Library Online Job Application

    North Platte Public Library Employment Application

    We are pleased that you are interested in a position with the City of North Platte. We are an equal opportunity employer, and no question on this application is intended to secure information to be used for discriminatory purposes. This form is a part of the examination process. Before completing this application, please read the minimum qualifications for the job in which you are interested. You cannot be considered for the position unless you meet these requirements. Answer all questions completely and accurately, and notify us promptly of any change in address.

    If you would like to print a copy of the job application to complete before submitting your online application or to submit your application on paper, please use our PDF version located HERE.

    Hitting the ENTER key will SUBMIT your application.


    Section 1: Identifying Information

    Position applying for
     

    Date Available to Begin (format: mm/dd/yyyy Example: 08/03/2019)

    First name (required)
     

    Middle Initial
     

    Last name (required)

    Social Security Number:
     

    Telephone Number: (example: 123-456-7890)

    Street Address
     

    Apt #

    City
     

    State
     

    Zip

    To facilitate reference checks please indicate any other name under which you have been employed


    Section 2: Education

    Please check the box to the left of the highest grade completed:
    HS12GEDCollege 123456Plus

    Graduate School Information

    School Name and Location

    Course of Study

    Years Completed
     

    Did you graduate?

    Degree or Diploma

     

    College Information

    School Name and Location

    Course of Study

    Years Completed
     

    Did you graduate?

    Degree or Diploma

     

    Business / Technical / Trade School Information

    School Name and Location

    Course of Study

    Years Completed
     

    Did you graduate?

    Degree or Diploma

     

    High School / GED Information

    School Name and Location

    Course of Study

    Years Completed
     

    Did you graduate?

    Degree or Diploma

     

    Have you received any additional training - workshops, short courses, volunteer work, etc.?


    Section 3: Skills

    Please list specific skills you have that are related to the job for which you are applying. (i.e. office equipment, computer skills, typing speed, shorthand speed, software used, etc.):


    Section 4: Experience

    Start at the top with your most recent experience and work backward. Experience may be paid or unpaid, full-time, part-time or military. Describe all of your work experience thoroughly, indicate how it relates to the position you are applying for. Include MONTH and YEAR of your beginning and ending dates of employment or experience. Failure to provide complete information may result in disqualification of your application.

    [1] Employer Name

    Address

    Telephone (format: 123-456-7890)

    Job Title

    Employed from:
     

    to

    Supervisor's Name

    Starting Salary:
     

    Final Salary:
     

    Hours Per Week:

    Duties:

    Reason for Leaving:

    [2] Employer Name

    Address

    Telephone (format: 123-456-7980)

    Job Title

    Employed from:
     

    To:

    Supervisor's Name

    Starting Salary:
     

    Final Salary:
     

    Hours Per Week:

    Duties:

    Reason for Leaving:

    [3] Employer Name

    Address

    Telephone (format: 123-456-7890)

    Job Title

    Employed from:
     

    To:

    Supervisor's Name

    Starting Salary:
     

    Final Salary:
     

    Hours Per Week:

    Duties:

    Reason for Leaving:

    [4] Employer Name

    Address

    Telephone (format: 123-456-7890)

    Job Title

    Employed from:
     

    To:

    Supervisor's Name

    Starting Salary:
     

    Final Salary:
     

    Hours Per Week:

    Duties:

    Reason for Leaving:

    We may contact the employers listed above unless you indicate those you do not want us to contact.

    Do Not Contact Employer No(s):

    Reason(s):


    Section 5: Military

    YesNo   Have you ever served on active duty in the U. S. Armed Forces?

    Branch
     

    Dates of Service

    Describe any training received relevant to the position for which you are applying:


    Section 6: Personal Data

    YESNO  [ 1] Have you been told the essential functions of the job or have you been shown a copy of the job description listing the essential functions of the job?

    YESNO  [ 2] Can you perform these essential functions with or without reasonable accommodations?

    YESNO  [ 3] If hired, can you show proof of authorization to work in the United States?

    YESNO  [ 4] Are you currently employed by the City of North Platte?

    YESNO  [ 5] Have you ever been employed by the City of North Platte?

    YESNO  [ 6] Do you have any relatives currently employed by the City of North Platte? (If yes, please list names and departments in the explaination box below)

    YESNO  [ 7] Have you ever been convicted of a felony? If yes, list date, place. offense and fine (or sentence) for each in the space below. (Conviction will not necessarily disqualify an applicant from employment consideration.)

    YESNO  [ 8] For positions requiring driving a vehicle, do you have a valid Nebraska drivers license?

    Number:
     

    Class/CDL:
     

    Endorsements:
     

    Expire Date: (mm/dd/yyyy)

    YESNO  [ 9] Are you over 18 years old?

    YESNO  [10] Are you aware of the policy of the City regarding drug and alcohol in the work place?

    YESNO  [11] Are you aware of the policy of the City regarding smoking in the work place?

    Explanatory remarks: (Please indicate item numbers to which answers apply):


    Section 7: References (Do not include former employers or relatives)

    [1] Reference: Name and Occupation

    Address

    Telephone Home (format: 123-456-7890):
     

    Telephone Business (format: 123-456-7890):

    [2] Reference: Name and Occupation

    Address

    Telephone Home (format: 123-456-7890):
     

    Telephone Business (format: 123-456-7890):

    [3] Reference: Name and Occupation

    Address

    Telephone Home (format: 123-456-7890):
     

    Telephone Business (format: 123-456-7890):


    Section 8: Additional Information

    Occasionally the format of an employment application makes it difficult for an applicant to adequately summarize his/her complete background. Use the space below to provide any additional information necessary to describe your complete qualifications for the position applied for.


    Section 9: Affidavit

    Please read each statement carefully before signing

    CERTIFICATION: I certify that the information set forth in my employment application is true and complete to the best of my knowledge. I understand that any incorrect, incomplete, exaggerated or false information furnished by me will subject me to disqualification or to discharge from employment at any time. I understand that it is my responsibility to include with my application copies of verification of any education, license, or certification requirements for the position for which I have applied. I understand that final approval of employment depends upon satisfactory completion of a background check and a post-offer of employment physical examination by the City, including a drug/alcohol screen. Any illegal substance, controlled or otherwise, which shows in my drug/alcohol screen results will result in my immediate disqualification from employment with the City. I further understand that if I am hired by the City of North Platte, the Immigration Reform and Control Act of 1986 requires that I provide certain information, including date of birth, country of origin, and statement of employment eligibility. In addition, I understand that I will be required to provide documents establishing my identity and authorization to work in the United States.

    STATEMENT OF APPLICANT: I authorize my former employers and character references to release any information regarding my employment. I hereby authorize the City of North Platte to make any investigation of my background as is deemed necessary to verify my qualifications for the position for which I am applying.

    By entering my full name, I am affirming the above statement:

    Date: (format: mm/dd/yyyy Example: 08/03/2017)

    Thank you for completing this application form and for your interest in employment with us. We would like to assure you that your opportunity for employment with the City of North Platte will be based only on merit. All qualified persons will receive consideration without regard to race, color, religion, sex, age, national origin, marital status or disability.

    The City of North Platte is an Equal Opportunity Employer/ADA

    Attach Cover Letter (PDF, DOC, DOCX, PNG, or JPG with 1MB size limit)

    Attach Resume (PDF, DOC, DOCX, PNG, or JPG with 5MB size limit)

    Attach Other Supporting Document (PDF, DOC, DOCX, PNG, or JPG with 5MB size limit)

    Please enter your email if you would like a confirmation of your application: