INSTRUCTIONS – PLEASE READ CAREFULLY

All requested information must be furnished. Fill in all spaces accurately and completely. If an item does not apply to you, or if there is no information to be given, write the letters “NA” for “not applicable.” All information contained in the application is subject to verification. Omissions or erroneous statements may be cause for rejection of this application, removal from employment eligibility, or discharge from the library.

EQUAL OPPORTUNITY EMPLOYER

Jefferson County Library is an Equal Opportunity Employer and does not discriminate on the basis of age, ancestry, race, religion, color, sex, national origin, citizenship, marital status, disability, arrest and court record, sexual orientation, or other grounds protected under local, state, and federal laws, except where a bona fide occupational qualification exists.