Name:

Street Address:
City, State, ZIP Code:

Home telephone number:
Work telephone number:
May we contact you at work? Yes | No
Mobile telephone number:
Email address:

Title of position for which you are applying:

Minimum salary expectation:

Date you are available:

Are you legally eligible for employment in the United States? Yes | No

Are you related to a Baltimore County Public Library staff member? Yes | No

If you answered "Yes," please provide the name of the employee and your relationship:

Have you ever been convicted of a felony or misdemeanor other than a minor traffic violation?
Yes | No

If you answered "Yes," please explain:

EDUCATION and TRAINING

Last high school attended:

Did you graduate? Yes | No

If you answered "No," do you have a high school equivalency (GED)? Yes | No
If "Yes," State GED awarded:

SPECIALIZED SKILLS: (Include business equipment, computer hardware and software, mechanical/technical, foreign language, sign language or public service training and skills. Also include any professional certifications or licenses held.)

REFERRED BY:

WORK EXPERIENCE
Provide a complete record of your work history over the past ten years (longer if you desire) including part-time work, temporary or seasonal, military service, volunteer work and internships. List all experience in order, beginning with your present or most recent position. Use a supplemental sheet if additional space is needed. E-mail, fax or mail the supplemental list to the Human Resources Department. A resume may be attached but may not be a substitute for a completed application. False statements, omission, or misrepresentation may result in the rejection of this application and candidacy for this position and other positions within Baltimore County Public Library.

Employment Dates: From (month/year) To (month/year)	Type of Employment:
	Full-time Temporary/Seasonal	Part-time Other

Employer:
Employer's complete address:

Employer telephone number:
Nature of business:
Position held:
Name of supervisor:
Reason for leaving:

Employment Dates: From (month/year) To (month/year)	Type of Employment:
	Full-time Temporary/Seasonal	Part-time Other

Employer:
Employer's complete address:

Employer telephone number:
Nature of business:
Position held:
Name of supervisor:
Reason for leaving:

Employment Dates: From (month/year) To (month/year)	Type of Employment:
	Full-time Temporary/Seasonal	Part-time Other

Employer:
Employer's complete address:

Employer telephone number:
Nature of business:
Position held:
Name of supervisor:
Reason for leaving:

Employment Dates: From (month/year) To (month/year)	Type of Employment:
	Full-time Temporary/Seasonal	Part-time Other

Employer:
Employer's complete address:

Employer telephone number:
Nature of business:
Position held:
Name of supervisor:
Reason for leaving:

HOURS AVAILABLE (part-time applicants only)

Please list hours you are available to work:

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

PREFERRED LOCATIONS (part-time applicants only)

Please select any branches in which you are interested in working:

REFERENCES

List business or professional references only. Please do not list relatives.

May we contact your current employer? Yes | No

RESUME

Full-time applicants must submit a BCPL employment application and a resume. To submit your resume, e-mail it to human_resources@bcpl.net, mail it to the Human Resources Department at the address as the top of this page, or fax it to the Human Resources Department at 410-887-3025. Part-time applicants are required only to complete a BCPL application, but may submit a resume using any of the methods listed above.

"UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. ANY EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT TO EXCEED $100."

I hereby acknowledge that I have read and understand the polygraph notice written above:
Date of acknowledgement:
(Separate acknowledgement required by Maryland law.)

I understand submission of this application does not guarantee employment at the Baltimore County Public Library. I further understand that any employment with the Baltimore County Public Library is for no definite period of time. If employed, I may resign at any time for any reason or Baltimore County Public Library may terminate my employment at any time for any reason in absence of any specific written agreement to the Library, or as prohibited by statute.

I hereby certify that any and all statements made on this application are true, complete and correct to the best of my knowledge and are made in good faith and I authorize Baltimore County Public Library to investigate the statements made on this application. I understand that any misrepresentations or false statements made on this application could render it void and, if employed, could be cause for my termination. I authorize Baltimore County Public Library to contact my former employer(s) and listed references or other persons who can verify information, and I give consent for former employer(s) and other contacted persons to respond to questions pertaining to information contained in this application. Further, I release from liability such former employer(s) or other persons contacted by and providing information to Baltimore County Public Library. I understand that as a condition of employment I must be able to provide proof of my right to work in the United States.

I understand that applicants who do not meet the minimum qualification requirements for the position will not be considered. If the position requires a degree or certification I must provide a copy of transcripts for all coursework completed or a copy of the awarded certification. If certificate or degree was awarded outside the United States, I must provide equivalency.

I understand that if I am selected for a full-time appointment to a position in the Baltimore County Public Library, I will be given a physical examination on the basis of which I may or may not be accepted for appointment.

A signature is not required to submit your application. Should online applicants be offered an in-person interview, they will be required at the time of the interview to review and sign the application.

Baltimore County Public Library is an equal opportunity employer
and is committed to diversity in the workplace. The library's policy is to treat all employees and applications equally and without regard to their race, color, religion, sex, national origin, disability status as a disabled veteran or veteran of the Vietnam Era. This policy is applicable to all aspects of employment, including recruitment, hiring, training and promotions.

This application will automatically become inactive at the end of 90 days from the filing date,
and will be effective only for the position(s) specified on this application.
In order to be considered an applicant after 90 days, you must reapply
by completing another Baltimore County Public Library application for employment.

MAKE SURE YOU HAVE ANSWERED ALL THE QUESTIONS ON THIS FORM!
IF YOU HAVE NOT FILLED IT OUT COMPLETELY,
IT MAY RESULT IN REJECTION OF THE APPLICATION.

Submit this form by using the button which follows.
If you encounter an error, please use the "Back" command in your browser to return to this web page. You may print-out this form and mail or fax a copy to:

Human Resources Department
Baltimore County Public Library
320 York Road
Towson, Maryland 21204-5179
Fax: 410-887-3025