Application For Employment - Diocese Of Venice Page 2

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EDUCATION
NAME AND LOCATION OF SCHOOL
# OF YEARS
DID YOU
SUBJECTS STUDIED
ATTENDED
GRADUATE?
GRAMMAR SCHOOL
HIGH SCHOOL
COLLEGE
OTHER
Your name, if different while attending school: _________________________________________________________________________________
Special Skills:
________________________________________________________________________________________
______________________________________________________________________________________________________
LICENSURE, REGISTRATION, CERTIFICATION EXAMPLES: Driver’s License, Teacher Certification, RN, LPN, PE,
IV.
CPA, etc.
LICENSE, REGISTRATION OR
NUMBER
DATE RECEIVED
EXPIRATION DATE
STATE LICENSING
CERTIFICATION
AGENCY
V.
PERIODS OF EMPLOYMENT
Describe your work experience in detail, beginning with your current or most recent job. Include military service (indicate rank) and job-related volunteer work, if
applicable. Indicate number of employees supervised. Use a separate block to describe each position or gap in employment. If needed, attach additional sheets, using
the same format as on the application. All information in this section must be completed. Resumes may be attached to provide additional information.
 Name of Present or Last Employer: __________________________________________________________________________________
Address: __________________________________________________________________ Phone No.: (
)
Supervisor’s Name: ______________________________________
Your Job Title: ___________________________________________
FROM: _____/_______
TO: _______/________
HOURS PER WEEK: ___________ (__________________________________)
Month
Year
Month
Year
Your name if different during employment
Duties and Responsibilities: _________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
Reason for Leaving: __________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
SALARY:
STARTING_______________________
ENDING_______________________

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