OCRL.ORG

Position(s) Applied For *

Part-Time Circulation Clerk

Name *

First Name

Last Name

Phone Number *

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Are you over 18 or able to provide proof of eligibility to work? *

Yes

No

Have you ever worked at our library before? *

Yes

No

Do your friends or relatives work for the library system? *

Yes

No

Are you currently employed elsewhere? *

Yes

No

May we reach out to your employer? *

Yes

No

Are you currently able to work in the US? *

Proof of citizenship, immigration status, or other eligibility to work will be required if employed by the library system.

Yes

No

Work availability *

Are you seeking full time, part time, or temporary employment? Please check all that apply.

Full time

Part time

Temporary

Work availability *

Please check all that apply.

Mornings

Afternoons

Evenings

Weekends

Work availability *

Are you currently laid off from a job to which you would be obligated to return when asked?

Yes

No

Transportation *

Are you able to travel for work?

Yes

No

Contact Number

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Contact Number

(###)

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Contact Number

(###)

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