ARCHDIOCESE OF GALVESTON-HOUSTON
APPLICATION FOR EMPLOYMENT
Th
e Archdiocese of Galveston-Houston complies with all applicable federal, state, and local equal employment
opportunity laws and regulations. Employment decisions will not be made on the basis of race, color, national origin,
disability, genetic information, sex, age, pregnancy, and military or veteran status. However, the Archdiocese reserves
the right to make employment decisions based on principles of Catholic moral teaching, religious preferences, and other
religious needs, criteria, and policies. Some employees involved in ministerial work may not be subject to these laws and
regulations. Although children under the age of 18 years may legally work, they are not eligible for employment in the
Archdiocese of Galveston-Houston.
Position applied for Date of application
Name
LAST FIRST MIDDLE
Address
STREET CITY STATE ZIP CODE
Telephone No.
Date available for work Salary desired:
Ty
pe of employment desired Full-Time Part-Time Temporary Seasonal
Ar
e you over the age of 18? Yes No
Hav
e you ever been employed by any Archdiocese location? Yes No
If y
es, give location(s) and date(s) ___________________________________________________________________
Employment History
Provide the following information for your past and current employment starting with the most recent.
1. EMPLOYER
DATES
EMPLOYED
SUMMARIZE THE JOB DUTIES
FROM
TO
ADDRESS
JOB TITLE
IMMEDIATE SUPERVISOR AND TITLE
REASON FOR LEAVING
MAY WE CONTACT FOR REFERENCE?
YES
NO
LATER ____
2. EMPLOYER
DATES
EMPLOYED
SUMMARIZE THE JOB DUTIES
FROM
TO
ADDRESS
JOB TITLE
IMMEDIATE SUPERVISOR AND TITLE
REASON FOR LEAVING
MAY WE CONTACT FOR REFERENCE?
YES
NO
LATER ____
3. EMPLOYER
DATES
EMPLOYED
SUMMARIZE THE JOB DUTIES
FROM
TO
ADDRESS
JOB TITLE
IMMEDIATE SUPERVISOR AND TITLE
REASON FOR LEAVING
MAY WE CONTACT FOR REFERENCE?
YES
NO
LATER ____
I
nclude explanation for any lengthy gaps in employment history:
Skills and Qualifications - Summarize any special training, skills, licenses and/or certificates that may qualify you as being
able to perform job-related functions in the position for which you are applying.
EDUCATION
A. List last three (3) schools attended, starting with most recent. B. List number of years completed. C. Indicate degree or
diploma earned, if any. D. Major Field of Study.
A. SCHOOL
B. NUMBER OF
YEARS
COMPLETED
C. DEGREE
DIPLOMA
High School
Undergraduate
Graduate and Post Graduate
Business, Trade, other
R
eferences
List name and telephone number of three business/work references who are not related to you. If not applicable, list three
personal references who are not related to you.
NAME
TELEPHONE
YEARS KNOWN
It is my understanding that this employment application, or granting of an oral interview, does not represent a contract of
employment or a promise of future benefits by The Archdiocese of Galveston-Houston. I understand and agree that if hired, my
employment is AT-WILL and may be terminated, with or without cause, at any time, by myself or my employer. I certify that
the information on this application is true, complete, and correct. I authorize The Archdiocese of Galveston-Houston to
investigate my past employment and education. I understand that false answers, statements, or significant omissions made by
me on this form may be sufficient cause for denial of employment.
Signature of Applicant Date