WEBSTER PUBLIC LIBRARY
Application for Employment
Library Page

Date of application:_______________

Name:_____________________________ Phone:_______________

Address:_______________________________________________

City, State, Zip:__________________________________________

Eductation:

Have you received a High School or General Equivalency Diploma?

_____Yes      _____No        Expected date of graduation: _______

If no, also circle the highest grade completed: 8  9  10  11  12

Name of high school Course of major studies:_______   
Year graduated: _______

School attended beyond high school level : _______     
Major:  _______  
Degree received: _______  
                            

Academic average: _____   Mark one: high school _____ college_____

Do you have working papers?         Yes                  No                           

Please note: Working papers are not required if you are over 18 years of age.  For high school students, working papers are required by the Town of Webster for insurance purposes. You will need to have the papers in hand on your first day of work.  Contact your school office for further information.

Work Experience:

Starting date:                 Ending date:              Hours per week:                  

Name & Address & Telephone of present or last employer:                                                                                                                                                  

Name of your immediate supervisor:                                                           

Your Job Title and Description of Duties:                                                                                                                            

Volunteer Experience:

Starting date:                   Ending date:              Hours per week:                 

Name & Address & Telephone of nonprofit agency, etc.:                                                                                                                                                       

Name of your immediate supervisor:                                                            

Your Job Title and Description of Duties:
                                                                                                                          

Extracurricular activities: 

Special Skills: Please itemize any skills you feel would be relevant to this position.

Employment Schedule:

An example of our shifts is 9:00 a.m. until 12:00 p.m. , 3 to 6 p.m. , or 6 to 9 p.m.   Please circle the day or part of the day that you are available to work on a regular basis:

If you are under 18 years of age, please state your date of birth (month/day/year): _____________________________

Are you available to work 12 months of the year?  ___Yes         ___No

Can you be available on short notice?       ___Yes           ___ No

Describe any other limitation on your employment:

_____________________________________________________________________

_____________________________________________________________________

Signature:_______________________________      Date _________

Webster Public Library is an Equal Opportunity Employer

Please print out this form and return the completed copy to 
Olivia Durant, Adult and Teen Services Librarian
Webster Public Library, Webster Plaza, 980 Ridge Road, Webster, NY 14580

Webster Public Library
Webster Plaza, 980 Ridge Road, Webster, New York 14580 USA
Telephone: 585-872-7075    Web site: www.websterlibrary.org
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