EMPLOYMENT APPLICATION

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					                                                  St. Stephens Cathedral
                                                EMPLOYMENT APPLICATION
                                                      (Please Print)

Name: _____________________________________________________                    Date: ___________________
       First            Middle          Last
Position applied for: __________________________________________
Present Address: _____________________________________________
                   Street/Box
City: _________________________         State: __________       Zip: _____________________
Home Phone: ______________________ Cell phone: _________________________
E-mail address: _________________________________________________________________
Are you legally eligible to work in this country? Yes______ No______
Have you ever been convicted of or pled guilty or no contest to a crime other than a minor traffic violation? Yes __ No__
Education Information:
High School: ____________________________________________ Degree: _______ Year graduated: __________
College Graduate: ________________________________________ Degree: ________ Year graduated: __________
Graduate School: _________________________________________ Degree: _______ Year graduated: _________
Professional certifications: _________________________________________________________________________
Other training: ___________________________________________________________________________________
Previous Employment: (Please begin with the most recent, including present)
Employer’s Name ____________________________ Position _______________________________________
Address _______________________________________________________________
Phone _____________________
Dates of Employment _________________________ Supervisor ______________________________________
Pay: $________ Week/Month Reason for Leaving _________________________________________________


Employer’s Name ____________________________ Position ________________________________________
Address _______________________________________________________________
Phone _____________________
Dates of Employment _________________________ Supervisor ______________________________________
Pay: $________ Week/Month Reason for Leaving _________________________________________________


Employer’s Name ____________________________ Position ________________________________________
Address ____________________________________ Phone _____________________
Dates of Employment _________________________ Supervisor ______________________________________
Pay: $________ Week/Month Reason for Leaving _________________________________________________

If applying for a clerical position, what business equipment can you operate? (For example computers, copiers etc)
_____________________________________________________________________________
_____________________________________________________________________________



1
In what computer software programs are you proficient? (Name the package/s)
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

References:
List three referenced who are not related to you, that we may contact in connection with your application for employment.

                          Reference 1                    Reference 2                   Reference 3
NAME
Address


Daytime phone #
Relationship to You
Years known



Please Read the Following Statements Carefully
Fair Credit Reporting Act Disclosure:
         In consideration of my employment, I agree to conform to the policies and procedures of the cathedral. I understand
          that in accepting this application, the cathedral is in no way obligated to provide me with employment and that I m not
          obligated to accept employment if offered. Furthermore, if employed, I understand that I am employed at will and that
          my employment and compensation can be terminated with or without cause, and with or without notice at any time.

          I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand
          that any falsified statements on this application or omission of fact on either this application or during the pre-
          employment process will result in my application being rejected, or, if I am hired, in my employment being terminated.

         I also understand that any offer of employment is conditioned on the completion of pre-employment tests and
          documentation I will upon request, sign all necessary consent forms.

    Date: ____________________________              Signature: ____________________________________________________




To Be Completed By Cathedral if Employment Made
Start date_______________ Position_____________ Salary $_______
By______________________




Developed by the Personnel Committee on 10-16-2010

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