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CRLS Application

If you are hired by the Chestatee Regional Library System, you will be required to attest to your identity and employment eligibility, and to present documents confirming your identity and employment eligibilty.  You cannot be hired if you cannot comply with these requirements.


AUTHORIZATION
I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge.  I understand that any false statement, omission, ormisrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed.

I understand and agree that nothing contained in this application, or conveyed during any interview, is intended to create an employment contract.  I further understand, that if hired, my employment will be "at will" and without a fixed term, and may be terminated at any time, with or without cause and without prior notice.

I understand that filling out this form does not indicate there is a position open and does not obligate the library to hire.  I agree to abide by all library work rules, policies and procedures.  The library retains the right to revise its policies or procedures, in whole or part, at any time.

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* Required information.
Date of Application *
First Name *
Last Name *
Street Address *
City/State/Zip *
Telephone (home) *
Telephone (cell)
Email address
How long at current address: *
Are you 16 years of age or older? *
Have you ever been convicted of a felony? *
If yes, please explain.
Position applied for: *
Referred by: *
Salary Desired: *
Date that you can start: *
Have you ever applied to this library before? *
If yes, when?
May we contact your current employer? *
EMPLOYER 1 - Name and address of previous employer: *
EMPLOYER 1 - Employment Dates: From (mo/yr) To (mo/yr) *
EMPLOYER 1 - Position: *
EMPLOYER 1 - May we contact?
EMPLOYER 1 - Phone:
EMPLOYER 1 - Reason for leaving: *
EMPLOYER 2 - Name and address of previous employer:
EMPLOYER 2 - Employment Dates: From (mo/yr) To (mo/yr)
EMPLOYER 2 - Position:
EMPLOYER 2 - May we contact?
EMPLOYER 2 - Phone:
EMPLOYER 2 - Reason for leaving:
EMPLOYER 3 - Name and address of previous employer:
EMPLOYER 3 - Employment Dates: From (mo/yr) To (mo/yr)
EMPLOYER 3 - Position:
EMPLOYER 3 - May we contact?
EMPLOYER 3 - Phone:
EMPLOYER 3 - Reason for leaving:
HIGH SCHOOL - Name/Location of School: *
HIGH SCHOOL - Last year completed: *
HIGH SCHOOL - Did you graduate? *
HIGH SCHOOL - Subjects studied and/or degree received: *
COLLEGE - Name/Location of School:
COLLEGE - Last year completed:
COLLEGE - Did you graduate?
COLLEGE - Subjects studied and/or degree received:
COLLEGE/TRADE SCHOOL/OTHER EDUCATION - Name/Location of School:
COLLEGE/TRADE SCHOOL/OTHER EDUCATION - Last year completed:
COLLEGE/TRADE SCHOOL/OTHER EDUCATION - Did you graduate?
COLLEGE/TRADE SCHOOL/OTHER EDUCATION - Subjects studied and/or degree received:
GENERAL INFO: Subjects of Special Study or Research Work
GENERAL INFO: Job-related Skills (typing, computers…)
GENERAL INFO: Activities (civic, athletic, academic)
REFERENCE 1 - Name: *
REFERENCE 1 - Address: *
REFERENCE 1 - Telephone: *
REFERENCE 1 - Years Acquainted: *
REFERENCE 2 - Name: *
REFERENCE 2 - Address *
REFERENCE 2 - Telephone: *
REFERENCE 2 - Years Acquainted: *
REFERENCE 3 - Name: *
REFERENCE 3 - Address *
REFERENCE 3 - Telephone: *
REFERENCE 3 - Years Acquainted: *

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