Fill out this online form and click submit when you are finished, or print out your application and mail to:

Holy Name Catholic Church
9 South Connor Street
Sheridan, WY 82801



Employment Application

Position applying for:    Date:  
Last Name:    First Name   Middle I.  
Address:
City/State/Zip:  
Home Phone:   Business/Cell Phone:  
If the position you are applying for requires membership in a Catholic parish or faith community (as indicated in the job announcement), please identify your parish/community: 
Are you prevented from lawfully becoming employed in this country because of visa or immigration status? (Proof of employment eligibility will be required upon employment):    If yes, please explain:
Do you have any disabilities or health conditions that may affect your ability to perform the duties of the job you are applying for (or which should be taken into account for job placement)?:    If yes, please explain:
Have you ever been convicted of a felony, misdemeanor, or offense of any kind?:    If yes, please explain:
Are you at least 18 years old?  Yes
How did you hear about this opening (Please list specific bulletin, newspaper, etc.)? 
Education:
Education/Skills Name/Address of School Course of Study Choose last year completed Diploma or Degree Completed
High School
College
College

We are an Equal Opportunity Employer

Other training/education/skills: 

Previous Experience

Please list name, address, and phone number of previous employment, military, or volunteer experience, beginning with the most recent experience first.

1. Name of Organization   From:  To:
Status:      Current/Ending Salary
Address:Phone number:
Job title:Supervisor:
Duties & Responsibilities:

Reason for leaving:
Name known by (if different than present name):
May we contact the employer?    If no, please explain:


2. Name of Organization   From:  To:
Status:      Current/Ending Salary
Address:Phone number:
Job title:Supervisor:
Duties & Responsibilities:

Reason for leaving:
Name known by (if different than present name):
May we contact the employer?    If no, please explain:


3. Name of Organization   From:  To:
Status:      Current/Ending Salary
Address:Phone number:
Job title:Supervisor:
Duties & Responsibilities:

Reason for leaving:
Name known by (if different than present name):
May we contact the employer?    If no, please explain:


4. Name of Organization   From:  To:
Status:      Current/Ending Salary
Address:Phone number:
Job title:Supervisor:
Duties & Responsibilities:

Reason for leaving:
Name known by (if different than present name):
May we contact the employer?    If no, please explain:


5. Name of Organization   From:  To:
Status:      Current/Ending Salary
Address:Phone number:
Job title:Supervisor:
Duties & Responsibilities:

Reason for leaving:
Name known by (if different than present name):
May we contact the employer?    If no, please explain:


To the applicant: The Immigration and Control Act of 1986 requires that all job applicants prove authorization to work in the United States at the time of a job offer. Documentation establishing authorization may include Social Security Card, U.S. Passport, U.S. Birth Certificate, or other approved documentation. Picture identification is also required. For more information, contact the Bureau of Immigration and Naturalization Service.

Applicant's Certification and Agreement

I hereby certify that the facts set forth in Application for Employment are true and complete to the best of my knowledge. I understand if I am employed, falst or misleading statements given on my application or during my interview(s) may result in discharge.
I authorize an investigation of statements contained in this appication which will allow the employers to make an employment decision.

Typing my name in this box serves as my electronic signature:
Date:

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