DIOCESE OF CHARLESTON

ST. MARY HELP OF CHRISTIANS CATHOLIC SCHOOL

EMPLOYMENT APPLICATION

PLEASE READ CAREFULLY AND SIGN

I hereby certify that to the best of my knowledge the information presented in this application is true and complete. My permission is given for contact to be made for references with employers listed herein, except where specifically indicated to the contrary. I also understand that employment is contingent upon a thorough reference and background screen by an outside professional screening company named by the Diocese of Charleston. I further understand that an offer of employment shall not be conditionally or formally extended unless I agree to this background screening by signing an employment inquiry release.

I also understand that if hired, neither this application nor any related policies, procedures, or practices of the employer shall create an implied or explicit contract for employment or promise of continued employment. Employment in the Diocese of Charleston is "at will" or voluntary by the employer and employee. This means employment may be terminated by either party at any time with or without notice or reason. The only exceptions to the employment at will arrangement are those limited situations in which professional educators have written annual contracts that are approved by the Diocesan Department of Christian Formation and Education.

I understand that any misrepresentation or falsification can be grounds for refusal of employment. I further understand that if employed, any false statements or misrepresentations contained herein or in conjunction with the application process may be cause for dismissal.

Please choose one of the following:

You may make contact with my present employer.
You may not make contact with my present employer.
I am not employed at this time.

Sign Application:

Full Name:

E-mail:

Today's Date:

Three confidential references from supervisors of previously held positions are required. Reference letters or completed reference forms can be faxed to St. Mary's School at (803) 643-0092 or mailed to St. Mary's School at 118 York Street SE, Aiken, SC 29801.

REFERENCES (please provide a minimum of three):

Name:
City/State:
Telephone:
Alternative Telephone:

Name:
City/State:
Telephone:
Alternative Telephone:

Name:
City/State:
Telephone:
Alternate Telephone:

PERSONAL INFORMATION

NAME:
Last Name:
First Name:
MI:

Social Security Number:

ADDRESS:
Number & Street:
City:
State:
Zip Code:

Home Telephone:
Alternate Telephone:

Are you under 18 yrs of age? Yes No

Previous Addresses and Dates of Residence (if at present less than seven years):


Have you EVER resided in any other states or territories within the United States other than those listed above?
Yes No

If yes, please list those states or territories:

Please list any other names, including maiden names, names by previous marriages, "nicknames," aliases, etc., by which you have ever been known:

Have you ever applied to the Diocese of Charleston for a job?
Yes No

If yes, what job and when:

Do you have any relatives employed by the Diocese of Charleston or any of its parishes or schools? Yes No

If yes, please provide details:

Position Desired:

Salary Desired: $

Status Desired: Full Time Part Time Per Diem

Earliest Start Date:

EDUCATION

HIGH SCHOOL:

Name:
Address:
Graduation Date:

COLLEGE/TECH/BUSINESS SCHOOL:
Name:
Address:
Major:
Graduate/Degree:
Date:

GRADUATE SCHOOL:
Name:
Address:
Major:
Graduate/Degree:
Date:

OTHER (please specify):
Name:
Address:
Major:
Graduate/Degree:
Date:

CERTIFICATIONS HELD:
Date:
State:

Are you currently in school? Yes No

If yes, where?

Other professional training and/or workshops attended:

Special awards and recognitions:


EMPLOYMENT HISTORY

Instructions: Starting with your current employment, list in reverse order your past seven years of employment or, if at one job for the last seven years, your last four positions held. Please note any extended periods of non-employment (more than six months).

(1) Employed by:
Phone:
Address:
City:
State:
Zip:

Position(s) held:
Hours worked/week

From (Mo./Yr.):
To (Mo./Yr.):

Supervisor's name & title:

Description of job/responsibilities:
Reason(s) for leaving:
Salary:

(2) Employed by:
Phone:
Address:
City:
State:
Zip:

Position(s) held:
Hours worked/week

From (Mo./Yr.):
To (Mo./Yr.):

Supervisor's name & title:

Description of job/responsibilities:
Reason(s) for leaving:
Salary:


(3) Employed by:
Phone:
Address:
City:
State:
Zip:

Position(s) held:
Hours worked/week

From (Mo./Yr.):
To (Mo./Yr.):

Supervisor's name & title:

Description of job/responsibilities:
Reason(s) for leaving:
Salary:


(4) Employed by:
Phone:
Address:
City:
State:
Zip:

Position(s) held:
Hours worked/week

From (Mo./Yr.):
To (Mo./Yr.):

Supervisor's name & title:

Description of job/responsibilities:
Reason(s) for leaving:
Salary:


(5) Please identify and explain periods of non-employment (more than six months):

 

SPECIAL SKILLS

Do you speak any foreign language(s)? Yes No

If yes, specify language(s):

Are you fluent in speech and writing? Yes No

List any computer skills including software experience:

List any relevant accomplishments, qualifications and/or volunteer experience:

Submit application to pwertz@stmaryhoc.net or mail completed application to St. Mary Help of Christians Catholic School, 118 York St., SE, Aiken, SC 29801