Region – Extra Help

Joan Sherif
January 24, 2024

Branch: Northwestern Regional Library

Type: Part Time

Category: Temporary

Address: 111 N Front St-Elkin

Administrative Assistant – Region Headquarters

Assist with administrative duties.

Apply for this position

Full Name *

Email *

Phone *

SSN (e.g. 123456789) *

Address *

Are you 18 years or older? *

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Are you either a U.S. Citizen or an alien authorized to work in the United States? *

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When are you available to start? *

Are you employed now? *

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If so, may we inquire of your present employer?

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Have you ever worked in a library? *

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If so, where and when?

High School: Name, Location, and Dates Attended *

Did you graduate? *

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College: Name, Location, and Dates Attended

Subjects Studied

Did you graduate?

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Other College: Name, Location, and Dates Attended

Subjects studied

Did you graduate?

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Please list any skills relevant to the position *

US Military or Naval Service? *

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If yes, please list service and rank

Present Membership in National Guard or Reserves? *

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Have you ever been convicted of a felony? (Conviction will not necessarily exclude an applicant from consideration for employment. Type of conviction(s) and date(s) will be considered.) *

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If yes, please explain

Are you related to any employee of the Northwestern Regional Library system? *

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If yes, list their name(s) and your relationship.

If you are currently employed may we contact your supervisor? *

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Employer #1: Please include name and address of employer, dates worked (To/From), salary, position title, and reason for leaving. *

Employer #2: Please include name and address of employer, dates worked (To/From), salary, position title, and reason for leaving.

Employer #3: Please include name and address of employer, dates worked (To/From), salary, position title, and reason for leaving.

Employer #4: Please include name and address of employer, dates worked (To/From), salary, position title, and reason for leaving.

Employer #5: Please include name and address of employer, dates worked (To/From), salary, position title, and reason for leaving.

Listed below are the names of three references not related to me, and whom I have known at least one year. *

I agree

Reference #1: Name, address, email, phone number, employer, number of years acquainted *

Reference #2: Name, address, email, phone number, employer, number of years acquainted *

Reference #3: Name, address, email, phone number, employer, number of years acquainted *

Cover Letter

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It is understood and agreed upon that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the Employer's service if I have been employed. I give the employer the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the Employer and its representatives for seeking such information and all other persons, corporations, or organizations for furnishing such information. The Employer is an Equal Opportunity Employer. The employer does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant's consideration for employment on a basis prohibited by local, state, or federal law. This application is current for only 180 days. At the conclusion of this time, if I have not heard from the Employer and still wish to be considered for employment, it will be necessary to fill out a new application. I understand that just as I am free to resign at any time, the Employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the Employer has the authority to make any assurance to the contrary. *

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