Boonslick Regional Library

Application for Employment

Application for Employment
Name
Name
First Name
Middle Name
Last Name
Mailing Address
Mailing Address
City
State/Province
Zip/Postal
Select locations where you are available for employment
Have you ever been terminated from employment or asked to resign by an employer?
Have you ever been employed by Boonslick Regional Library?
Do you have any objection to Boonslick Regional Library contacting your current employer?
Boonslick Regional Library will direct deposit your paycheck in lieu of a paper check. Will you accept this condition?
Do you have a valid driver's license?
Relatives are defined as spouse, parent, children, grandchildren, grandparents, siblings, first cousins, aunts, uncles, nephews, and nieces, (to include all blood, step, foster and in-law relationships).

Education

Are you a High School graduate or do you have an equivalency (GED) certificate?

Employment Record

Describe in detail all positions that you have had during the past five years, starting with the most recent employment. If more than one position or classification has been held with a given organization, list each position or classification as a separate period of employment.

Employment Section 1

Example: From 1/1/2020 to 6/30/2020
Name and title
Employer Address:
Employer Address:
City
State/Province
Zip/Postal
Country

Employment Section 2

Example: From 1/1/2020 to 6/30/2020
Name and title
Employer Address:
Employer Address:
City
State/Province
Zip/Postal
Country

Employment Section 3

Example: From 1/1/2020 to 6/30/2020
Name and title
Employer Address:
Employer Address:
City
State/Province
Zip/Postal
Country

The Boonslick Regional Library conducts background checks on all prospective employees as a condition of employment. Background checks include but may not be limited to: employment history and references; professional certifications and educational requirements; criminal records databases. A criminal history does not automatically exclude you from employment considerations. By signing below, you authorize the release of the requested information and Boonslick Regional Library to investigate as described above.

Your social security number may be used for the following purposes: (1) To conduct criminal record checks, (2) To verify information provided in your application, (3) For identification purposes to disciplinary databases. If you fail or refuse to provide your social security number, you will not be considered for employment.

I understand and agree that neither this application nor any offer of employment from BRL constitutes an employment contract. If an employment relationship is established, I understand that I, or BRL, may terminate employment at any time for any reason. For all purposes, I will be an "at-will" employee.

I, the undersigned, state that the information in this application is true and complete. I understand that to falsify information, misrepresent information or make any omission is grounds for refusing to hire me, or for discharge should I be hired. The BRL Board of Trustees is authorized, through its board members, officers, employees and/or agents, to investigate all statements made on this application.