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About
Who We Are
Personnel
Contact
Careers
Why Work For Us?
Employee Testimonials
General Employment Opportunities
Education Employment Opportunities
Employment Application
Resources
Employee Intranet
Other Diocesan Pages
Diocesan Website
Diocesan Education Website
Diocesan Youth Protection Website
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GENERAL INFORMATION
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State / Province / Region
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Email
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Parish In Which You Are A Member/Attend
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Non-Catholic
Non-Religious
Practicing Outside of Altoona-Johnstown Diocese
All Saints
Basilica of Saint Michael the Archangel
Cathedral of the Blessed Sacrament
Church of the Transfiguration
Good Shepherd
Holy Family (Colver)
Holy Family (Hooversville)
Holy Family (Portage)
Holy Name
Holy Rosary
Holy Spirit
Immaculate Conception (Dudley)
Immaculate Conception (New Germany)
Most Holy Trinity (Huntingdon)
Most Holy Trinity (South Fork)
Our Lady of Fatima
Our Lady of Lourdes
Our Lady of Mount Carmel
Our Lady of the Alleghenies
Our Lady of Victory
Our Lady Queen of Angels
Our Mother of Sorrows
Penn State Catholic Campus Ministry
Prince of Peace
Queen of Archangels (Clarence)
Queen of Archangels (Snow Shoe)
Queen of Peace
Resurrection
Sacred Heart
Saints Cyril & Methodius
Saint Gregory
Saint Barnabas
Saints Peter & Paul
Saints Philip & James
Saint Aloysius
Saint Andrew
Saint Anne (Davidsville)
Saint Anne (Johnstown)
Saint Anthony of Padua
Saint Augustine
Saint Bartholomew
Saint Benedict (Carrolltown)
Saint Benedict (Johnstown)
Saint Bernard
Saint Catherine of Siena (Duncansville)
Saint Catherine of Siena (Mount Union)
Saint Clare of Assisi
Saint Clement
Saint Demetrius
Saint Elizabeth Ann Seton
Saint Francis of Assisi
Saint Francis Xavier
Saint Joan of Arc
Saint John the Baptist (New Baltimore)
Saint John the Baptist (Summerhill)
Saint John the Evangelist (Altoona)
Saint John the Evangelist (Bellefonte)
Saint John the Evangelist (Everett)
Saint John Gualbert
Saint John Vianney
Saint Joseph (Bellwood)
Saint Joseph (Renovo)
Saint Joseph (Williamsburg)
Saint Kateri Tekakwitha
Saint Mark
Saint Mary (Altoona)
Saint Mary (Hollidaysburg)
Saint Mary (Nanty Glo)
Saint Mary (Meyersdale)
Saint Mary (Orbisonia)
Saint Matthew
Saint Michael (Hollidaysburg)
Saint Michael (Johnstown)
Saint Michael (Salisbury)
Saint Michael (St. Michael)
Saint Monica
Saint Nicholas
Saint Patrick (Johnstown)
Saint Patrick (Newry)
Saint Peter
Saint Rose of Lima
Saint Stephen
Saint Therese of the Child Jesus (Altoona)
Saint Therese of the Child Jesus (Johnstown)
Saint Thomas the Apostle
Saint Thomas Aquinas
Saint Thomas More
Seven Dolors of the Blessed Virgin Mary
Visitation of the Blessed Virgin Mary
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EMPLOYMENT HISTORY RELATED TO POSITION
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Kuwait
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Panama
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Switzerland
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Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
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Venezuela
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Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
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Workplace Phone #1
*
Workplace Email #1
Employment Start Date #1
*
MM slash DD slash YYYY
Employment End Date #1
*
MM slash DD slash YYYY
Reason for Leaving (#1)
*
May we contact this employer? (#1)
*
Yes
No
Employer #2
Job Title #2
Workplace Address #2
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
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United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Workplace Phone #2
Workplace Email #2
Employment Start Date #2
MM slash DD slash YYYY
Employment End Date #2
MM slash DD slash YYYY
Reason for Leaving (#2)
*
May we contact this employer? (#2)
Yes
No
Have you ever been convicted of a felony?
*
Yes
No
Have you ever had your driver's license revoked or suspended?
*
Yes
No
Have you ever been convicted of child abuse or a crime involving actual or attempted sexual molestation of a minor?
*
Yes
No
If you answered "Yes" to any of the questions above, please explain below.
Reference #1 - Name
*
First
Last
Reference #1 - Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Reference #1 - Phone Number
*
Reference #1 - Email
Reference #1 - Relationship
*
Reference #2 - Name
*
First
Last
Reference #2 - Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Reference #2 - Phone Number
*
Reference #2 - Email
Reference #2 - Relationship
*
How soon will you be available?
*
FOR EDUCATOR POSITIONS ONLY
Do you currently possess a valid Pennsylvania Teaching Certification?
Yes
No
Pennsylvania Certification Number
Pennsylvania Certification Type
Issue Date
MM slash DD slash YYYY
Do you currently possess certifications from other states?
Yes
No
Certification Type
State of Certification
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
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Iowa
Kansas
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Maryland
Massachusetts
Michigan
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Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
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U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Issue Date
MM slash DD slash YYYY
Have you completed a state induction program?
Yes
No
PPID Number (Act 48)
Scholasitc Record
Type of School
School Name/Address
Dates Attended
Degree Earned
Date Degree Granted
Add
Remove
College Major (24+ Credits)
College Minor (15+ Credits)
Graduate Degree Major (if applicable)
SIGNATURE
Consent
*
I certify that the information I have provided within this application is correct, and that I have not omitted any of consequence. I agree not to hold the Diocese of Altoona-Johnstown or its employees liable if not hired, or if my employment is terminated because I have given incorrect answers or statements, or omitted important information, within this application. I authorize the companies, schools, and people named within this application to give the Diocese of Altoona-Johnstown the requested information about my employment or education, and release them from liability for damages for giving this information. I further authorize any law enforcement agencies, courts of law or other government offices to give the Diocese of Altoona-Johnstown any requested information concerning any criminal conviction of myself, and I release any such agency from liability for damages for giving this information. I understand that if I am employed by the Altoona-Johnstown Diocese, my employment will not be for any specified term and may be terminated by me or by the company at any time for any reason. I understand that employment is conditioned upon my ability to verify eligibility for employment in the United States. Falsification or omission in this application will disqualify you for employment. If falsification or omission is discovered after you are employed, it may be grounds for termination.
The Diocese of Altoona-Johnstown is an Equal Opportunity Employer - All qualified applicants will receive consideration for employment without regard to any characteristic protected by law.
My signature indicates that I have read and understood the above statement and am signing below of my own free will. I also understand that the Diocese of Altoona-Johnstown will conduct a background check every five years for the duration of my employment/volunteerism.
I understand
Signature
*
Signature Date
This is for reference only and cannot be changed.
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