Columbus-Lowndes Public Library System Employment Application
Please submit resume to Erin Busbea at ebusbea@lowndes.lib.ms.us

Question Title

* 1. Personal Information

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. Education (Name of Institution, Dates Attended/Graduated, and Degree Obtained)

High School

College/University

Other Business, Trade, Military, or Technical Training

Question Title

* 3. Employment History

Company Name

Dates of Employment

Address

Phone number

Name/Title of Supervisor

Job Title /Description of Work

Rate of Pay

Reason for Leaving

Question Title

* 4. Employment History

Company Name

Dates of Employment

Address

Phone number

Name/Title of Supervisor

Job Title /Description of Work

Rate of Pay

Reason for Leaving

Question Title

* 5. Employment History

Company Name

Dates of Employment

Address

Phone number

Name/Title of Supervisor

Job Title /Description of Work

Rate of Pay

Reason for Leaving

Question Title

* 6. Employment History

Company Name

Dates of Employment

Address

Phone number

Name/Title of Supervisor

Job Title /Description of Work

Rate of Pay

Reason for Leaving

Question Title

* 7. Personal - Please respond Yes or No - ANSWER ALL QUESTIONS

Have you ever worked under a different name? If yes, please list names.

Are you a United States citizen?

Are you authorized to work in the United States?

Have you ever been convicted of a crime? If yes, please explain.

Question Title

* 8. Skills, Interest, Hobbies, Participation in organizations, Goals, Special Projects you've undertaken, or anything you believe pertinent to your application for employment?

Question Title

* 9. Professional References

Name & Phone Number

Question Title

* 10. Pre-Employment Acknowledgement

I understand that as a condition of employment, the Columbus-Lowndes Public Library System may perform investigative background inquiries including consumer, criminal, driving or other reports. The Columbus-Lowndes Public Library System may request information from various federal, state, and other agencies with maintain relevant records.

Further, I understand that the Columbus-Lowndes Public Library System will make inquiries as to my character, work habits, performance, and experience along with reasons for termination of past employment.

I authorize without reservation any party or agency contacted by Columbus-Lowndes Public Library System to furnish the above-mentioned information.

Columbus-Lowndes Public Library System Employment Application Please submit resume to Erin Busbea at ebusbea@lowndes.lib.ms.us

Question Title

* 1. Personal Information

Question Title

* 2. Education (Name of Institution, Dates Attended/Graduated, and Degree Obtained)

Question Title

* 3. Employment History

Question Title

* 4. Employment History

Question Title

* 5. Employment History

Question Title

* 6. Employment History

Question Title

* 7. Personal - Please respond Yes or No - ANSWER ALL QUESTIONS

Question Title

* 8. Skills, Interest, Hobbies, Participation in organizations, Goals, Special Projects you've undertaken, or anything you believe pertinent to your application for employment?

Question Title

* 9. Professional References

Question Title

* 10. Pre-Employment Acknowledgement

Columbus-Lowndes Public Library System Employment Application
Please submit resume to Erin Busbea at ebusbea@lowndes.lib.ms.us