(Provide the Names of Three Persons Not Related to You, Whom You Have Known at
Least One Year. Co-workers are Preferred.)
Authorization
“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if
employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any and
all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and
release the library from liability for any damage that may result from utilization of such information.
I also understand and agree that nothing in this Application for Employment creates, or should be interpreted to create, an
employment contract for any specific length of time between the library and any employee.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the
Americans with Disabilities Act (ADA) and other relevant federal and state laws.
I understand that a Criminal Background Check will be required prior to my employment. The Madison Public Library will provide
me with written notice regarding the use of this report and will also obtain a separate written authorization from me to consent to
the report. I also understand that a conviction will not automatically result in disqualification from employment.”
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and
to complete the required employment eligibility verification document upon hire.
In compliance with the Americans with Disabilities Act, the Library will provide reasonable accommodation to employees who
are qualified individuals with a disability as long as it does not cause undue hardship for the library.
The Madison Public Library is an at-will employer. This means that, if employed, an employee has the right to terminate his or
her employment at any time without cause or notice, and that the library has the right to terminate the employment of any
employee at any time with or without cause or notice. Unless authorized by a written agreement, signed by the president of the
board, no manager or other representative of the library has the authority to enter into any agreement for employment for any
specified period of time.