Catholic Charities of Northern Kansas Employment Application
Personal Information
Name
*
First Name
Last Name
Date
*
/
Month
/
Day
Year
Date
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What position are you applying for?
*
Are you eligible to work in the U.S.?
*
Yes
No
Are you at least 18 years or older?
*
Yes
No
Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation? Refer to job description on website.
*
Yes
No
How did you hear about us?
*
Walk-in
Referral
Website
Indeed
Facebook
Other
Why are you leaving your current position?
*
Availability
Are you looking for full-time or part-time work?
*
Full-time
Part-time
Can you work overtime, including weekends?
*
Yes
No
Have you ever been employed by Catholic Charities of Northern Kansas in the past?
*
Yes
No
If so, when?
Date you can start?
*
-
Month
-
Day
Year
Date
Preferred Work Location:
*
Please Select
Salina
Hays
Manhattan
Education
Please indicate your highest level of education
*
Please Select
High school or equivalent
Technical or Occupational certificate
Associate degree
Some college coursework completed
Bachelor's degree
Master's degree
Doctorate
Employment History
Attaching a resume can substitute for this section. If no resume, include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Attach an additional page if necessary.
Employment History
Employment History
Employment History
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Do you have any special skills, experience, and/or training that would enhance your ability to perform the position applied for? If yes, explain:
References
Give the names of three persons not related to you, whom you have known at least three (3) years
Reference #1
*
Reference #2
*
Reference #3
*
Please Read Carefully Before Signing
I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Catholic Charities of Northern Kansas (CCNKS) to hire me. If I am hired, I understand that either CCNKS or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of CCNKS has the authority to make any assurance to the contrary. I attest with my signature below that I have given to CCNKS true and complete information on this application. No requested information has been concealed. I authorize CCNKS to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.
Signature
*
THIS APPLICATION IS ONLY VALID 60 DAYS FROM THE DATE OF SUBMISSION
Catholic Charities of Northern Kansas serves on behalf of the Diocese of Salina. Catholic Charities honors the sacredness of every person and values compassion and respect for all people. The Diocese is committed, in Christian charity, to justice and fairness in all dealings with its employees. As followers of Christ, all employees have a moral and social obligation to treat everyone fairly and with respect. The Diocese values diversity. To provide equal employment and advancement opportunities to all individuals, employment decisions at the Diocese will be based on legitimate, nondiscriminatory criteria, including merit, qualifications, and abilities. The Diocese and Catholic Charities reserves the right to give preference to certain applicants based on religion or morals in those positions where full compliance with the teachings of the Catholic Church and good morals are expected. With this exception in mind, employment of all personnel shall be based wholly on qualifications for a particular position, regardless of age, sex, race, national origin, color, creed, marital status, political preference, citizenship, disability, veteran’s status, or any other characteristic protected by federal, state, or local law, or previous residence.
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