KANSAS CITY PUBLIC LIBRARY
14 West 10
th
StreetKansas City, Missouri 64105816/701-3651 Fax: 816/701-3401 Job Line: 816/701-3421Web site:http://www.kclibrary.orgAn Equal Opportunity Employer Committed to Cultural Diversity
APPLICATION FOR EMPLOYMENT
Please print in black or blue ink. If filled out on-line, use the tab key to movethrough the form. When finished, you can save a copy of this Word document to adisk.
Date:
Last (print above)FirstMiddle
(
)
Address (street, apt. #)Phone: Home
(
)
City, State, Zip CodePhone: Business
E-mail AddressDo you have the legal right to work permanently in the United States?Yes NoList any other names under which youhave been employed.
Is your age under 16?Yes NoHow were you referred to the Library?
Name of any relative(s) employed by the Library:
NameRelationshipAre you currently employed by KCPL? Yes NoHave you ever been employed by KCPL? Yes NoIf yes, give the titles and dates of employment:
POSITION OBJECTIVE
(write below)Are you interested in: (mark all that apply)Full-time Temporary Full-timePart-time Temporary Part-timeSubstituteFor what position(s) or type of work are you applying?
Minimum salary requirement:
Tell briefly why you are interested in employment with theKansas City Public Library:Hours Available:
MorningAfternoonEvening
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
EMPLOYMENT RECORD
List all employment starting with the latest employer first and activities including self-employment for the past 10 years if possible.Account for periods of unemployment. Use additional paper if necessary.
LIST YOUR CURRENT OR MOST RECENT EMPLOYER FIRST
.
1. Name of EmployerAddressPhone
Employed (mo/yr)From: To:Starting Salary
Ending Salary
Name of Supervisor
Job TitleDept.Reason for Leaving; Please explain
Duties:
2. Name of EmployerAddressPhone
Employed (mo/yr)From: To:Starting Salary
Ending Salary
Name of Supervisor
Job TitleDept.Reason for Leaving; Please explain
Duties:
3. Name of EmployerAddressPhone
Employed (mo/yr)From: To:Starting Salary
Ending Salary
Name of Supervisor
Job TitleDept.Reason for Leaving; Please explain
Duties:
4. Name of EmployerAddressPhone
Employed (mo/yr)From: To:Starting Salary
Ending Salary
Name of Supervisor
Job TitleDept.Reason for Leaving; Please explain
Duties:
5. Name of EmployerAddressPhone
Employed (mo/yr)From: To:Starting Salary
Ending Salary
Name of Supervisor
Job TitleDept.Reason for Leaving; Please explain
Duties:
May we contact your previous employer at this time for a reference and verification? Yes NoAfter notification, may we contact your current employer for a reference and verification? Yes NoIf needed, may we call you at your current place of employment? Yes No
EDUCATION
Check highest grade completed:9101112123456+High SchoolCollegeList all schools attended: high school and above, technical/vocational, college, business, military, etc.School (write below)Credit HoursDid yougraduate?Certification or Degree ReceivedMajor Subject Name:
Yes No
CityState Name:
Yes No
CityState Name:
Yes No
CityState Name:
Yes No
CityStatePlease list the state and type of your current driver’s license.State:
Type:
(some of our positions require that you hold a specific type).
Special Skills and Qualifications
Summarize special training, skills and proficiencies (i.e. typing, etc.):
List all computer software in which you are proficient and describe your level of competency:
List any honors, scholarships, fellowships, publications and thesis topics:
List foreign languages read, written or spoken (and indicate fluency):
List any special courses or seminars taken within the last 5 years:
ACTIVITIES
List any activities and other information you feel would beof use in evaluation of your qualifications for the positionyou seek (e.g., professional assoc., positions in outsideorganizations). Do not list information revealing race,religion, color, national origin, sex, age or ancestry.
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Employment Application
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| Category: | Uncategorized. |
| Rating: | |
| Upload Date: | 11/20/2009 |
| Copyright: | Attribution Non-commercial |
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