Online Application Form Step 1 of 6 16% Personal InformationDate* Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Alternate Phone*Email*While email is not required to apply, knowledge of email accounts and their functionality will be a main component of working for IPL Are You 18 Years or Older?*YesNoAre You Prevented from lawfully becoming employed in this country because of Visa or immigration status?*YesNo Employment DesiredPositionPlease list if you are applying for a specific positionPreferred Location(s) to work*Please select any branches that you would be interested in applying to work. Any Plaquemine (HQ) Bayou Pigeon Bayou Sorrel East Iberville Gross Tete Maringouin Rosedale White Castle Employment Type Desired*Full TimePart TimeEitherDate you can start* Salary DesiredAre you currently employed?*YesNoIf so may we inquire of your present employer?*YesNoHave you ever applied to work at IPL before?*YesNoWhere and When?*Referred by EducationGrammar SchoolName and Location*Number of Years attended*Please enter a number from 0 to 8.Did you graduate?*YesNoHigh SchoolName and Location*Number of Years attended*Please enter a number from 0 to 4.Did you graduate?*YesNoCollegeName and LocationNumber of Years attendedPlease enter a number from 0 to 8.Did you graduate?YesNoSubjects StudiedPlease list concentrations and degrees earnedTrade or Business SchoolName and LocationNumber of Years attendedPlease enter a number from 0 to 8.Did you graduate?YesNoSubjects StudiedPlease list concentrations and degrees earned GeneralSubjects of special study or research workPlease list any special skills or activities relevant to library work.US Military Service*Air ForceArmyCoast GuardMarinesNavyNational GuardNone Work HistoryPlease list your last three employers, starting with the most recent*Worked FromWorked ToName of EmployerAddress of EmployerSalaryPositionReason for leaving (please click the small circle with the plus sign to add another line for each employer) --> ReferencesReferences: Please list 3 references; applications with fewer than 3 references will NOT be considered.* (please click the small circle with the plus sign to add another line for each reference) -->NameAddressPhone NumberBusiness / RelationshipYears Aquainted ResumeIf you have a resume, please upload it here!In case of emergency, please notify*NameRelationshipAddressPhone Number I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am emplyed, my employment may be terminated at any time.*In consideration of my employment, I agree to conform to the Library's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other that it's director, and then only when in wrong and signed by the director, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing. I understand that by inputting my initials and clicking submit, I agree to above statements. This iframe contains the logic required to handle Ajax powered Gravity Forms.