Our Lady of the Holy Spirit Center Employment Application
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Name of position for which you are applying
Date Available
Desired salary
Are you legally eligible to work in the United States?
Yes
No
Have you previously worked for Our Lady of the Holy Spirit Center?
Yes
No
When did you work for OLHSC and what was your title?
Education Background
Name of High School
City/State
Dates of attendance
Did you graduate?
Yes
No
Did you attend college/university?
Yes
No
Name of college/university
City/State
Dates of attendance
Did you graduate?
Yes
No
Name of degree
Did you attend an additional college or university?
Yes
No
Name of additional college or university
City/State
Dates of attendance
Did you graduate/earn certificate?
Yes
No
Name of degree or certificate
Employment History
Most recent employer
Job title/responsibility
If you are submitting a resume, please only list your job title
Dates of employment
Work status
Full time
Part time
Contract employee
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Supervisor's name
First Name
Last Name
May we contact this employer?
Yes
No
Name of employer
Job title/responsibility
If you are submitting a resume, please only list your job title
Dates of employment
Work status
Full time
Part time
Contract employee
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Supervisor's name
First Name
Last Name
May we contact this employer?
Yes
No
Name of employer
Job title/responsibility
If you are submitting a resume, please only list your job title
Dates of employment
Work status
Full time
Part time
Contract employee
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Supervisor's name
First Name
Last Name
May we contact this employer?
Yes
No
References
Please provide the name of three references who are not related to you, and can speak to your ability to perform the job duties for which you are applying.
Reference 1
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
How do you know this person?
Reference 2
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
How do you know this person?
Reference 3
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
How do you know this person?
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I certify that the information obtained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to hire me, or for discharge should I be hired. I authorize any person, organization, or company listed on this application to furnish you any and all information regarding my previous employment, education, qualifications for employment. I also authorize you to request and receive such information. In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may change, withdrawn, added or interpreted at any time, at the company’s sole discretion without prior notice to me. I also acknowledge that my employment may be terminated, or any offer or acceptance of employment with drawn, at any time, with or without cause, and with our without prior notice at the option of the company or myself.
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