School Administrator Application

Catholic School Administrator Application
Kindly complete this application and send with original transcripts, certification, and three letters of recommendation to the Catholic Schools Office at the Diocese of Manchester. Incomplete materials may eliminate your candidacy. The information obtained through the application process will be subject to review by the Catholic Schools Office and the Search Committee.
Full Name*

First NameMiddle NameLast Name
Present Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Until

MonthDayYear
Date
Home Phone Number*

Area CodePhone Number
Work Phone Number*

Area CodePhone Number
Cell Phone Number*

Area CodePhone Number
Email Address*
Permanent Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you authorized to work in the United States?*

YesNo
List all the states in which you have resided during the last five years.*
Please indicate your administration preference:*

High SchoolMiddle SchoolElementaryCatholic Schools Office
Position for which you are applying:*

Certification

Note: Must hold or be eligible for NH certification.
Certification*
Have you ever had your teaching credential revoked in any state?

YesNo
Education History
Undergraduate*
Graduate*

Employment History
Employment history*
Other Qualifications
College activities engaged in, any honors received before or since graduation; extracurricular work; additional information, experience, and interests that enhance your candidacy for a teaching position.
Personal Data
Religious Affiliation*
Parish*
City/Town*
Pastor*
Pastor's Contact Information*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pastor's Phone Number*

Area CodePhone Number
Some Catholic school educators teach religious education as well as other curriculum areas. Please indicate your educational and/or professional background or experience in religious education.

Personal Essay
Please attach a one-page, double-spaced response to the following:

An administrator in Catholic schools is involved in the educational ministry of the Church and brings to that ministry a unique history. Catholic school administrators/educators are, as a result, expected to be supportive of the beliefs and practices of the Catholic Church. Please indicate the circumstances which have brought you to explore for the first time or to continue ministry in a Catholic school. Please include in your response your reason for wanting to be involved in Catholic school education and what special gifts you bring to this important ministry.

Your response is most important to your candidacy for a position in Catholic schools in the Diocese of Manchester. Your essay must be signed and dated. Thank you.
Upload your Personal Essay*

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References
Please list three professional references, one of whom must be a recent employer who can attest to your qualifications for this position. In addition, the Clergy Reference Form must be downloaded and given to your pastor to complete.
References*

Certifications and Authorizations
Sign where noted to indicate that you have read and understand the statements.

I certify that the above information is true and complete to the best of my knowledge and belief. I understand that any statement I have furnished which is shown to be false when made will be cause for disregard of this application or will be cause for my immediate dismissal if I have been hired.

I understand that any employment or offer of employment is contingent on my meeting the employment eligibility requirements of the Immigration Reform and Control Act.

I authorize the Diocese of Manchester Catholic Schools Office and/or the school with which I am applying to conduct any and all inquiries that it may deem necessary or advisable to verify the information provided by me and/or to supplement this information. I authorize the Diocese of Manchester and/or the school to conduct a personal and professional background check for the purposes of my application. The Catholic Schools Office may contact any references, past and current employers, the State of New Hampshire, church, school, youth organizations and agencies where I have volunteered, and any individual or organization which might have information relevant to my desired position.

I authorize any former employer, or any other person, firm, corporation, credit agency or government agency to provide the Diocese of Manchester Catholic Schools Office with any information concerning me. In addition, I release such employer, person, firm, corporation, credit agency or government agency from any previous agreement, verbal or written, which would prohibit the release of information pertinent to my application for employment within the Diocese of Manchester Catholic Schools Office. I release and hold harmless the Diocese of Manchester Catholic Schools Office and such providers of information about me from any liability that results from the furnishing and review of this information.

If I am hired, I also authorize the Diocese of Manchester and/or the school to provide truthful information concerning my employment with the Diocese of Manchester to my future prospective employers, and I agree to hold it harmless for providing such information.

I understand, in accordance with church law, that no person who admits or is found to have sexually abused a child can exercise any ministry in the Church and that the Diocese of Manchester has a policy regarding the thorough investigation of all reports of child sexual abuse by any church personnel. I further understand that the Diocese of Manchester cooperates fully with the civil authorities in their investigation of all reports of a crime, including the sexual abuse of a minor.

I understand that it is my obligation to notify, within 14 days, the Superintendent of Catholic Schools if I am arrested or convicted of a crime after signing this form.
Signature of Applicant*
Date*

MonthDayYear
Date
Should be Empty:

Catholic School Administrator Application

Certification

Education History

Employment History

Other Qualifications

Personal Data

Personal Essay

References

Background and Criminal Records Check

Certifications and Authorizations