Acknowledgment & Authorization

Employment Application

Submit this application to the library. Type or print clearly; incomplete or illegible applications will not be processed.

Date of Application:
PERSONAL
Name
Telephone Number
Email Address
Address
Date Available to Start
Referred By
Have you been employed by Pekin Library before?
If yes, list dates
Do you have any relatives employed by Pekin Library?
If yes, list names and relationship:_
Due to child labor laws, individuals under 16 years of age cannot work past 7:00 p.m. during the school year, and need a work permit. Are you 16 or older?
EDUCATION AND ACTIVITIES

High School

Name
City
Year

College

Name
City
Year
Please list any school activities you are involved in (sports, music, clubs, etc.)
Please list any other activities you are involved with (babysitting, church, other jobs)

The library is open M-Th (9am-8pm), Fri. (9am-6pm), and Sat. (9am-5pm). Please indicate your availability.

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Have you ever been employed anywhere else?
If yes, please list company name and dates of employment:
Do you have transportation to and from work?
Do you have parent(s) permission to work (if 18 or younger)?


CERTIFICATION & AUTHORIZATION

The above information is true and correct. In the event of my employment by Pekin Public Library, I shall be subject to dismissal if any information that I have given in this application is false or misleading regardless of the time elapsed after discovery.

I authorize Pekin Public Library to inquire into my educational, professional, and past employment history references as needed to research my qualifications for this position. I hereby give my consent to any former employer to provide employment related information about me to Pekin Public Library. I further authorize Pekin Public Library to perform other necessary background checks as a condition of employment.

I understand that nothing in this employment application, the granting of an interview or my subsequent employment with Pekin Public Library is intended to create an employment contract between myself and the Pekin Public Library under which my employment could only be terminated for cause. On the contrary, I understand and agree that, if hired, my employment will be terminable at will and may be terminated by Pekin Public Library at any time and for any reason.

If employed, I will be required to provide original documents which verify my identity and right to work in the United Sates under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for completion of Form I-9.
Applicant’s Signature
Maximum file size: 2 MB
Date