CAREER PROFILE APPLICATION FORM Municipality of Chatham-Kent Page

CAREER PROFILE APPLICATION FORM Municipality of Chatham-Kent Page (Wallaceburg Library) (Permanent part-time) Job # LIBS 09-8 Please attach this application form to the front of your resume. (Please do not include a cover letter) PLEASE PRINT: Name: (last name) (first name or name known by) Address: 911 Street Address Apartment/Unit # City/Town Home (      )       -           Work (      ) -      PO Box Cell ( ) Rural Route Postal Code Telephone: Email address: For the following questions, please include more detailed information in your resume. Because of the responsibilities of this position, there are the following physical requirements: Do you have the ability to lift 11 to 16 kilograms (25 to 35 pounds)? Yes Are you able to stand for extended periods of time? Yes Are you able to bend, kneel and reach? Yes No No No No No No No Experience an Asset: (please describe your experience in detail in your resume) Do you have experience working in a public library? Yes Do you have previous customer service experience? Yes Do you have experience working with children? Yes Do you have experience in classifying documents (alphabetical, numerical, alphanumerical)? Yes I certify that the information contained in this application is true and complete, to my knowledge. I understand that a false statement may disqualify me from my employment or cause my dismissal. Yes No Because of the environment this position will be working in, the successful candidate will be required to furnish a Police Information Search (criminal reference check) (to be completed by your local police department) Applicant information is collected under the authority of the Municipal Freedom of Information and Privacy legislation and will be used strictly for the purpose of candidate selection. The Municipality of Chatham-Kent is an equal opportunity employer. We thank all candidates in advance; however, only those candidates selected for an interview will be contacted.

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