Teens of Distinction Employment Program Application

Applicant Information
Last Name: First Name: M.I.

Date of Birth: Address: City/State: Home phone: Cell phone: Are you a citizen of the United States? If no, are you authorized to work in the U.S.? Zip Code: Ward: Social Security #: e-mail address: Yes Yes No No

Current age:

This position runs during the school year. Can you work a minimum of 10 hours per week? Yes No Are you available to work: M-F 9:30 am-3:30 pm? Y N Saturdays? Y N M-F 3:30 pm -9 pm? Y N

Education
Are you currently in school? Y N (If yes, proceed to section I. If no, proceed to section II.) I. High School name: Did you graduate?: Y N Current grade level (10th, 11th, etc): Cumulative GPA (please attach a copy of your most recent report card or transcript): College or University name: Current grade level (freshman, sophomore, etc.): II. If you are currently enrolled in a GED program, list the name of your program (and please attach a letter from the program director confirming your enrollment and successful participation): If you are out of school and not in a GED program, mark this box: (This will not affect your application in any way.)

Rsum
Attach a copy of your rsum to this application. Please include on it any previous employment, volunteer work, community and extracurricular activities, and any membership in clubs or organizations. Also, include any awards, honors, or special recognition you have received.

Library Selection
Circle the Library locations where you are willing to work. Put a star next to your first choice. Consult dclibrary.org for site location information. You will be asked this question a few more times over the course of the application process. This first time is just so YOU can start thinking about library locations. NE locations: Lamond-Riggs Northeast NW locations: Cleveland Park Palisades Tenley SE locations: SW locations: Francis Gregory Southwest West End Petworth Shepherd Park/Juanita Thornton Mount Pleasant Chevy Chase Woodridge Dorothy Height/Benning

Shaw/Watha T. Daniels Anacostia

Bellevue/Washington Highlands

Martin Luther King, Jr. Memorial Library (MLK, Central Library)

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Pursuant to DC Official Code [1-616.51et.seg. (2001)] Signature: Date:

Your completed application consists of: This application form, Your rsum, 2 letters of recommendation (from a teacher, advisor, mentor, or former supervisor), and Your report card or transcript showing your cumulative GPA; or GED program letter Completed applications are due by Friday, September 7, 2012 to: Human Resources Department, Application drop-off box in the Great Hall Martin Luther King, Jr. Memorial Library 901 G Street, NW, Washington DC 20001 Hours: Monday and Tuesday 12:00 pm-9:00 pm Wednesday-Saturday 9:30 am-5:30 pm