Application for Employment at West Feliciana Parish Library by gtu20753

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									          Application for Employment at West Feliciana Parish Library
P.O. Box 3120 11865 Ferdinand Street                                         St. Francisville, Louisiana 70775


Instructions: Please type or print in ink all information requested on this form. If additional details will be of value
in answering these questions, use a separate sheet. False or misleading statements will be cause for rejection or for
dismissal after appointment.
                                Incomplete Application forms will not be considered.
Position applied for: ________________________________________________________________
Names of relatives already employed by West Feliciana Parish Library or Board: ____________________________

Personal data: Full Name: ___________________________________
        Mailing address: ________________________Physical Address: ______________________________
        Town, State and ZIP: _________________________________________________________________
        Home Phone: __________________________Cell Phone: ___________________________________
        Social Security #: ________________________________ Date of Birth ________________________


Education: Circle last year of education completed: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Name and location of High School _________________________________ Graduation date: ______________
Name and location of College, Vocational or Business School: _______________________________________
                                                  Major subject: ________. Degree date: ___________________
Graduate School and location:__________________________________________________________________
Degree:________________ Date it was conferred: ________________. Number of credits: _________________
If your resume does not include the following, please do so here:
Professional Associations you presently belong to: _________________________________________________
__________________________________________.
Articles, books or other published works, including title, publication and date:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________




Please continue to 2nd page……>>>

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Previous Employment
Using your resume as a basis, list below your Full Time and Part Time employment. Start with present or most recent
employment and go back ten years. Be as specific in your answers.
 (Attach as many sheets as necessary.)

1.
Name of employer ______________________________ Type of business _______________________________

Address of employer ________________________________________ Phone/cell number: ___________________

Your Position Title : _______________________________ Part time? ___________ Full Time ?_____________

Name and title of your immediate supervisor: _____________________________________________________

                                               _____________________________________________________

May the Library contact this person?      _____Yes _____No. Phone / cell number: _______________________

Starting Salary $ ____________ per _______________          Ending Salary $ ____________ per _______________
Number__________ and positions of people you supervised:




List 10 job responsibilities of this job, assigning each an “importance value” % for a total of 100 ( 50%, 10%, etc.).




What was your biggest challenge in this job? How did you overcome it?




What was your biggest project in this job? Who worked on it with you?




Dates of employment in this position from ___________to __________

Reason for leaving this job
_____________________________________________ _____________________                      __________________

____________________________________________                _____________________        __________________
                                                                                                                         2
2.
Name of employer ______________________________ Type of business _______________________________

Address of employer ________________________________________ Phone/cell number: ___________________

Your Position Title : _______________________________ Part time? ___________ Full Time ?_____________

Name and title of your immediate supervisor: _____________________________________________________

                                               _____________________________________________________

May the Library contact this person?      _____Yes _____No. Phone / cell number: _______________________

Starting Salary $ ____________ per _______________          Ending Salary $ ____________ per _______________
Number__________ and positions of people you supervised:




List 10 job responsibilities of this job, assigning each an “importance value” % for a total of 100 ( 50%, 10%, etc.).




What was your biggest challenge in this job? How did you overcome it?




What was your biggest project in this job? Who worked on it with you?




Dates of employment in this position from ___________to __________

Reason for leaving this job
_____________________________________________ _____________________                      __________________

____________________________________________                _____________________        __________________




                                                                                                                         3
3.
Name of employer ______________________________ Type of business _______________________________

Address of employer ________________________________________ Phone/cell number: ___________________

Your Position Title : _______________________________ Part time? ___________ Full Time ?_____________

Name and title of your immediate supervisor: _____________________________________________________

                                               _____________________________________________________

May the Library contact this person?      _____Yes _____No. Phone / cell number: _______________________

Starting Salary $ ____________ per _______________          Ending Salary $ ____________ per _______________
Number__________ and positions of people you supervised:




List 10 job responsibilities of this job, assigning each an “importance value” % for a total of 100 ( 50%, 10%, etc.).




What was your biggest challenge in this job? How did you overcome it?




What was your biggest project in this job? Who worked on it with you?




Dates of employment in this position from ___________to __________

Reason for leaving this job
_____________________________________________ _____________________                     __________________

____________________________________________                _____________________        __________________


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Pre-Employment Procedures for West Feliciana Parish Employees

   1. The Library Board of Control requires all candidates for employment to have a pre-employment physical and
      drug-screening. The Board will arrange and pay for this to be done in Baton Rouge.

   2. Answers to these questions:
      Are you in the country on a visa which would not permit you to work here? _______________
       Have you ever been convicted of a felony? ____If yes, state crime and date convicted: ______
       (A criminal background check may be done.)

       Is any member of the Library Board of Control or staff a relative of yours? If yes, please explain:

       ____________________________________________________________________________________ .

  3. Signature of candidate attesting to the following:

       I certify by my signature below that the above statements made by me on this application are true,
       complete, and correct.
       I am applying for the Position of: _____________________________________ Closing Date: _________



       Signed:________________________________________________ Date:
       ______________________________

       Interviewed by __________________________________Date: ____________.




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