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Employment Application

Required

Please complete all sections of The Regis School of the Sacred Heart's online application form.

If you have any questions, please contact Mrs. Sheila Messina at: Sheila Messina, for additional support.

State law prohibits schools from hiring employees convicted of certain crimes including serious or violent felonies. All candidates for employment will be required to submit to criminal background checks as a condition of employment.  

Namerequired
First Name
Last Name
Email Address
Street Address
City
State
Zip Code
Phone Number
Please indicate which position you are applying for.
Have you filed an application here before?
Have you ever been employed here before?
Are you related, by blood or marriage, to a current Regis School of the Sacred Heart employee?
Are you legally authorized to work in the United States?
On what date would you be available to begin work?
Have you ever been discharged from any employment or asked to resign?
Have you ever held a teaching position or other position where you did not receive a contract for the following year?

Indicate Contact Information for  Three (3) Professional References.

List name, address, phone number, and email address of a professional reference #1.
List name, address, phone number, and email address of a professional reference #2.
List name, address, phone number, and email address of a professional reference #3.

Educational Experience

Name of your high school, dates attended and degree earned.
Name of your university, dates attended and degree earned.
Are you employed now?
May we contact your current employer?
Name and Address of Current Employer
Name and contact details of your current supervisor.
Name and Address of Previous Employer

Background Questions

Has a civil lawsuit or criminal complaint ever been filed against you alleging physical or sexual abuse? (Note: This job will require you to pass a background check.)
If Yes, please indicate the case number, jurisdiction, date, and nature of the incident leading to the lawsuit and/or complaint, where it was filed, and its disposition.
Has your employment ever been terminated for reasons relating to allegations of physical or sexual abuse?
If Yes, please indicate the nature, date, and place of allegations, the disposition of the allegations, and your employer at the time, including your employer's name, address, and telephone number.
Have you ever received any medical treatment or counseling involving physical or sexual abuse?
If Yes, please provide details, included date(s), nature and location(s), identifying the treating physician with name, address, and telephone number.
I understand that the information that I have provided to The Regis School of the Sacred Heart may be verified by contacting all persons or organizations named in this application and subject to applicable law. I may be asked to complete more paperwork to authorize a background check.
All such persons and organizations are hereby authorized to disclose to The Regis School of the Sacred Heart all information regarding me in their possession.
I hereby release and agree to hold harmless from liability all such persons and organizations with respect to furnishing any information about me to The Regis School of the Sacred Heart and its employees with respect to soliciting such information.
In completing this application, I affirm that the information I have given is true and correct.