Saline County Arkansas
Saline County Library
Application for Employment
Mail or Fax Application to:
Saline County Courthouse
% Personnel Office
200 N. Main Street - Room 112
Benton, AR 72015
Phone Number: 501-303-5658
Fax Number: 501-315-1338
Application for Employment
Date: _______________________
Name:_________________________________________________________________
Last First Middle
Address: _______________________________________________________________
Street City State Zip
Home Phone: ____________________ Social Security #: ______________________
Position applied for:__________________ Salary/Hourly rate desired: ______________
On what date would you be available to begin work?____________________________
Are you available to work:
Full Time ______ Part Time ______ Flexible ______ Nights ______ Saturdays ______
Are you employed now? _______
Education
_____________________________________________________________________
High School Name
_____________________________________________________________________
Dates Attended
_____________________________________________________________________
Describe Course of Study
_____________________________________________________________________
Diploma/Degree
_____________________________________________________________________
College or University or other
Can you type? Yes ____ No _____
If yes, how many words per minute with no mistakes? __________________
Are there any other special skills, training or qualifications you have acquired that you feel especially suit you for the work at the Saline County Library? _________________________________________________________________________
_________________________________________________________________________
Give name , address and telephone number of three professional references.
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
In case of emergency please notify: ________________________________________________
Work Experience
List below your prior work experience, start with your present or last job. If there is not enough space, you can make as many copies of this page as you need. Include volunteer work and military service assignments.
1. __________________________________________________________________
Name of Employer Address
__________________________________________________________________
Job Title Supervisor's Name
__________________________________________________________________
Dates Employed Last Salary
__________________________________________________________________
Describe Job Duties
May we contact this employer? Yes_____ No _____
2. __________________________________________________________________
Name of Employer Address
__________________________________________________________________
Job Title Supervisor's Name
__________________________________________________________________
Dates Employed Last Salary
__________________________________________________________________
Describe Job Duties
May we contact this employer? Yes_____ No _____
3. __________________________________________________________________
Name of Employer Address
__________________________________________________________________
Job Title Supervisor's Name
__________________________________________________________________
Dates Employed Last Salary
__________________________________________________________________
Describe Job Duties: __________________________________________________
May we contact this employer? Yes_____ No _____
I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application as may be necessary in arriving at an employment decision
In the event of employment, I understand that false or misleading information given in my application or interviews may result in discharge. I understand, also, that if employed I will be required to abide by all rules and regulation of the library.
Signature: ____________________________________________
Date: ____________________________________________
AUTHORIZATION FOR RECORD CHECK
Position Desired: ______________________________________
PLEASE PRINT FULL NAME CLEARLY (Including Middle Initial)
_____________________________________________________
Social Security Number: __________________________________
Current Address: ________________________________________
City: _________________________ State: _____ Zip: __________
Previous Address (If less than three years at current address):
________________________________________________________
________________________________________________________
Maiden/Previous Names: _____________________________________
I, ______________________________, do hereby authorize the Benton Police Department or the Bryant Police Department to search their police records for any conviction (s) they may have regarding me, and to make this information available to the Saline County Library.
The Saline County Library is an equal opportunity employer.
This site is maintained by Webmaster