PERSONAL

LAST NAME / FIRST NAME / MIDDLE / DATE
Click here to enter a date. /
STREET ADDRESS / HOME PHONE
CITY, STATE, ZIP / CELL PHONE
HAVE YOU EVER APPLIED FOR EMPLOYMENT WITH US? Choose an item. / EMAIL ADDRESS
IF YES, MONTH/YEAR:
REGISTERED PARISH: / RELIGION:
NUMBER OF GRADUATE CREDITS EARNED / How did you learn of our organization
VALID SD TEACHING CERTIFICATE: Choose an item. / Date of Expiration:
PLEASE LIST THE EXTRA CURRICULAR ACTIVITIES YOU ARE WILLING TO SUPERVISE:
1.
2.
3.
Have you been arrested or convicted of a felony or misdemeanor, which has not been annulled, expunged or sealed by court, excluding anything in juvenile court and traffic offenses? Choose an item.
(if yes, describe in full) / Have you ever been discharged from a position? Choose an item.
(if yes, explain)

EDUCATION AND TRAINING

COLLEGES AND UNIVERSITIES (LIST MOST RECENT FIRST)

SCHOOL / DEGREE
LOCATION
MAJOR / MINOR
SCHOOL / DEGREE
LOCATION
MAJOR / MINOR
SCHOOL / DEGREE
LOCATION
MAJOR / MINOR

STUDENT TEACHING

SCHOOL / DATE
LOCATION / SUBJECT/GRADES

PREVIOUS TEACHING EXPERIENCE

(BEGIN WITH THE MOST RECENT EXPERIENCE)

SCHOOL/COMPANY NAME / DATE
LOCATION / GRADE
SCHOOL/COMPANY NAME / DATE
LOCATION / GRADE
SCHOOL/COMPANY NAME / DATE
LOCATION / GRADE

REFERENCES

(INCLUDE 2 SUPERVISORS, 1 PASTOR, 1 CHARACTER REFERENCE, ETC)

NAME / PHONE
ADDRESS
NAME / PHONE
ADDRESS
NAME / PHONE
ADDRESS

SIGNATURE AND AUTHORIZATION

ACCEPTANCE OF THIS APPLICATION BY SFCS AFFORDS THE APPLICANT NO ASSURANCE OF EVENTUAL EMPLOYMENT. IF YOU RECEIVE A CONDITIONAL OFFER OF EMPLOYMENT, YOU MAY BE REQUIRED TO TAKE A PHYSICAL EXAMINATION, VERIFY YOUR ABILITY TO LEGALLY ACCEPT EMPLOYMENT IN THE UNITED STATES AND TO HAVE BACKGROUND INVESTIGATIONS, INCLUDING CRIMINAL RECORD AND CONTACTING FORMER EMPLOYERS. THIS APPLICATION DOES NOT CONSTITUTE A CONTRACT OF EMPLOYMENT.

I HAVE READ THE FOREGOING INSTRUCTIONS AND QUESTIONS AND MY ANSWERS ARE TRUE AND CORRECT. I HAVE NOT KNOWINGLY MISREPRESENTED OR WITHHELD ANY FACT OR CIRCUMSTANCE THAT WOULD, IF DISCLOSED, AFFECT MY APPLICATION UNFAVORABLY.

In lieu of your signature below, you may certify your signature and authorization to this agreement by checking this box

SIGNATURE OF APPLICANT: ______DATE: Click here to enter a date.

PLEASE RESPOND TO THE FOLLOWING QUESTIONS. LIMIT YOUR ANSWERS TO THE SPACE
  1. What kinds of educational experiences with students would you bring to the Sioux Falls Catholic Schools?

  1. How would you see yourself fitting into a Catholic school setting? What would you contribute?

  1. Describe your knowledge and skill in the use of technology in
education?