test Applicant Information First name* Middle name Last name* Email* Phone* Address* City* State* Zip* Date available* Desired salary Position applied for* Are you a US citizen?yesno If no, are you authorized to work in the US?yesno Have you worked for us previously?yesno if yes, when? Education High School High school address From To Graduate?yesno Diploma College College address From To Graduated?yesno Degree earned Other education Address From To Graduated?yesno Degree/Certificate References Reference name* Relationship* Company Phone* Reference name* Relationship* Company Phone* Reference name* Relationship* Company Phone* Agree to our terms What programs would you like the library to invest in?*EducationalCraftsEntertainmentRecreational How often do you visit the library during a month?1-3 days4-6 days7-12 days12+ days If you have children or grandchildren what day works best for story time?MondayTuesdayWednesdayThursdayFriday What age range do you fall under?ParentSeniorTeenAdult Would you like to receive email updates? Child’s Name: * Enter child's full name Date of Birth:* Child's birthdate Grade:* School Attending:* the topic of your message Special Interests/School Activities: * Parent/Guardian Name: * Your full name Address: * Your address including city state and zip code Home phone: Your home phone number Cell phone:* Your cell phone number Work phone: Extension Email address: Please list any medical conditions, drug allergies or food allergies your child may have: Emergency Contact if we are unable to reach a parent/guardian. If a parent/guardian is not available, the person listed below must be available. * Phone: * Relationship to child * Please list the names of people to whom we may release your child. * My child’s photo may be used on flyers, website, etc: YesNo Parent Signature: * Today's Date: *
