Fillable Application For Employment Form (Page 2 of 2) in pdf

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Have you previously been employed by the Archdiocese or any of its institutions?



Do you work at any other Archdiocesan location currently?

How were you referred to our organization? ___________________________________________



Do you have any relatives who are employed by this organization?

Please specify:

_______________________________________________________________

Is there any information we would need about your name or use of another name for us to be able

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to check your work record?

Please specify: _______________________________

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Have you ever been convicted of a criminal offense?

[Conviction is not necessarily a bar to employment]

Please specify:

__________________________________________________________________

Please list any additional information that relates to your ability to perform the job for which you

have applied – such as license, certification, training, professional memberships, etc.

REFERENCES (2 Employers + 1 Personal)

NAME

ADDRESS

PHONE NUMBER

___________________________________________________________________________________

APPLICANT’S STATEMENT

I understand that the employer follows an “employment at will” policy, in that I or the

employer may terminate my employment at any time, or for any reason consistent with

applicable state or federal law; this “employment at will” policy cannot be changed unless

the change is specifically authorized in writing. I understand that this application is not a

contract of employment.

I understand that federal law prohibits the employment of

unauthorized aliens; all persons hired must submit satisfactory proof of employment

authorization and identity; failure to submit such proof will result in denial of

employment.

I understand that certain positions may require the knowledge of or the practice of the

Catholic faith. If this is a requirement, I will be told prior to employment.

I understand that the employer may thoroughly investigate my work and personal history

and verify all data given on this application, on related papers, and in interviews.

authorize all individuals, schools, and firms named therein, except my current employer if

so noted, to provide any information requested about me, and I release them from all

liability for damage in providing this information.

I certify that all statements herein are true and understand that any falsification or willful

omission shall be sufficient cause for dismissal or refusal of employment.

Your Signature:

________________________________________________________

Application For Employment Form Page 2

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