Columbus Day News

BLESSED TRINITY CATHOLIC SCHOOL APPLICATION FOR EMPLOYMENT All information will be kept confidential. Position Applying For ________________________ Date ____________ Personal Information Name __________________________________________________________________________________________ Last First Middle Present Address _________________________________________________________________________________ Street City State Zip Code Permanent Address _______________________________________________________________________________ Street City State Zip Code Phone Number ____________________________ Social Security # __________________________________ Are you a citizen of the United States? Yes No If no, can you provide documentation of your legal right to work in the United States? Yes No Have you ever been convicted of a felony? Yes No If yes, please explain fully on a separate sheet. (Note: A conviction record will not necessarily be a bar to employment.) Education Name of School City/State Dates Attended Degree/Diploma High School College Other Employment Experience List your last four employers, beginning with the most recent. Include summer and part-time jobs. Name of Employer Dates Employed Position Held Reason for Leaving Address Phone Name of Employer Dates Employed Position Held Reason for Leaving Address Phone Name of Employer Dates Employed Position Held Reason for Leaving Address Phone Name of Employer Dates Employed Position Held Reason for Leaving Address Phone References Give the names of three persons not related to you, whom you have known at least one year. Name Address Phone Number Name Address Phone Number Name Address Phone Number Skills List any skills you possess which you feel qualify you for the position for which you are applying. ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ I certify that the information contained in this application is correct to the best of my knowledge and I authorize the school to make any investigation of my personal or employment history deemed necessary. I understand that misrepresentation or omission of facts requested is cause for dismissal. Signature ________________________________________________________________ Date _____________