EXPERIENCE:
List below a complete statement of your work history, listing your most recent employment first.
Name and address of employer:
Position held and specific duties
From______________
Mo. Year
To: ______________
Mo. Year
From______________
Mo. Year
To: ______________
Mo. Year
From______________
Mo. Year
To: ______________
Mo. Year
From______________
Mo. Year
To: ______________
Mo. Year
REFERENCES:
Name and title: Address: Telephone no.
_________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Additional information that may be relevant to your application:
AUTHORIZATION FOR RELEASE: I hereby authorize the University City Public Library to make such investigations and inquiries as
to my character, employment record, education records including transcripts, and conviction record and/or matters as may be deemed
necessary in arriving at an employment decision. I hereby release employers, schools, law enforcement agencies and persons from all
liability for any damage whatsoever that may ensue from furnishing the same to the University City Public Library.
CERTIFICATE OF APPLICANT: I certify that all answers and statements herein contained are true to the best of my knowledge and
belief. I approve the above authorization for release.
Date:
________________________ Signature:___________________________________________________________
EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER: University City Public Library is proud to be an affirmative action and equal
opportunity employer and will continue to recruit, hire, promote, train, and develop into all job levels without regard to race, color, age,
sex (including pregnancy, gender identity and sexual orientation), religion, national origin, genetic information or disability. In
recognition of the essential rights of all employees and applicants as individuals, it is the policy of the University City Public Library to
recruit, hire, train, develop, and promote in all job classifications without discrimination to achieve equality in employment practices. The
Library does not discriminate based on race, color, national origin, gender, religion, sexual orientation, age, or disability. It is also the
policy of the Library to act affirmatively in those areas where societal discrimination has denied equality of opportunity, particularly
where under-representation exists. Special emphasis will be placed upon recruiting qualified minorities, females, veterans, and disabled
individuals.
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