LeaderworX Application - Center for FaithJustice

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

The Center for FaithJustice is an equal opportunity employer and does not discriminate based on race/ethnicity.

Street Address	Address line 2
City	State/Province/Region
ZIP/Postal Code	Country
Contact Information

Please list the name(s) of the person(s) who recruited you to apply for LeaderworX.

Occupational Qualifications

The responsibilities of particular positions require that an individual be at least twenty-one years of age. As such, all applicants are required to answer the following questions.

Junior LeaderworX is for individuals under 21 years old, or those at least 21 years old without a valid U.S. driver's license. Senior LeaderworX is for individuals over 21 years old who have a valid U.S. driver's license. Both Junior and Senior LeaderworX receive room, board and an additional stipend (varies based on Junior/Senior status and time of program).

Portion of the Summer

If you are applying for the whole summer, you are eligible for travel reimbursement.

References: A minimum of two references are required; at least one must be a former employer/supervisor.

Reference 1:

Name	Relationship
Years Known	Phone number
Email

Reference 2:

Name	Relationship
Years Known	Phone number
Email

Most Recent Employer	Job Title
Dates of Employment	Name and Phone Number of Supervisor

Undergraduate Institution	Year of Graduation
Major/Area of Concentration	Graduate Institution (if applicable)
Graduate Degree (if applicable)

Parish in which you are a member:	Diocese of Parish
What language(s) do you speak with proficiency?

Reflection Questions

Please tell us a little bit more about yourself by responding to the following questions.

Asian	Black/African	White/Caucasian
Hispanic/Latino/Latina	Middle Eastern	Native American
Pacific Islander	Prefer not to answer	Other:

First Name	Last Name
Relationship to Emergency Contact	Phone

Address

Contact Information

Occupational Qualifications

Portion of the Summer

Employment History

Education

Other Information

Emergency Contact

Reflection Questions