Archdiocese of Santa Fe
Uniform Job Application Form
THE ARCHDIOCESE OF SANTA FE
The Archdiocese of Santa Fe is an Equal Opportunity Employer and
considers all candidates for employment equally regardless of race, color,
national origin, sex, age or handicap. Because of its status as a religious
entity, the archdiocese may consider the candidate’s religious affiliation
in its employment decisions, consistent with State and Federal law.
Date: Name: Last First Middle
Social Security Number: Driver’s License# & State (Area Code)
Current Address – Number & Street City State Zip Code
Position Applied For: Location of Position Part-time:
If hired, date available: Minimum Salary Requirements:
U.S. Citizen: If not a citizen of the U.S., have you the legal Yes
Yes No right to remain permanently in the U.S.? No
Are you between the ages of 18 and 70? Yes No
Are you related to anyone employed by the Archdiocese? Yes No
If so, whom & what department? Relationship:
What equipment relative to this position do you operate?
Languages (other than English): Read Speak Write
Read Speak Write
Read Speak Write
Have you ever served in the U.S. Armed Forces? Yes No
Date entered: Date discharged: Branch of service: Highest rank:
INTEREST: Use the space below to describe your interest in the
Archdiocese of Santa Fe and the skills and aptitudes that you feel qualify
you for a position at the Archdiocese of Santa Fe. (You may wish to include
civic and community activities, professional societies in which you
participate, special training or skills.)
Referred by (name of person, firm, agency, advertisement, etc.):
Are you a former employee of the Archdiocese? Yes No
Last date worked Job Title
Have you previously applied for employment with the Archdiocese? Yes No
If yes, when? Religious affiliation, if any?
SUPPLEMENTAL PERSONAL DATA
Although the following information is somewhat sensitive, we are
obligated to request it in order to fulfill our responsibilities as an
employer to screen candidates for employment in the Archdiocese. If you are
unable to answer the following questions for any reason, our Director of
Human Resources will visit with you privately to discuss them with you.
1) Have you ever been convicted of a crime with the exception of minor
If yes, please provide explanation:
2) Has a civil or criminal complaint ever been filed against you alleging
physical abuse or sexual abuse by you? Yes No If yes, give a short
explanation of the complaint. (Please indicate the date, nature and place of
the incident leading to the complaint, where the complaint was filed, and
the disposition of the complaint.)
3) Have you ever terminated your employment or had your employment
terminated for reasons relating to allegations of physical abuse or sexual
abuse by you?
If yes, give a short explanation of the allegations.
(Please indicate the date, nature and place of the allegations, the
disposition of the allegations, and your employer at the time, including
your employer’s name, address, and telephone number.)
4) Please present your personal views on physical and sexual abuse.
Please write clearly.
5) Are you aware of any reason you cannot reasonably perform the duties
outlined in the job description provided to you? (If no job description
provided, please disregard this question.)
I certify that the statements made in this application are true and
correct to the best of my knowledge and that any deliberate falsification
could result in termination of my employment. Permission is hereby granted
to the Archdiocese of Santa Fe to obtain verification of the statements made
herein and to obtain employment references. All reference information will
be confidential and will be considered the property of the Archdiocese of