EHA Employment Application

Edinburg Housing Authority (EHA)
APPLICATION FOR EMPLOYMENT
PRINT IN BLACK OR TYPE. These Instructions must he followed exactly. Fill out the application form completely. If you have any questions that are not applicable, enter "NIA." Do not leave response line blank. Resumes will be accepted for, but not in place of a complete application. Be sure to sign the application when it is completed. In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, sex, religion, national origin, age, disability, citizenship, political affiliation, veteran status, or other unlawful basis.
Position(s) applied for
Date of Application

MonthDayYear
Date
Name
Last Name, First Name, Middle Name
Address
City
State
Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
If you are under 18 years of age, can you provide proof of you eligibility to work?
Have you ever filed an application with us before?
lf yes, give date

MonthDayYear
Date
Have you ever been employed with us before?
lf yes, give date
From

MonthDayYear
Date
To

MonthDayYear
Date
Are you currently employed?
If employed, may we contact your present employer?
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?[Note: Proof of citizenship or immigration status will be required upon employment.]
On what date would you be available to work?
Date

MonthDayYear
Date
Are you available to work
Are you currently on “lay-off” status and subject to recall?
Can you travel if the job requires it?
Have you been convicted of any felonies within the last seven (7) years? [Note: disqualify an applicant from employment.]
If yes, please explain:
EMPLOYMENT EXPERIENCE:
Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations, which indicate race, color, religion, gender, national origin, handicap or other protected status.

If you need additional space, please continue on a Separate sheet of paper.
Employer
Address
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Dates Employed
From

MonthDayYear
Date
To

MonthDayYear
Date
Hourly Rate/Salary
Starting Salary
Please input Weekly, Monthly or Yearly
Ending Salary
Hourly, Weekly, Monthly or Yearly?
Job Title
Supervisor
Work Performed
Reason for leaving
Employer
Address
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Dates Employed
From

MonthDayYear
Date
To

MonthDayYear
Date
Hourly Rate/Salary
Starting Salary
Please input Weekly, Monthly or Yearly
Ending Salary
Hourly, Weekly, Monthly or Yearly?
Job Title
Supervisor
Work Performed
Reason for leaving
Employer
Address
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Dates Employed
From

MonthDayYear
Date
To

MonthDayYear
Date
Hourly Rate/Salary
Starting Salary
Please input Weekly, Monthly or Yearly
Ending Salary
Hourly, Weekly, Monthly or Yearly?
Job Title
Supervisor
Work Performed
Reason for leaving
Upload Your Resume

Cancelof
SPECIAL SKILLS AND QUALIFICATIONS
Summarize special job-related and qualifications acquired from employment or other experience.

Education

Rows	Elementary School	High School	College/University	Graduate/Professional
Location
Years Completed
Diploma/Degree
Describe Course of Study

Describe any specialized training, apprenticeship, skills and extra-curricular activities, honors you have received and state any additional information you feel may be helpful for us in considering your application.

Indicated any foreign language(s) you can Speak, Read and/or Write. FluentGood Speak Read Write
Describe

Indicate any foreign language(s) you can Speak, Read and/or Write.

Rows	Fluent	Good	Fair
Speak
Read
Write

References
Give name, address, and telephone number of three references (professional references preferred).
1. Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Contact #
Address
Relation
2. Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address
Contact #
Relation
3. Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address
Contact #
Relation
APPLICANT'S STATEMENT
I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby 'understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless an authorized executive of this organization specifically acknowledges such change in writing.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand also, that I am required to abide by all rules and regulations of the employer.
Signature of Applicant
Date

MonthDayYear
Date
Should be Empty:

Edinburg Housing Authority (EHA)

APPLICATION FOR EMPLOYMENT

EMPLOYMENT EXPERIENCE:

SPECIAL SKILLS AND QUALIFICATIONS

References

APPLICANT'S STATEMENT