You are here: Home / About Our Library / Library Director Application

Library Director Application

Rippey Public Library Director Application Form

Rippey Public Library Director Application Date of Application _______________
Name ________________________________________________________________________
Last First Middle
Address ______________________________________________________________________________
Street City State Zip
Phone ______________________________ Other Phone ___________________________________
Educational Background
High School Graduation ________ (year) Name of Institution_______________________________
College Graduation _____(year), degree ______Name of Institution(s)________________________
Other ___________________________________________
Employment History: List last three (3) employers or volunteer activities, starting with the most recent:
Dates of employment:
From ______ To ______ Employer ________________ Phone _____________
Job title _________________ Address _______________________________________
Reason for leaving _____________________________________________________
From ______ To ______ Employer ________________ Phone _____________
Job title _________________ Address _______________________________________
Reason for leaving _____________________________________________________
From ______ To ______ Employer ________________ Phone _____________
Job title _________________ Address _______________________________________
Reason for leaving _____________________________________________________
Skills and Qualifications
Summarize any training, computer skills, licenses, and/or certifications that may qualify you as being able to perform job-related functions as the Library Director.
_________________________________________________________________________________________
_________________________________________________________________________________________
References
Name ________________________________ Phone _____________________ # years known ________
Name ________________________________ Phone _____________________ # years known ________
Name ________________________________ Phone _____________________ # years known ________
Have you been convicted of a crime in the last seven (7) years? Yes _________ No _________
If yes, please explain: ____________________________________________________________
______________________________________________________________________________ ______________________________________________________________________________
Conviction will not necessarily be a bar to employment. Each instance and explanation will be considered in relation to this position.
Signature _________________________________________ Date ______________________

 

 

Approved March 15, 2016