Employment Application for St. Camillus

E mployment Inquiry for St. Camillus

Personal Information:
Name:
Street Address:
City:	State:
Zip Code:
Phone #:
Email Address:
If under 18, date of birth:

Position Inquiring About:
Full-time Part-time
First shift Second shift Third shift

Employment History (list most recent first):
Company:
Position:
Date started job:
Date left job:
Reason for leaving:

Company:
Position:
Date started job:
Date left job:
Reason for leaving:

Company:
Position:
Date started job:
Date left job:
Reason for leaving:

Education History (Beyond High School):

List additional skills or experience related to the job you are applying for:


General Information:
Have you ever been convicted of a misdemeanor (other than a minor traffic violation) or a felony? (A criminal record does not constitute an automatic bar from employment). Yes No
If yes, explain fully, including type of offense, date and location.



Important Notice:
Employment coordinators will only contact you if you are being considered for a possible interview. Unfortunately, we cannot respond personally to each inquiry or phone call due to the large volume of inquiries received.

Please note: If you are contacted for an interview, you will be required to complete a St. Camillus Employment Application form before being considered for hire.