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E-Mail:
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Name:
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Phone Number:
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Street:
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City:
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Occupation:
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E-Mail:
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Cover Letter & Resume:

Cover Letter Upload:
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Resume Upload:
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NOTE: If you are unable to upload your cover letter or resume, please e-mail them to clarkr@emporialibrary.org.
Please include any extra information that you want to include in your application. If you selected Part-Time work at the beginning of the application, please include the hours that you are available in this text box:
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Applicant's Statement:

I certify that the information provided by me on this application for employment is true and complete to the best of my knowledge.

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 if I am employed, any false or misleading information given in my application or interview(s) may result in discharge.
Signature (By typing your full name, you agree to the applicant's statement above): (*)
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Date: (*)
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Before you submit your application, please type out the code to make the application valid: (*) Before you submit your application, please type out the code to make the application valid:
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**NOTE**: If you get a "Please complete all required fields!" error, make sure you completed all questions that were required (marked with an " * "). Also make sure you correctly typed in the security code at the bottom of the application.
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