Employment Application-Oglesby Public LIbrary District -Equal Opportunity EmployerName (first, last, middle) (required)Email (required)Address (required)City (required)State (required)Zip Code (required)Home Phone (required)Message Phone (required)If employed, can you provide proof of authorization to work in the U.S.? (required)YesNoPosition(s) applying for (required)Referred byAdFriendRelativeAgencyOtherEducation RecordHigh School or GEDAddressDid you graduate?YesNoCollege/UniversityAddressDegrees or DiplomasYears attendedTrade or Technical TrainingAddressDegrees or DiplomasYears AttendedSummarize any special skills or qualifications that you acquired through employment or other experience that are applicable to the job that you are applying forEmployment History (Begin with most recent employer. Attach additional sheet if needed)Employer 1Dates of Employment (MM/DD/YYYY)AddressPhoneManagers NameTitle/DutiesReason for LeavingEmployer 2Dates of Employment (MM/DD/YYYY)AddressPhoneManagers NameTitle/DutiesReason for LeavingEmployer 3Dates of Employment (MM/DD/YYYY)AddressPhoneManagers NameTitle/DutiesReason for LeavingPersonal DataHave you been employed here before? (required)YesNoMay we contact your current employer?YesNoYour Signature (required)Confirm e-SignatureReview Electronic Records and Signatures Policy (required)Read our Electronic Record and Signature Disclosure I agree to use electronic records and signaturesThere was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.