| Name: | |
| Address: | |
| City, State, Zip | |
| Primary Phone: | |
| Email Address: | |
| Position or type of work desired: | |
| List any job you are not interested in: | |
| Why are you interested in the McCracken County Public Library? | |
| Would you prefer a regular work schedule or work on special projects within a more flexible time frame? | Regular Flexible |
| Are there any days or times of the year when you are not available? | |
| Are there specific days during the week that you prefer to work? | Sun Mon Tues Wed Thurs Fri Sat |
| Is there a time during the day that you would prefer to work? | Morning Afternoon Evening |
| How many hours per week would you have to give to the Library? | |
| Have you ever been arrested? | Yes No |
| Have you ever been convicted of a misdemeanor? | Yes No |
| Have you ever been convicted of a felony? | Yes No |
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| Education: | |
| Highest Level of Education Attained: | |
| Prior Work Experience (include any relevant volunteer work as well): | |
| Place of Employment: | |
| Address: | |
| City, State, Zip: | |
| Phone: | |
| Supervisor: | |
Description of work: | |
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| Place of Employment: | |
| Address: | |
| City, State, Zip: | |
| Phone: | |
| Supervisor: | |
Description of Work: | |
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| Place of Employment: | |
| Address: | |
| City, State, Zip: | |
| Phone: | |
| Supervisor: | |
Description of Work: | |
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| References: | |
| Name: | |
| Address: | |
| Phone: | |
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| Name: | |
| Address: | |
| Phone: | |
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| Name: | |
| Address: | |
| Phone: | |
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| Digital Signature: | |
| By initialing this box, you agree that all above information is accurate and correct to the best of your knowledge: | |
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| Library Skills and Aptitude Measurement: | |
| Please put the following titles in alphabetical order (1-5) with 1 being the first title alphabetically: | |
| A Yellow Raft in Blue Water | |
| Yell Down the Water Spout | |
| Yesterday's Gone | |
| Yeoman from Madrid | |
| Yellowing Dreams | |
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| Please put the following numbers in the correct order (1-5) with 1 being the lowest number and 5 being the highest: | |
| 917.17 | |
| 917.22 | |
| 920.09 | |
| 917.4 | |
| 920 | |
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| Please put the following author names in alphabetical order (1-5) with 1 being the first author alphabetically: | |
| Smith, John C. | |
| Smiley, Jane | |
| Thompson, Richard | |
| Thompsen, Thomas | |
| Smith, John Witherall | |
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| Emergency Contacts | |
| Name: | |
| Relationship to Applicant: | |
| Home Phone: | |
| Work Phone: | |
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| Name: | |
| Relationship to Applicant: | |
| Home Phone: | |
| Work Phone: | |