Application for Employment

Current Basic Information
Availability
Employment Record
Education
Training or Skills
Read and Sign
Complete

The Madison County Public Library provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Please answer all questions as completely as possible. The use of this application does not create a contract between you and the Madison County Public Library, does not indicate that there are positions open and does not in any way obligate you or the Madison County Public Library.

Date

Name (first and last)

Phone number

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Are you legally eligible for work in the United States? (Proof of US citizenship or immigration status will be required upon employment)

Yes

Have you ever been known by any other name(s) which the Madison County Public Library will need to know to verify any of the information contained in this application?

Yes

Have you ever been employed by this library?

Yes

Please indicate the location, department, and dates in which you worked at the Madison County Public Library

Does the Madison County Public Library now employ any of your relatives?

Yes

Please state your relative’s name and relationship to you