Staff application GENERAL INFORMATIONName* First Middle Last Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Church Affiliation Catholic Name of Church you are currently registered Church Location Pastor's Name Pastor's Phone NumberEMPLOYMENT DESIREDPosition Date You Can Start MM slash DD slash YYYY Are you employed now? Yes No If so, can we contact your present employer? Yes No EDUCATIONHighest level of education, year graduated, and subjects studied.FORMER EMPLOYERSList below your last four employers, starting with present or last one first.Name & Address of Employer Start Date & End Date Salary Position Reasion for leavingName & Address of Employer Start Date & End Date Salary Position Reasion for leavingName & Address of Employer Start Date & End Date Salary Position Reasion for leavingName & Address of Employer Start Date & End Date Salary Position Reasion for leavingREFERENCESGive the names of three persons, not related to you, whom you have known at least one year. One of these people should be your current pastor or minister. Name First Last Address Street Address City State / Province / Region ZIP / Postal Code Business Years Acquainted Name First Last Address Street Address City State / Province / Region ZIP / Postal Code Business Years Acquainted Name First Last Address Street Address City State / Province / Region ZIP / Postal Code Business Years Acquainted BACKGROUND INFORMATIONDiocese of Lincoln Background & Safe Environment Training must be completed before employment begins. Links are located at www.aquinas-catholic.com/careers/Do you use illegal drugs in any form or excessive amounts of alcohol?* Yes No Have you ever been convicted of a crime other than a minor traffic offense? Yes No If "yes" to either above questions, explain:COMPLETE APPLICATION* I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION. I UNDERSTAND THAT MISREPRESENTATION OR OMISSION OF FACTS CALLED FOR CAUSE FOR DISMISSAL.
