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Our Lady of Mount Carmel Parish considers qualified applicants regardless of race, color, gender, age, national origin, handicap, or veteran status. However, given the religious nature of the parish, the parish reserves the right to dismiss an employee for serious public immorality, public scandal, or public rejection of the teachings, doctrine, or laws of the Roman Catholic Church.
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- Name (Last, First, Middle Initial) REQUIRED Please fill out this field. Please enter valid data.
- Present Address REQUIRED Please fill out this field. Please enter valid data.
- Apartment Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Daytime Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Evening Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Birthday (Month and Day Only) REQUIRED Please fill out this field. Please enter valid data.
- Are you 18 years of age or older? REQUIRED Yes No Please fill out this field.
- Please list all additional addresses for the past seven years.
- Please list other names and dates used.
- If you are under 18, can you provide proof of your eligibility to work? Yes No
- Have you ever filed an application with us before? Yes No
- If yes, give date. Please enter valid data.
- Have you ever been employed with us before? Yes No
- If yes, give position and dates. Please enter valid data.
- If hired, can you provide the requisite evidence of authorization to work in the U.S.? REQUIRED Yes No Please fill out this field.
- Desired Employment - Position Applied For REQUIRED Please fill out this field. Please enter valid data.
- Date You Can Start REQUIRED Please fill out this field. Please enter valid data.
- Salary Desired REQUIRED Please fill out this field. Please enter valid data.
- Are you available to work: REQUIRED Full-time Part-time Please fill out this field.
- Are you on "Layoff" status subject to recall? REQUIRED Yes No Please fill out this field.
- Can you travel if the job requires it? REQUIRED Yes No Please fill out this field.
- Are you able to perform the duties of the job for which you are applying? REQUIRED Yes No Please fill out this field.
- Are you employed now? REQUIRED Yes No Please fill out this field.
- May we contact your current employer? Yes No
- Who referred you to this parish? Employment Agency College Placement Service Friend State Employment Office Ad (Online, in Bulletin or in Newspaper) Other
- Education - High School Name Please enter valid data.
- Number of Years Attended Please enter valid data.
- Subjects/Degree Please enter valid data.
- Education - College/University Name Please enter valid data.
- Number of Years Attended Please enter valid data.
- Subjects/Degree Please enter valid data.
- Education -Trade, Business or Correspondence School Please enter valid data.
- Number of Years Attended Please enter valid data.
- Subjects/Degree Please enter valid data.
- Please list other names and dates used while attending school or college.
- Other special studies, training or skills
- EMPLOYMENT HISTORY - Present or Last Employer REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City, State, Zip REQUIRED Please fill out this field. Please enter valid data.
- Starting Date REQUIRED Please fill out this field. Please enter valid data.
- Leaving Date REQUIRED Please fill out this field. Please enter valid data.
- Job Title REQUIRED Please fill out this field. Please enter valid data.
- Starting Salary REQUIRED Please fill out this field. Please enter valid data.
- Final Salary REQUIRED Please fill out this field. Please enter valid data.
- Name of Supervisor REQUIRED Please fill out this field. Please enter valid data.
- Title REQUIRED Please fill out this field. Please enter valid data.
- Phone REQUIRED Please fill out this field. Please enter valid data.
- Description of Work REQUIRED Please fill out this field.
- Reason for Leaving REQUIRED Please fill out this field. Please enter valid data.
- Name of Previous Employer 1 REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City, State, Zip REQUIRED Please fill out this field. Please enter valid data.
- Starting Date REQUIRED Please fill out this field. Please enter valid data.
- Leaving Date REQUIRED Please fill out this field. Please enter valid data.
- Job Title REQUIRED Please fill out this field. Please enter valid data.
- Starting Salary REQUIRED Please fill out this field. Please enter valid data.
- Final Salary REQUIRED Please fill out this field. Please enter valid data.
- Name of Supervisor REQUIRED Please fill out this field. Please enter valid data.
- Title REQUIRED Please fill out this field. Please enter valid data.
- Phone REQUIRED Please fill out this field. Please enter valid data.
- Description of Work REQUIRED Please fill out this field.
- Reason for Leaving REQUIRED Please fill out this field. Please enter valid data.
- Name of Previous Employer 2 REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City, State, Zip REQUIRED Please fill out this field. Please enter valid data.
- Starting Date REQUIRED Please fill out this field. Please enter valid data.
- Leaving Date REQUIRED Please fill out this field. Please enter valid data.
- Job Title REQUIRED Please fill out this field. Please enter valid data.
- Starting Salary REQUIRED Please fill out this field. Please enter valid data.
- Final Salary REQUIRED Please fill out this field. Please enter valid data.
- Name of Supervisor REQUIRED Please fill out this field. Please enter valid data.
- Title REQUIRED Please fill out this field. Please enter valid data.
- Phone REQUIRED Please fill out this field. Please enter valid data.
- Description of Work REQUIRED Please fill out this field.
- Reason for Leaving REQUIRED Please fill out this field. Please enter valid data.
- PROFESSIONAL REFERENCES - Professional Reference 1 - Please give the name of someone (other than a friend or relative) whom you have known for at least one year. REQUIRED Please fill out this field. Please enter valid data.
- Address and Phone REQUIRED Please fill out this field. Please enter valid data.
- Relationship REQUIRED Please fill out this field. Please enter valid data.
- Number of years known REQUIRED Please fill out this field. Please enter valid data.
- Professional Reference 2 REQUIRED Please fill out this field. Please enter valid data.
- Address and Phone REQUIRED Please fill out this field. Please enter valid data.
- Relationship REQUIRED Please fill out this field. Please enter valid data.
- Number of years known REQUIRED Please fill out this field. Please enter valid data.
- Professional Reference 3 REQUIRED Please fill out this field. Please enter valid data.
- Address and Phone REQUIRED Please fill out this field. Please enter valid data.
- Relationship REQUIRED Please fill out this field. Please enter valid data.
- Number of years known REQUIRED Please fill out this field. Please enter valid data.
- SERVICE RECORD - Branch of Service Please enter valid data.
- Discharge Date Please enter valid data.
- Rank Please enter valid data.
- CONVICTION RECORD - Have you ever been convicted of a crime? REQUIRED Yes No Please fill out this field.
- If yes, explain and give date, city and state (will not necessarily exclude you from consideration).
- I have read and agree to the Applicant's Statement and Authorization Below. REQUIRED Yes No Please fill out this field.
- Signature REQUIRED Please fill out this field. Please enter a date.
- Date REQUIRED Please fill out this field. Please enter a date.
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Applicant's Statement and Authorization
Applicants must review, sign and date above before applying.
- I understand that the Parish-Employer follows an “employment at will” policy. That means that I or the Parish-Employer may terminate my employment at any time, and for any reason, consistent with applicable state or federal law. The only way that this policy can be changed is where specifically permitted in a writing signed by an authorized person of the Parish-Employer. I also understand that this application is not a contract of employment.
- I understand that federal law prohibits the employment of unauthorized aliens. I understand that I must submit proof of employment authorization and identity in a timely manner and that I will be denied employment if I fail to do so.
- I understand that I am to comply with the Safe Environment protocol before I can be employed (or serve as a volunteer) with the Parish.
- I understand that I am to comply with the Catholic Identity and Mission Statement if I am employed by the Parish in a ministerial capacity.
- I understand that the Parish-Employer may thoroughly investigate my employment and personal history and verify all information provided on this application, on related papers, and in interviews.
- I authorize all individuals, schools, and firms named in this application, except my current employer if so noted, to provide any information requested about me, and I release them and the potential Parish-Employer 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.

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