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Eagle Valley Library District Application for Employment
Full-time Part-time Substitute
EVLD is an equal opportunity employer. All applicants will be considered without regard to race, religion, color, gender,
national origin, age or disability, sexual orientation or any other applicable status protected by federal, state or local law.
IMPORTANT: This application must be filled out completely, even if you have supplied a resume. Please print legibly.
DATE:____________ POSITION APPLIED FOR:______________________________________ PHONE:___________________
NAME: _____________________________________________________________________ EMAIL: ___________________
Last First Middle
_____________________________________________________________________________________________________
MAILING ADDRESS City State Zip
_____________________________________________________________________________________________________
STREET ADDRESS City State Zip
DATE YOU CAN START:________________________________________ ARE YOU 18 YEARS OF AGE OR OLDER? YES NO
ARE YOU EMPLOYED NOW? YES NO IF SO, MAY WE CONTACT YOUR PRESENT EMPLOYER? YES NO
HAVE YOU EVER APPLIED HERE BEFORE? YES NO WHEN?________________________
WERE YOU EVER EMPLOYED HERE? YES NO WHEN?________________________
STATE NAME AND RELATIONSHIP OF ANY RELATIVES WORKING FOR EVLD: ________________________________________
IF OFFERED EMPLOYMENT, CAN YOU SUBMIT VERIFICATION OF YOUR LEGAL RIGHT TO WORK IN THE UNITED STATES? YES NO
WHAT SKILLS OR TRAINING DO YOU HAVE THAT RELATE TO THE JOB FOR WHICH YOU ARE APPLYING? __________________
_____________________________________________________________________________________________________
ARE YOU BILINGUAL? YES NO IF SO, WHAT LANGUAGE(S) DO YOU SPEAK? ___________________________________
DO YOU HAVE A JOB DESCRIPTION OR HAVE YOU HAD THE REQUIREMENTS OF THE JOB EXPLAINED TO YOU? YES NO
DO YOU UNDERSTAND THESE REQUIREMENTS? YES NO
LIST NAME AND ADDRESS OF SCHOOLS ATTENDED:
HIGH SCHOOL DIPLOMA GED ____________________________________________________________________
COLLEGE OR UNIVERSITY_____________________________ NUMBER OF YEARS COMPLETED_______ DEGREE_________
COLLEGE MAJOR (AND MINOR IF APPLICABLE) ______________________________________________________
ADDITIONAL EDUCATIONAL OR VOCATIONAL TRAINING ______________________________________________
HAVE YOU EVER WORKED OR ATTENDED SCHOOL UNDER ANOTHER NAME? YES NO
IF YES, GIVE NAMES ____________________________________________________________________________
