Name:

Library:

City/Town:

Phone: 

Today's Date:

Date Position Available:

MLS Required:  Yes        No

Position to be filled:

Special requirements for position (include any physical requirements, i.e. lifting, hearing, vision, etc.)

Automation Skills Required:  Yes     No,
(If yes, what types)
 

CORI required?  Yes     No

Length of Assignment:

Hours per week:

Schedule:

Supervisor:     Phone: 

Email:

I agree that the above information is correct:                          Yes   No

(Checking "yes" is equivalent to a signature.)

By checking "Yes" below and submitting this form, I agree that my organization will not independently recruit applicants for this position while BiblioTemps seeks a candidate. This includes, but is not limited to, advertising, recruiting, and interviewing applicants outside BiblioTemps.

Yes, I agree.