ONLINE APPLICATION FOR EMPLOYMENT

Instructions: TYPE or PRINT CLEARLY. Complete the entire application. You may also email a resume, but you must still complete the entire application and sign it. Incomplete applications will not be considered. If you require any special accommodation in filling out this application, please call (509)575-3433. Yakima Valley Libraries is an equal employment opportunity employer and does not discriminate against an employee or applicant for employment because of race, color, religion, sex, sexual orientation or gender identity, age (40 years of age and older), marital status, pregnancy or maternity, national origin, creed, disability, use of a service animal by a person with a disability, honorably discharged veteran or military status, retaliation for filing a whistleblower complaint, retaliation for filing a nursing home abuse complaint, retaliation for opposing an unfair practice, HIV, AIDS, or Hepatitis C status, unless based upon a bonafide occupational qualification

Yakima Valley Libraries accepts applications only for positions that are open. We do not accept unsolicited resumes or applications. An application is needed for each position for which you apply.


Date of Application:

Position(s) applied for:

How did you learn of this position?
Advertisement: Newspaper 
Job posting: Walk in 
Job posting: YVL Website
Government employment agency
Friend
Relative
Employee
Other:  
Name of source (if applicable)

Applicant Name

Mailing Address

City State Zip Code

Primary phone number Alternate phone number

Email address where we may contact you

May we contact you at work?   Yes  No    If Yes, best time to call?

Are you 18 years old or older?   Yes  No    Have you applied at the library before?   Yes  No    

If yes, give position(s) and date(s)

Have you ever been employed here before? Yes  No    

If yes, give date(s) To

Are you legally eligible to work in the United States? Yes  No    

If selected, date available for work or length of notice required by current employer



Type of employment desired (check any that apply):   Full Time     Part Time       Temporary    

Will you travel if a job requires it (staff meetings, conferences, etc.)?  Yes  No    

Are you able to meet the attendance requirements of the position?  Yes  No    

Mark the days you are available to work:    M     T     W     TH     F     Sat     Sun  

Do you possess a current Driver's License?  Yes  No    








Employment History

Provide the following information of your past and current employers, assignments, or volunteer activities, starting with the most recent. (Explain any gaps in employment on page 3)
EMPLOYER:
TELEPHONE NUMBER:
ADDRESS, CITY, STATE:
IMMEDIATE SUPERVISOR:
STARTING JOB TITLE:
FINAL JOB TITLE:
REASON FOR LEAVING:

MAY WE CONTACT FOR REFERENCE?

DATES EMPLOYED FROM: (MONTH/YEAR)

/
TO: (MONTH/YEAR)

/
NUMBER OF HOURS PER WEEK:

ARE YOU ELIGIBLE FOR REHIRE?

SUMMARIZE THE TYPE OF WORK
PERFORMED AND JOB
RESPONSIBILITIES:

EMPLOYER:
TELEPHONE NUMBER:
ADDRESS, CITY, STATE:
IMMEDIATE SUPERVISOR:
STARTING JOB TITLE:
FINAL JOB TITLE:
REASON FOR LEAVING:

MAY WE CONTACT FOR REFERENCE?

DATES EMPLOYED FROM: (MONTH/YEAR)

/
TO: (MONTH/YEAR)

/
NUMBER OF HOURS PER WEEK:

ARE YOU ELIGIBLE FOR REHIRE?

SUMMARIZE THE TYPE OF WORK
PERFORMED AND JOB
RESPONSIBILITIES:

EMPLOYER:
TELEPHONE NUMBER:
ADDRESS, CITY, STATE:
IMMEDIATE SUPERVISOR:
STARTING JOB TITLE:
FINAL JOB TITLE:
REASON FOR LEAVING:

MAY WE CONTACT FOR REFERENCE?

DATES EMPLOYED FROM: (MONTH/YEAR)

/
TO: (MONTH/YEAR)

/
NUMBER OF HOURS PER WEEK:

ARE YOU ELIGIBLE FOR REHIRE?

SUMMARIZE THE TYPE OF WORK
PERFORMED AND JOB
RESPONSIBILITIES:

List periods of unemployment for more than 30 days and explain:

Educational Background

Name of School City & State Did you graduate? If no, # of years left? Number of years attended? Degree received Major GPA
High School:
Yes
No
GED:
Yes
No
Other School
Yes
No
College
Yes
No
College
Yes
No
College
Yes
No

Skills and Qualifications

Describe any specialized training, apprenticeship, skills, licenses and/or certificates relevant to this position. Include relevant computer systems and software packages of which you have a working knowledge, and note your level of proficiency (basic, intermediate, or expert):

References

Please provide individual and company names, position, addresses, and phone numbers for three business references:
Name Position and Company
Street Address City, State, Zip
Working Relationship to you: Email Address
Phone Number

Name Position and Company
Street Address City, State, Zip
Working Relationship to you: Email Address
Phone Number

Name Position and Company
Street Address City, State, Zip
Working Relationship to you: Email Address
Phone Number


Additional Information

List professional, trade, business or civic associations and any offices held: You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability, or other protected status. Organization Offices Held
Organization Offices Held

Special Accomplishments, Publications, and/or Awards

List any special accomplishments, publications, awards, etc.: You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability, or other protected status.


Indicate any languages you speak, read, and/or write other than English:
Fluent Good Fair
Speak
Read
Write

List any additional information you would like us to consider:

Applicant's Certification and Agreement

Please read before signing.

I hereby certify that all information in this application form is true and correct to the best of my knowledge and agree to have any of the statements checked by Yakima Valley Libraries. I authorize the references listed above to provide Yakima Valley Libraries any and all information concerning my previous employment and any other pertinent information that they may have. Further, I release all parties and persons from any and all liabilities for any damages that may result from furnishing such information to Yakima Valley Libraries as well as from the use or disclosure of such information by Yakima Valley Libraries or any of its agents, employees, or representatives. I understand that any misrepresentation, falsification, or material omission of information on this application may result in my failure to receive an offer or, if I am hired, my dismissal from employment.

I also understand that all offers of employment are conditioned on the provision of satisfactory proof of applicant's identity and legal authority to work in the U.S. Offers of employment are also conditioned on Yakima Valley Libraries' receipt of satisfactory responses to reference requests and a criminal background check. Further, I understand that at time of hire I will be required to provide documentation showing authorization to work in the United States.

If completing this application online, I understand that my electronic signature has the same legal status as my handwritten signature.



Name (printed)

Signature Date