St. Charles Parish Library Application For Employment

Please complete all of the information requested.

Name Name First Middle Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Primary Phone Number Primary Phone Number - ### - ### ####
Secondary Phone Number Secondary Phone Number - ### - ### ####
Email
Are you at least 16 years of age?

Are you at least 16 years of age? Yes No
Are you legally permitted to work in the United States?

Are you legally permitted to work in the United States? Yes No
Do you have any relatives employed by the St. Charles Parish Library?

Do you have any relatives employed by the St. Charles Parish Library? Yes No
State the name of any relatives employed by this library and how they are related:
Have you ever been convicted of or plead guilty to a felony or other crime (except for minor traffic offenses)?

Have you ever been convicted of or plead guilty to a felony or other crime (except for minor traffic offenses)? Yes No
If yes, please explain:
If employed, you must be able to furnish proof that you meet State of Louisiana minimum work age requirements and that you are legally entitled to work in the United States. If the position for which you are hired requires driving, you will be required to provide proof that you have a valid driver’s license and insurance.
Employment Desired
Please select the position(s) you are interested in from the list below. You will be considered for only those positions checked and for which you are qualified.

Please select the position(s) you are interested in from the list below. You will be considered for only those positions checked and for which you are qualified. Page (book shelver) Circulation Assistant Administrative/Clerical Facilities Maintenance Computer Services Custodian Circulation Supervisor (requires Bachelor's Degree or significant library experience) Librarian (requires an ALA-accredited Master's Degree in Library Science) Other (specify) Other (specify)
Please indicate whether you are interested in:

Please indicate whether you are interested in: Full-time (40 hours/week) Part-time Both full-time and part-time positions
Days and hours available to work:

Days and hours available to work: Flexible (available to work any day and time) Limited - indicate days and hours available to work below:
What is your desired wage/salary?
How did you learn about employment at our library?

How did you learn about employment at our library? Library's website Newspaper College/School Library jobs email list Walk-In Other (specify) Other (specify)
Referred by:
Education
Name and Location of High School
Did you graduate?

Did you graduate? Yes No
Highest Grade Completed:

Highest Grade Completed: 9 11 10 12
GED or High School Equivalency Received:

GED or High School Equivalency Received: Yes No
List Colleges or Universities Attended
School Name and Location (city/state)
Course of Study
Number of Years Completed
Did you graduate?

Did you graduate? Yes No
Degree Earned (if applicable)
Add another school?

Add another school? Yes No
School Name and Location (city/state)
Course of Study
Number of Years Completed
Did you graduate?

Did you graduate? Yes No
Degree Earned (if applicable)
List any other specialized training, certifications, experience, or skills you feel we need to know about in considering your application:
A copy of the diploma or certificate will be required prior to hiring for all positions that require a high school diploma, GED, High school equivalency diploma, certifications, or a college degree.
Employment History

List most recent employment first.
Employer's Name
Phone Phone - ### - ### ####
Email
Address Address
Street Address City State / Province / Region
Supervisor's Name/Title
Dates Employed (Month/Year to Month/Year)
Your Job Title
Ending Pay Rate
Reason For Leaving
Brief Description of Job Duties
Add Second Job?

Add Second Job? Yes No
Employment History: Job 2
Employer's Name
Phone Phone - ### - ### ####
Email
Address Address
Street Address City State / Province / Region
Supervisor's Name/Title
Dates Employed (Month/Year to Month/Year)
Your Job Title
Ending Pay Rate
Reason For Leaving
Brief Description of Job Duties
Add Third Job?

Add Third Job? Yes No
Employment History: Job 3
Employer's Name
Phone Phone - ### - ### ####
Email
Address Address
Street Address City State / Province / Region
Supervisor's Name/Title
Dates Employed (Month/Year to Month/Year)
Your Job Title
Ending Pay Rate
Reason For Leaving
Brief Description of Job Duties
Upload any additional documents, such as a resume or cover letter.

Attach Files
The St. Charles Parish Library is an equal opportunity employer in accordance with local, state, and federal laws. All qualified applicants are considered without regard to their race, color, religion, gender, national origin, age, marital status, medical condition, or disability. All offers of employment are conditional upon passing all required examinations and lab tests, including a drug screen.

I certify that all answers given by me herein are true and complete to the best of my knowledge and belief, and that any omission or misstatement of material fact on this application shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. I understand that this application is not intended to create a contract, and the employment relationship, if one is commenced, may be terminated at any time, with or without cause or notice, by either party. I hereby authorize the St. Charles Parish Library to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize my former employers to disclose to the library any and all of my employment records without giving me notice of such disclosure.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

St. Charles Parish Library Application For Employment

St. Charles Parish Library Application For Employment

Employment Desired

Education

List Colleges or Universities Attended

Employment History

Employment History: Job 2

Employment History: Job 3