ARLS Employment Application Applicant Information Question Title * 1. Date Date / Time Date Question Title * 2. Name Question Title * 3. Permanent Address Address City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Question Title * 4. Present Address (if different from permanent address) Address City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Question Title * 5. Phone Question Title * 6. Alternate Phone Question Title * 7. Email Question Title * 8. Available starting date Date / Time Date Question Title * 9. What position are you applying for (Please include complete job title. Copy and paste from the job you are applying for.) Question Title * 10. Location of position Question Title * 11. Are you available for full-time employment? Yes No Question Title * 12. Are you available to meet year-round schedule requirements? Yes No Question Title * 13. Have you ever been employed by the Athens Regional Library System? Yes No Question Title * 14. If you answered "Yes" to the previous question, when and where were you employed by the Athens Regional Library System? Question Title * 15. Do you have relatives employed by the Athens Regional Library System? Yes No Question Title * 16. If you answered "Yes" to the previous question, please list their names. Question Title * 17. Are you legally eligible for employment in the United States? Yes No Question Title * 18. Are you under the age of 18? Yes No Question Title * 19. Do you have the ability to perform the essential functions of this position without accommodations? Yes No Question Title * 20. Have you ever been discharged from employment because your work conduct was not satisfactory? Yes No Next