Diocese of Sioux City Employment Application

Date of Application REQUIRED Please fill out this field. Please enter a date.

Position for which you are applying: REQUIRED Please fill out this field. Please enter valid data.

Please select: REQUIRED Please fill out this field.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Address REQUIRED Please fill out this field. 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.

Salary desired: REQUIRED Please fill out this field. Please enter valid data.

Date Available: REQUIRED Please fill out this field. Please enter a date.

If hired, can you provide documentation of your legal right to work in the United States? REQUIRED YES NO Please fill out this field.

Have you ever been employed previously by the Diocese of Sioux City or any of its parishes or schools? REQUIRED YES NO Please fill out this field.

If so, when & in what position? Please enter valid data.

Do you have any relatives or friends working at this location? REQUIRED YES NO Please fill out this field.

If yes, please name: Please enter valid data.

Have you ever been convicted of a felony or misdemeanor offense (exclude traffic violations)? REQUIRED YES NO Please fill out this field.

If yes, please explain the cirumstances:

Conviction does not automatically disqualify an applicant for a particular job. Type and seriousness of the crime, frequency of the violation, applicant’s age at the time of conviction, date of the conviction or time elapsed since the conviction or completion of any jail sentence, and applicant’s entire work and educational history, as well as employment references and recommendations, will be considered. It is the policy of the Diocese of Sioux City to conduct a criminal background check on all employees prior to employment.

Education

Select highest level completed REQUIRED Please fill out this field.
Describe major (s) or any special training REQUIRED Please fill out this field.
Name of School REQUIRED Please fill out this field. Please enter valid data.
School City REQUIRED Please fill out this field. Please enter valid data.

Specialized Skills

Employment or Volunteer Experience

Current or most recent employer: REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Supervisor's name & title REQUIRED Please fill out this field. Please enter valid data.
Start Date (month & year) REQUIRED Please fill out this field. Please enter a date.
End date (month & year) REQUIRED Please fill out this field. Please enter a date.
Position Title REQUIRED Please fill out this field. Please enter valid data.
Ending Salary REQUIRED Please fill out this field. Please enter valid data.

Employment or Volunteer Experience

Recent Employer or Volunteer Opportunity Please enter valid data.
Phone Number Maximum 20 characters Please enter a phone number.
Supervisor's name & title Please enter valid data.
Start Date (month & year) Please enter a date.
End date (month & year) Please enter a date.
Position Title Please enter valid data.
Ending Salary Please enter valid data.

Describe your work: REQUIRED Please fill out this field.

Reason for leaving: Please enter valid data.

May we contact this employer? YES NO

Please explain any gaps in your employment history:

Have you ever been terminated or asked to resign from a job? REQUIRED YES NO Please fill out this field.

If so, please explain:

Educational honors, extra-curricular activities, professional societies, or other information that you believe is related to your ability to perform the job for which you are applying: REQUIRED Please fill out this field.

Military Experience

Branch Please enter valid data.
Rank Please enter valid data.
Years of Service Please enter valid data.

Professional References:

Please list 3 who have knowledge of your professional and/or work experiences.
Reference #1
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Title REQUIRED Please fill out this field. Please enter valid data.
Employer/City Please enter valid data.
Daytime Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Reference #2
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Title REQUIRED Please fill out this field. Please enter valid data.
Employer/City Please enter valid data.
Daytime Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Reference #3
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Title REQUIRED Please fill out this field. Please enter valid data.
Employer/City Please enter valid data.
Daytime Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.

Applicant's Statement:

I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision, including a criminal background check. The Diocese of Sioux City is in compliance with the laws of the state of Iowa with regard to “employment at will”. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time, with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written documentation or by conduct, unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application, resume and/or interview(s) may result in discharge. Given that the Diocese of Sioux City is a religious organization whose mission is the promulgation of Catholic teachings and ideals, I agree, if hired, to be respectful of the Catholic Church and its teachings and to comply with the moral standards of the Catholic Church. I will refrain from any conduct or lifestyle that is in contradiction to Catholic social doctrine or morals including, but not limited to: cohabitation outside of marriage; sexual activity outside of wedlock; same-sex sexual activity; use of abortion; use of surrogate mother; advocacy (defined as presenting or promoting as acceptable) for conduct, lifestyle, positions, policies, programs, causes or movements in contradiction to Catholic social doctrine or morals; and/or flagrant deceit or dishonesty.

Applicant's Signature REQUIRED Please fill out this field. Please enter valid data.

Date Signed: REQUIRED Please fill out this field. Please enter a date.