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At Your Library

Teen Art Educators Application

* designates a required field.

First Name: *
Last Name: *
Address: *
City: *
Zip Code: *
Home Phone: *
Cell Phone:
Work Phone:
Email:
Best time to be reached: *
Age: *
Grade: *
School: *
Please identify the language(s) in which you consider yourself fluent:
Why are you interested in being a member of the Art Out of the Box team: *
What skills or abilities do you have to bring to this position: *
Please describe experience you have working with children: *
Volunteer experience:
Organization:
Date:
Type of work performed:
Time at organization:
Work experience:
Employer:
Date:
Business Address:
Position:
Length of employment:
Personal Reference:
Reference name:
Reference Phone:
Reference address:
School/Business/Volunteer related reference:
Related reference phone:
Related reference address:
In case of an emergency:
Emergency phone:
Additional Comments:

By submitting this form, I hereby certify that the information on the above application is true, accurate and complete to the best of my knowledge. I also authorize Hennepin County Library to verify any of the information on the application and to secure employment-related information deemed necessary from former employers or personal references.