Job Application

We appreciate your interest in the Roman Catholic Diocese of Syracuse. The Roman Catholic Diocese of Syracuse offers equal opportunities to all persons without regard to race, color, religion, age, sex, disability, national origin, ancestry, citizenship, military or veteran status, marital status, sexual orientation, domestic violence victim status, predisposing genetic characteristics or genetic information, or any other status protected by law. Applicants who require reasonable accommodation during the application process may contact Human Resources at 315-422-9092.

Are you over 18 years of age? * Yes No

If under 18 years of age, do you have a work permit? Yes No

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

In compliance with Federal Law, all persons hired will be required to verify identity and elgibility to work in the United States and to complete the required I-9 employment eligibility verification document upon hire.

Have you ever been convicted of a criminal offense (felony or misdemeanor)? * Yes No

If yes, please explain. Please include in your explanation the date and place of conviction, and the crime for which you were convicted.

1. Has a civil complaint ever been filed against you that alleged sexual misconduct or child abuse by you or your participation in or facilitation of such activities (including internal complaints given to management or supervisors at places of employment)? * Yes No

If yes, explain. Please provide the date, nature, and place of the incident leading to the complaint; where the complaint was filed; disposition of the complaint; and identify by the name and title the person(s) who investigate the complaint.

2. Do you presently serve, or have you ever served, as a volunteer for any organization, entity or group in which you had contact with children or other vulnerable populations (e.g. elderly, mentally or emotionally handicapped, etc.)? * Yes No

If yes, please provide the name, address, and phone number of the organization, period of volunteer service, supervisor’s name; and briefly describe your activities and/or duties.

3. Have you ever chosen not to renew or continue any employment or volunteer service, had your employment or volunteer service terminated, or been subject to any disciplinary action, for reasons relating to allegations of sexual misconduct or child abuse by you? * Yes No

If yes, please explain. Please include in your explanation the date, nature, and place of the occurrence(s) or allegations and the disposition of the matter(s). Also, identify your employer and supervisor at the time by name, address and telephone number.