St. Theresa Catholic--Diocese of Des Moines Catholic Schools Employment Application
Thank you for your interest in the Catholic schools in the Diocese of Des Moines.  Please complete the following application.  TEACHER APPLICANTS:  Please complete both Section 1 and Section 2 of the application.
Email *
Full Name *
Address

 *
Phone *
E-mail Address *
What position are you applying for? *
Please answer the following questions. *
Yes
No
Are you legally eligible for employment in the U.S.?
Have you ever been convicted of a felony or misdemeanor or felony, outside of a minor traffic violation?
Have you ever been convicted of a crime of abuse, harassment or exploitation?
Has any civil or criminal complaint, or any other written complaint, ever been made against you relating to abuse, harassment or exploitation?
Have you ever terminated your employment or had your employment terminated for reasons relating to allegations of abuse by you, or relating to civil or criminal complaints for abuse of others?
Have you ever been dismissed from any position because of immoral conduct?
Have you ever been dismissed from any position because of unsatisfactory performance?
Have you ever been dismissed from any position because of unprofessional conduct?
Have you failed or refused to fulfill a work agreement?
If you have ever been employed by the Diocese of Des Moines, please indicate where, dates of employment, and capacity or position.
 *
Where and when did you graduate from high school? *
Please list any college or university that you attended.  Include graduation date and/or degree/diploma you received. *
Please list your previous employer. Include: location, supervisor, phone number & and your position.  *
Please list your previous employer. Include: location, supervisor, phone number & and your position.  *
Please list your previous employer. Include: location, supervisor, phone number & and your position.  *
Please list your previous employer. Include: location, supervisor, phone number & and your position. 

Authorization to Conduct a Pre-Employment Background Verification

To Whom It May Concern:

If you wish to be considered for employment in any of the Catholic schools in the Diocese of Des Moines, you must submit to several kinds of background checks.  The background checks will include, but are not limited to, job related matters and criminal offenses, including sexual misconduct.

Please sign your full name and today's date


 *
Personal Reference - Name, Contact Phone, Occupation *
Personal Reference - Name, Contact Phone, Occupation *
Personal Reference - Name, Contact Phone, Occupation *
NON-TEACHER APPLICANTS PLEASE CONTINUE TO THE BOTTOM OF SECTION 2 TO SUBMIT YOUR APPLICATION
TEACHER APPLICANTS PLEASE COMPLETE SECTION 2 OF THE APPLICATION.
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