Employment Application

Personal information

First name

Middle initial

Last name

Email address

Upload your documentation

If you have a resume, completed .PDF application, or other documentation, please attach here.
This application will remain active for six (6) months upon signing. If you wish to be considered for employment after this period, you must fill out and submit a new application. To be a considered an applicant, the application must be completed in its entirety even if attaching a resume.

Maximum 2 files.
2 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Street address

City

State

Zip code

Phone (Day)

Phone (Evening)

Contact Address if different from present:

Alternate Phone:

Have you previously worked for WCPL?

Yes

No

If so, who?

If hired can you provide proof of citizenship or legal right to work?

Yes

No

This employment application does not seek information regarding the applicant’s criminal record. However, the Library reserves the right to make inquiry into the applicant’s criminal record, to conduct a criminal background check and to condition any offer of employment on the information obtained from any such inquiry or background check. In evaluating an applicant’s criminal record, the Library shall make an individualized assessment, utilizing the factors permitted by applicable law.

Position information

Employment Record

Job 1

Start date

End date

Position title:

Final salary:

$

Position description

Reason for leaving?

Employer

Supervisor name

May we contact this employer?

Yes

No

Employer address

Employer phone

Job 2

Start date

End date

Position title:

Final salary:

$

Position description

Reason for leaving?

Employer

Supervisor name

May we contact this employer?

Yes

No

Employer address

Employer phone

Job 3

Start date

End date

Final salary:

$

Position description

Position title:

Reason for leaving?

Employer

Supervisor name

May we contact this employer?

Yes

No

Employer address

Employer phone

Education & Training

References

LIST 3, OTHER THAN RELATIVES OR PERSONAL FRIENDS, WHO HAVE KNOWLEDGE OF YOUR EXPERIENCE AND EDUCATION

Reference 1

Name and title

Mailing address

Phone number

Reference 2

Name and title

Mailing address

Phone number

Reference 3

Name and title

Mailing address

Phone number

AUTHORIZATION

I hereby authorize investigation of all statements contained in this application and on my resume, if provided. I certify that such statements are true to the best of my knowledge and understand that misrepresentation or omission of facts called for in this form, or on any resume provided by me, may be cause for rejection or cause for termination of employment without notice if employed. I also understand this application is not a contract or offer of employment and that only the Director of the Wayne County Public Library or his/her designee can make an offer of employment with the WCPL.

I also consent that WCPL may contact references, former employers, and educational institutions listed regarding this application and perform a criminal background check. I agree that any claim or lawsuit relating to my service with WCPL must be filed no more than six (6) months after the date of the employment action that is the subject of the claim or lawsuit. I wave any statute or limitations to the contrary. If you are hired, this employment application will become part of your official employment record.

Please print your full name

NO PERSON SHALL BE DENIED EMPLOYMENT ON THE BASIS OF RACE, COLOR, ETHNICITY, NATIONAL ORIGIN, SEX/GENDER, SEXUAL ORIENTATION, RELIGION, CREED, DISABILITY (INCLUDING HIV STATUS), AGE, VETERAN STATUS, OR MARITAL STATUS. Employment is contingent upon furnishing evidence of identity and employment eligibility.
Revision History: December 6, 2006, February 2008, April 2008 , January 2016, June 2018