Application for Employment

Please fill out the form below. All applications are kept on file for a year.

Contact Information

Full Name*:

Street Address*:

City*:

State*:

Zip Code*:

Email*:

Phone*:

Position for Which You Are Applying

Must complete separate application if applying for more than one position.

PageClerkCustodianLibrarian Trainee (Currently Enrolled in an ALA Accredited School for MLS Degree)Librarian (Must Have MLS From an ALA Accredited School and NYS Public Librarian Professional Certificate)

Working Hours Available:

Monday From:

Monday To:

Tuesday From:

Tuesday To:

Wednesday From:

Wednesday To:

Thursday From:

Thursday To:

Friday From:

Friday To:

Saturday From:

Saturday To:

Sunday From:

Sunday To:

Education

High School Name:

City & State:

Degree/Major:

Graduated?:

College Name:

City & State:

Degree/Major:

Graduated?:

College Name:

City & State:

Degree/Major:

Graduated?:

Trade or Other School Name:

City & State:

Degree/Major:

Graduated?:

Work Experience

Please list in reverse chronological order, i.e. last job first

Employer:

Address & Phone:

Position:

Employed From:

Employed To:

Reason for Leaving:

Employer:

Address & Phone:

Position:

Employed From:

Employed To:

Reason for Leaving:

Employer:

Address & Phone:

Position:

Employed From:

Employed To:

Reason for Leaving:

References

Indicate references that are not related to you.

Name:

Phone:

Occupation:

Relationship:

Name:

Phone:

Occupation:

Relationship:

Name:

Phone:

Occupation:

Relationship:

Additional Information

List any specialized skills, honors, training, languages spoken other than English, etc.

Upload Resume (if available):

2 MB limit, PDF or Microsoft Word document only.

Have You Ever Been Convicted of a Crime*?

(Excluding minor traffic violations.)

NoYes
If YES, state the offense, location, date, and disposition:

By submitting this application I attest that the information provided is truthful and accurate and authorize the Center Moriches Free Public Library to verify work history and contact references.

A PDF version is available for printing here