• Application for Employment

  • ALL APPLICATIONS FOR EMPLOYMENT is intended to evaluate suitability for employment. It is the policy of the company to provide equal employment to all qualified persons without discrimination on the basis of sex, race, color, religion, age, marital status, national origin, citizenship, disability, veteran status, sexual orientation or any other status protected under state or federal law. It is also the policy of the company to have the option of conducting pre-employment screening before a job offer is made. This application will remain active for 180 days. Please inform us if you need a reasonable accommodation for accessibility in order to complete the application and/or interview process.

  • BASIC INFORMATION

  • Application Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Best time to call you A.M OR P.M.

  • Have you completed an application here before?
  • Have you been employed here before?
  • Are you legally eligible for employment in this country?
  • Are you under 18 years old?
  • If Yes, can you furnish a work permit?
  • GENERAL INFORMATION

  • Date Available to Work:
     - -
    2 digit month, 2 digit day, 4 digit year
  • Do you have reliable transportation?
  • Seeking:
  • Were you ever employed under a different name or social security number?
  • Have you ever been convicted of a criminal offense - felony or serious misdemeanor?
  • Are you able to perform the essential duties of the position for which you are applying for without reasonable accommodations?
  • EDUCATION

  • High School

  • Did you graduate?
  • College / University

  • Did you graduate?
  • Tech / Trade / Military

  • Did you graduate?
  • Other related course or training related to position:

  • Did you graduate?
  • SKILLS AND QUALIFICATIONS

  • REFERENCES

    Please list the name and telephone number of three business/work references who are not related to you. If not applicable, list three school or personal references who are not related to you.
  • Reference #1
  • Reference #2
  • Reference #3
  • EMPLOYMENT

    List below current and last employers starting with the most recent. Please include even if resume is attached. Work: Please list your work experience for the past five years beginning with your most recent job held. Attach additional sheets if necessary.
  • Job 1
  • Job 2
  • Job 3
  • Job 4
  • May we contact your present employer?
  • Did you complete this application yourself
  • APPLICANT STATEMENT:
    1. I certify that the information given by me in this Application is true and correct. I understand and agree that if I provide any false or misleading information on this Application or in my pre-employment interviews, it may result in the revocation of an offer or employment or an immediate termination of my employment with S.C. Regional Housing Authority #3, regardless of when it is discovered.
    2. I understand that any offer of employment is contingent upon my providing proof of identity and eligibility to work in the United States. The Federal Immigration Laws require me to complete a I-9 Form in this regard.
    3. I will complete a pre employment drug test that is required at S.C. Regional Housing Authority #3.
    4. I hereby expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume' or job interview. I hereby waive and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me. I hereby authorize S.C. Regional Housing Authority #3 to investigate and obtain any and all oral and documentary information regarding my past employment, education, experience, and qualifications.
    5. I understand that S.C. Regional Housing Authority #3 does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.
    6. I understand that this application remains current for 6 months. At the conclusion of that time, if I have not heard from S.C. Regional Housing
    Authority #3 and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.
    7. If I am hired, I understand that I am free to resign at anytime, with or without cause and without prior notice, and the S.C. Regional Housing Authority #3 reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make and assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the S.C. Regional Housing Authority No.3 Executive Director.
    8. This agreement is the entire agreement and takes the place of all prior and contemporaneous agreements, representations, and understandings regarding my
    employment at S.C. Regional Housing Authority #3. I acknowledge that I have read the statements listed above, that I understand them, and that they will become
    part of the terms and conditions of my employment if I am offered a position with S.C. Regional Housing Authority
    #3. I understand and agree that the terms of this Applicant's Statement cannot be changed or revoked by any employee of S.C. Regional Housing Authority #3, except in a written agreement signed by the Executive Director.

  • DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.
    I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: