Rangeview Library DistrictEmployment Application

Applicant Information

Full Name: / Date:
Last / First / M.I.
Address:
Street Address / Apartment/Unit #
City / State / ZIP Code
Home Phone: / () / Email Address:
Cell Phone: / () / Desired Salary: / $
Position Applied for: / Date Available:
Are you a citizen of the United States? / YES / NO / Are you 16 years of age or older? / YES / NO
Have you ever worked for this Rangeview Library District? / YES / NO / If yes, when?
Have you ever been convicted of a felony? / YES / NO / If yes, please explain?

Education

High School: / Location:
Did you graduate? / YES / NO / Degree:
College: / Location:
Did you graduate? / YES / NO / Degree:
GraduateSchool: / Location:
Did you graduate? / YES / NO / Degree:

Previous Employment

Please provide your work history starting with your most recent job. Please complete this section even if it duplicates your resume.
Company (Most recent): / Phone: / ()
Address: / Supervisor:
Job Title: / Starting Salary: / $ / Ending Salary: / $
Responsibilities/Duties:
From: / To: / Reason for Leaving:
May we contact your previous supervisor for a reference? / YES / NO
Company: / Phone: / ()
Address: / Supervisor:
Job Title: / Starting Salary: / $ / Ending Salary: / $
Responsibilities/Duties:
From: / To: / Reason for Leaving:
May we contact your previous supervisor for a reference? / YES / NO
Company: / Phone: / ()
Address: / Supervisor:
Job Title: / Starting Salary: / $ / Ending Salary: / $
Responsibilities:
From: / To: / Reason for Leaving:
May we contact your previous supervisor for a reference? / YES / NO
Availability

Please select the library branch location(s) at which you would be able to work:

Anythink Bennett, 495 7th Street, Bennett, CO 80102
Anythink Brighton, 575 S. 8th Ave, Brighton, CO 80601
Anythink Commerce City, 7185 Monaco Street, Commerce City, CO 80022
Anythink Huron Street,9417 Huron Street, Thornton, CO80602
Anythink Perl Mack, 7611 Hilltop Circle, Denver, CO 80221
Anythink Washington Street, 8992 Washington Street, Thornton, CO 80229
Anythink Wright Farms, 5877 East 120th Avenue, Thornton, CO 80602
Outreach/Anythink In Motion, 8992 Washington Street, Thornton, CO 80229
Support Services, 5877 East 120th Avenue, Thornton, CO 80602
Please list your schedule of availability if you are hired for this position:
Mondays:
Tuesdays:
Wednesdays:
Thursdays:
Fridays:
Saturdays:
Sundays:
Availability details, if any:
SPECIAL SKILLS
Please describe any special skills, qualifications, training or experience you have which relates to the position for which you are
applying:
Are you bilingual? Yes No / Second language:

References

Please list three professional references.
Full Name: / Relationship:
Company: / Phone: / ()
Address:
Full Name: / Relationship:
Company: / Phone: / ()
Address:
Full Name: / Relationship:
Company: / Phone: / ()
Address:

Disclaimer and Signature

I certify that all information I have provided in this application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.
I understand that this application or subsequent employment does not create a contract of employment nor guarantee employment for any definite period of time. If employed, I understand that I have been hired at the will of the Rangeview Library District and my employment may be terminated at any time, without cause and without notice.
I understand I may be required to successfully pass a background check. I hereby consent to a pre- and/or post-employment background check as a condition of employment, if required.
Signature: / Date: