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Pueblo City-County Library District Application for Employment
Pueblo City-County Library District Application for Employment
An equal opportunity employer
Applicants are considered for all positions without regard to race, color, creed, religion, sex, national origin, ancestry, sexual orientation, age, marital status, military status, or the presence of any non-job-related medical condition or disability. Please keep in mind that the questions contained in this application are not intended to be discriminatory based on any non-job-related information.
About this application
This application form was designed for use by applicants for various positions - clerical, professional, technical, and administrative. Answer the questions to the best of your ability. All information will be treated confidentially.
Position Applying For:
Please check the library's main employment page for current job postings. Visit at http://www.pueblolibrary.org/about/employment
PERSONAL DATA:
First Name:
Middle:
Last Name:
E-Mail Address:
Street Address:
City:
State:
Zip Code:
Day Time Phone:
Example: (719) 555-0211
Evening Phone:
Example: (719) 555-0211
Social Security Number:
*All information in this application is kept confidential by the Pueblo City-County Library District.
Date Available to Start Job:
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2011
2012
2013
2014
2015
GENERAL INFORMATION:
1. Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
Yes
No
(Proof of citizenship or immigration status will be required upon employment.)
If yes, please explain:
2. Can you furnish proof that you are 16 years of age, or if under 16, do you have a permit to work?
Yes
No
If No, please explain:
3. Have you ever been convicted of a felony?
Yes
No
NOTE: A "yes" answer does not automatically disqualify you from employment since the nature of the offense, date and type of job for which you are applying will be considered.
If yes, please explain:
If yes, please give dates of employment, positions held, and state your name while employed, if different from present name:
4. Have you been employed before?
Yes
No
5. Are you employed now?
Yes
No
6. Are you on a lay-off and subject to recall?
Yes
No
7. Will you work mornings, afternoons, evenings, weekends, Sundays or holidays if required?
Yes
No
8. Will you agree to work any shift, as assigned?
Yes
No
9. If a student, please enter your class schedule:
10. Do you have any relatives who work for the Pueblo City-County Library District?
Yes
No
If yes, please state your relative's name and your relationship:
11. Do you have a valid Colorado driver's license?
Yes
No
12. If hired, can you produce proof of automobile insurance?
Yes
No
13. During the past seven yaers, have you been denied a driver's license, or convicted of a moving traffic offense, including, but not limited to, driving while intoxicated or reckless driving?
Yes
No
If yes, please explain: