APPLICATION FOR EMPLOYMENT

Auburn Public Library

Mailing Address: 49 Spring Street www.auburnpubliclibrary.org

Auburn, ME 04210 Full Time ___

Phone: (207) 333-6640 Part Time ___

Fax: (207) 333-6644 Summer ___

Name ____________________________________________________Soc. Sec. # ______________

Last First M.I.

Current

Address _________________________________________________________________________

Street or Post Office Box

__________________________________________________Phone __________________

City, State and Zip Code

E-Mail ___________________________________________________ Fax ___________________

Position(s) applied for ______________________________________________________________

Many library positions are required to work evenings and weekends. Are you available to work these

hours? Yes ___ No___ Comment __________________________________________________

EDUCATION

School Course Degree or

Name of Study Diploma

High

School

___________________________________________________________________________________________________

College

__________________________________________________________________________________________________

Post-Graduate

or Other (Specify)

__________________________________________________________________________________________________

-1-

Employment History

Please list present and past employment and/or volunteer experience, beginning with the most recent.

Employer Name/Address/Phone -- Start/End Dates -- Summary of Work Done __________________________________

___________________________________________________________________________________________________

Please use back of application if more space is needed.

May we contact the employers listed above? _____ If not, please indicate which one(s) you do not wish us to contact.

Please highlight any skills or training you want us to know about. _______________________________________________

___________________________________________________________________________________________________

-2-

WORK-RELATED REFERENCES

Organization and Contact Relationship

Person Name Address Phone Number (Supv.? Friend? Etc.)

___________________________________________________________________________________

I certify all the information set forth is true and I understand that falsification may be considered sufficient cause for dismissal. I understand that if hired, I have no employment contract and may be terminated or laid off at any time without advance notice at the will of the Auburn Public Library. Any verbal statements of any person to the contrary are void and an employment contract may only be made in writing by the Auburn Public Library Director or Board of Trustees.

_______________________________________________ ___________________

Signature of Applicant Date

INFORMATION RELEASE

I hereby authorize the release of the following information to bona fide representatives of the Auburn Public Library and/or the Auburn Police Department. I also realize that persons other than those listed as references may be contact for job-related and personal character references and I authorize that as well.

1. Complete transcript of all secondary and post-secondary scholastic records.

2. Complete record of all credit information.

3. Complete record of all past and present employment information.

4. A security clearance check.

5. Motor Vehicle Registration

6. Driver’s License number and state from which license was obtained.

_______________________________________________ ___________________

Signature of Applicant Date

A substance abuse test and/or a job-related medical/physical exam may be required after an offer of employment has been made.

-3-