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DIOCESE OF LAREDO

APPLICATION FOR EMPLOYMENT

Position Applying For: __________________________________ Application Date: ________________

Print or Type Responses.

Please complete application in full, if something does not apply to you, state N/A (not applicable).

Incomplete applications may cause delays in processing or may not be considered.

RESUMES ARE NOT ACCEPTED.

Name: ________________________ ________________________________ _______________________

Last First Middle

Address: ___________________________ ____________________ _______________ _______________

Number Street City State Zip Code

___________________________________________ _____________________________________

Home Telephone Number Alternate Telephone Number

E-mail address: __________________________________________________________________________

How did you learn of this position? _________________________________________________________

Salary/Wages Desired: (do not leave blank; a numerical value must be indicated) _____________________

Have you ever been employed with the Diocese of Laredo? Yes _____No

If yes, provide date: _____________________________________________________

Location: _______________________________________________________________

Are you at least 18 years of age? ______Yes _____ No (if reply is no, a work permit may be required)

Are you able to perform the essential job functions of the position for which you are applying, with or

without reasonable accommodation? ______ Yes _____ No

(Accommodations for persons with disabilities will be provided unless the accommodation would place an undue hardship on the

employer. Persons in need of accommodation should notify the Office of Human Resources).

EDUCATION:

High School: ____________________________________ City/State: _____________________________

Diploma Received: ____ Yes ____ No

Undergraduate Studies -

College/University: ______________________________________________________________

City/State: _____________________________________________________________________

Degree Received: ____ Yes ____ No

Degree: _______________________________________________________________________

Course of Study: ________________________________________________________________

Graduate Studies -

College/University: ______________________________________________________________

City/State: _____________________________________________________________________

Degree Received: ____ Yes ____ No

Degree: _______________________________________________________________________

Course of Study: ________________________________________________________________

Doctoral or Other Professional Education –

College/University: _____________________________________________________________

City/State: ____________________________________________________________________

Degree Received: _____ Yes _____ No

Degree: ______________________________________________________________________

Course of Study: _______________________________________________________________

EMPLOYMENT EXPERIENCE:

Start with your present job or last job held, if currently unemployed. List all jobs throughout your career.

1. Employer:

Address:

Phone Number: Supervisor:

Dates of employment:

Position/Job title: ___Full-time ___Part-time ___ Temp

Duties/Work Performed:

Reason for leaving/desire to leave, if currently employed:

Name known by (if different than your present name):

2. Employer:

Address:

Phone Number: Supervisor:

Dates of employment:

Position/Job title: ___ Full-time ___Part-time ___ Temp

Duties/Work Performed:

Reason for leaving/desire to leave:

Name known by (if different than your present name):

3. Employer:

Address:

Phone Number: Supervisor:

Dates of employment:

Position/Job title: ___Full-time ___Part-time ___ Temp

Duties/Work Performed:

Reason for leaving/desire to leave, if currently employed:

Name known by (if different than your present name):

4 Employer:

.

Address:

Phone Number: Supervisor:

Dates of employment:

Position/Job title: ___ Full-time ___Part-time ___ Temp

Duties/Work Performed:

Reason for leaving/desire to leave:

Name known by (if different than your present name):

If you need additional space, please continue on a separate sheet or opposite side of this paper.

OTHER JOB-RELATED TRAINING/ CONTINUING EDUCATION/CERTIFICATIONS:

Include a summary of training, education or certifications related to the position you are applying for.

Summarize your interest in working for the diocese.

REFERENCE INFORMATION:

Provide information of three references that are not related to you and are not previous employers.

1. Name: __________________________________________

Telephone: __________________________

Occupation: _________________________________________

Relationship: ________________________________________

Years Known: __________

2. Name: __________________________________________

Telephone: __________________________

Occupation: _________________________________________

Relationship: ________________________________________

Years Known: __________

3. Name: __________________________________________

Telephone: __________________________

Occupation: _________________________________________

Relationship: ________________________________________

Years Known: __________

Do you have relatives working for the Diocese of Laredo? _____ Yes _____ No

If yes, please list name(s) and location: _______________________________________________________

If you are hired for the position for which you have applied, would you be in a supervisory relationship with

any member of your family, household, or relative? _____ Yes _____ No

Please indicate the name(s) and relationship(s) and location/entity at which he/she is employed:

_______________________________________________________________________________________

If an employment offer is made, when are you available for work? __________________________________

If the position you are applying for requires a valid Texas Driver License, do you currently meet this

requirement? (please review the job posting or job description to respond) _____ Yes _____ No

If hired, can you provide documents required to establish

your eligibility to work in the United States? Yes No

If the position you are applying for requires that you be in full Communion with the Catholic Church (as

indicated in the minimum requirements for the position), please provide the name of the parish and Pastor

who can verify this requirement:

_______________________________________________________________________________________

Have you ever been convicted of a felony or subjected to a deferred adjudication on a felony charge?

______Yes ______No (A conviction may not disqualify you from employment; however, a false statement will.)

If you respond yes, please explain in concise detail the dates and nature of the offense(s), the name(s) and

location(s) of the court(s), and the disposition of the case(s).

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

If applying for a position to work with children/youth, please answer the following question: Have you ever

been accused, arrested, charged, convicted or subjected to administrative/employment actions taken as a

result of any allegation of child abuse or neglect? _____ Yes _____ No

If yes, please explain: (Please note that an affirmative response to the above question will not necessarily bar

you from employment).

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Applicant's Certification and Agreement

EMPLOYMENT AT WILL

I understand that neither this document nor any offer of employment from the employer constitutes an

employment contract unless a specific document to that effect is executed by the employer, through an

authorized employer representative and me in writing.

I fully understand and agree that, if I am employed, my employment is for no definite period of time and

may be terminated at any time by either the Diocese of Laredo or me, as the Diocese of Laredo is an at-will

employer.

CONSENT

I certify that all information provided by me and all statements contained herein are true and complete to the

best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary

in arriving at an employment decision. I voluntarily give the Diocese of Laredo the right to make a thorough

investigation of my employment history, educational credentials, and references provided.

I waive all rights and claims I may otherwise have against the employer or its representatives, for seeking

and using information to evaluate my employment request and all other persons, corporations or

organizations who provide information for this purpose. I further release from all liability or responsibility

representatives of the diocese and others supplying information.

In the event of employment or consideration for employment, I understand that false or misleading

information given in my application or interview(s), or omission of any information may result in discharge,

if hired or grounds for refusal to hire.

I understand that, if hired, I am required to abide by all employer policies and will be required to complete,

sign and comply with the Code of Conduct Policies of the Diocese of Laredo. This application will expire

upon closing of the position. I understand that my status as an applicant will end. I may re-apply for open

and posted positions by completing a new application.

_____________________________________________________________________________

Signature of Applicant Date

Human Resources Department Use Only- o E-mail

o In Person

Date/Time Application Received: _____________ _____:_____

o Fax

HR Staff: _________________________________________ o Mail

HR - Revised 8/20/2026