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Employment Opportunities

Substitute teaching Application

Personal


First Name:
Mid Initial:
Last Name:
Current Address:
City:
State:
Zip Code:
Home Phone: Work Phone:
E-mail:
Religion:
Parish/Church:

Education

  Institution & Location Degree/Year Semester Hrs. Major & Minor Field
Undergraduate:
Graduate:
Post Graduate:
State Certificates:
  Certificate Number Type Expiration Date
Illinois:
Other State:
Catechist Certification:
  Certificate Number Type Expiration Date
Rockford Diocese:
Other Diocese:

Professional References
List information for your immediate past supervisor first:

Name Title / Position Address Telephone

Experience
Please list chronologically your LAST FIVE EMPLOYERS. List information for your immediate past employer first. If not employed at any time during this period, furnish the dates and principal activity in which you were engaged during such periods of unemployment.

1. From: To:
  Institution / Employer
Name / Address:
  Specific Position Held:
 

Name of Person To Whom
You Were Directly Responsible:

  Salary:
  Reason for
Leaving:
2. From: To:
  Institution / Employer
Name / Address:
  Specific Position Held:
 

Name of Person To Whom
You Were Directly Responsible:

  Salary:
  Reason for
Leaving:
3. From: To:
  Institution / Employer
Name / Address:
  Specific Position Held:
 

Name of Person To Whom
You Were Directly Responsible:

  Salary:
  Reason for
Leaving:
4. From: To:
  Institution / Employer
Name / Address:
  Specific Position Held:
 

Name of Person To Whom
You Were Directly Responsible:

  Salary:
  Reason for
Leaving:
5. From: To:
  Institution / Employer
Name / Address:
  Specific Position Held:
 

Name of Person To Whom
You Were Directly Responsible:

  Salary:
  Reason for
Leaving:

Are you legally eligible for employment in the United States? Yes No

Are you aware of the Illinois Abused and Neglected Child Reporting Act and its requirements? Yes No

Have you ever been convicted of a felony? Yes No

EQUAL OPPORTUNITY EMPLOYMENT
The Catholic Schools of the Diocese of Rockford are committed to equal opportunity in employment. In keeping with this commitment and the requirements of Federal and State law, Marian Central prohibits discrimination against employees and/or candidates for employment on the basis of age, race, sex, color, handicap or disability, national origin or status upon discharge from military service. Marian Central supports an education system seeking to integrate the truths and values of the Roman Catholic faith with the rest of life, not only through its unique curriculum but, more importantly, by the presence of staff who express an integrated approach to learning and living, in their personal and professional lives. Accordingly, Marian Central may rightly inquire of employees and/or candidates for employment whether or not they subscribe to, cooperate with or incorporate into their personal lives the goals, beliefs and teachings of the Roman Catholic Church and thereafter make decisions with respect to employment consistent with those findings. Non-discrimination in employment includes, but is not limited to, hiring, training, promotion, transfer, demotion and termination.

You have completed filling out the online application.
Please be sure all the fields are correct as best to your knowledge.