Metropolitan Housing Alliance (MHA) Employment Selection Policy All employment applications must be on a form furnished by the Housing Authority. Resumes may be submitted with employment applications provided they do not contain family or personal data. Applications must state specifically which MHA job opening the applicant is seeking employment. A Selection Committee and/or hiring manager(s) as deemed appropriate by the Executive Director will screen applicants, and make hiring recommendations. Thank you for expressing an interest in career opportunities with Metropolitan Housing Alliance. The Company's management affirms that it is our policy to afford equal opportunity in all personnel practices to all associates and applicants for employment regardless of race, color, religion, sex, age (40 and over), pregnancy, national origin, disability, veteran status or any other protected factor. This policy is extended to all personnel actions taken in all job titles, including but not limited to: hiring, placement, upgrading, transfer, and promotion; implementing social and recreational programs; determining rates of pay, benefits, and other forms of compensation; selection for training; discipline; layoff, termination and rehire. It is the Company's objective to obtain and promote individuals qualified and/or trainable for positions solely on the basis of job-related standards of education, training, experience, and personal qualifications. If you have a disability or are a covered veteran and would like to identify yourself for consideration under Metropolitan Housing Alliance affirmative action program, please contact the Human Resources Department. The disclosure of any information concerning disability or veteran status is strictly voluntary, and the failure or refusal to provide such information will not subject an employee to discharge or other disciplinary action or disqualify an applicant from consideration. All information obtained concerning employees or job applicants with disabilities or who are covered veterans will be kept confidential and will be used only in accordance with applicable federal and/or state laws and regulations. All employment decisions are made on the basis of job qualifications and the ability to perform the essential functions of the job in question, and Metropolitan Housing Alliance is committed to making reasonable accommodations whenever necessary to allow qualified persons with disabilities to enjoy equal employment opportunity. Employees who need accommodations to perform one or more of the essential functions of their jobs are encouraged to discuss the need for accommodation with their supervisors or the Human Resources Department. An employee’s request for an accommodation will be treated confidentially insofar as is practicable, and Metropolitan Housing Alliance will make good faith efforts to accommodate any employee’s disability, provided the accommodation does not result in an undue hardship for the Company. Although Metropolitan Housing Alliance will endeavor to provide an accommodation that is satisfactory to the employee, the accommodation provided by the Company may not necessarily be the accommodation requested or preferred by the employee. Our pre-employment process consists of a background check and a motor vehicle driving record (depending on position applied for). We are an Equal Opportunity Employer. Agree Page 1 I have read and understand the above. Last Name*First Name*Middle Name*Address*City*County*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip*Home Phone*Work PhoneEmail* Position for which you are applying (see job announcement).*NOTE: ONLY APPLICATIONS FOR POSITIONS THE HOUSING AUTHORITY IS TRYING TO FILL WILL BE ACCEPTED. Read the following instructions before filling out your application. *You must furnish all requested information. *Please use a typewriter or print legibly in ink. *Please write in letters “NA” (Not Applicable) beside those that do no apply. *Do not submit resume in lieu of completing any part of the application. EMPLOYMENT STATUS RECORDDate available for employment* Date Format: MM slash DD slash YYYY Lowest salary you will accept*DRIVING RECORDDo you have a current & valid driver’s license?*YesNoLicense NumberState in which you hold licenseAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificExpiration Date Date Format: MM slash DD slash YYYY Do you have a Commercial Driver’s License?*YesNoIf Yes, which classis it?ABList any endorsements on your CDL:MILITARY HISTORY RECORDService BranchDate Entered Date Format: MM slash DD slash YYYY Date Discharged Date Format: MM slash DD slash YYYY Type of DischargeDischarge RankEDUCATION RECORDDid you graduate from high school?*YesNoIf No, did you receive a GED?YesNoSelect the highest grade officially completed:*12345678910111213141516List below all schools, colleges, universities, trade/vocational schools, or others attended:Schools AttendedName of SchoolDates AttendedDegree AwardedMajor/Minor# of HoursDate Graduated Do you hold a professional license?*YesNoIf YES, please list:LIST ANY SPECIAL SKILLS HERETyping (wpm)Shorthand (wpm)Speed writing (wpm)Dictaphone (wpm)Can you operate? 10 Key Bookkeeping Machine Mag/Card Keypunch/Data Input By touch (10 key)?YesNoList any other skills relative to the job for which you are applying:Can you read and write English?*YesNoCan you perform High School Mathematics?YesNoWORK HISTORYList below your prior work experience. If there is not enough space provided, use a separate sheet to continue. Begin with current or most current job(s) and work back. Include volunteer work as part of your history.Job 1Job Title*Employer*Address*Supervisor’s Name*Telephone No.*Dates Employed*Employment Type*Full-TimePart-TimeTemporaryVolunteerNumber of Hrs. Worked per Week*Start $*Final $*Description of duties*Reason for leaving*Job 2Job TitleEmployerAddressSupervisor’s NameTelephone No.Dates EmployedEmployment TypeFull-TimePart-TimeTemporaryVolunteerNumber of Hrs. Worked per WeekStart $Final $Description of dutiesReason for leavingJob 3Job TitleEmployerAddressSupervisor’s NameTelephone No.Dates EmployedEmployment TypeFull-TimePart-TimeTemporaryVolunteerNumber of Hrs. Worked per WeekStart $Final $Description of dutiesReason for leavingJob 4Job TitleEmployerAddressSupervisor’s NameTelephone No.Dates EmployedEmployment TypeFull-TimePart-TimeTemporaryVolunteerNumber of Hrs. Worked per WeekStart $Final $Description of dutiesReason for leavingREFERENCESPlease list three (3) persons who are NOT related to you and have a definite knowledge of your qualifications and fitness for this position for which you are applying. Do no list names of former supervisors.FULL NAMEADDRESSPHONE NUMBERFULL NAMEADDRESSPHONE NUMBERFULL NAMEADDRESSPHONE NUMBER PLEASE REMEMBER: You must furnish all requested information. Please type or printer legibly in ink. Please write letters “NA” (Not Applicable) beside those that do not apply to you. Do not submit a resume in lieu of completing any part of the application. You may submit a resume to accompany this application, PROVIDED no personal or family information is included in your resume. Metropolitan Housing Alliance will accept applications only for positions MHA has advertised it is trying to fill. MHA will accept only applications made on this form furnished by MHA.Does the Metropolitan Housing Alliance employ any relative of yours (by blood or marriage)?*YesNoIf YES, who?Have you ever been employed by Metropolitan Housing Alliance?*YesNoIf, YES, give former dates of serviceAre there any conditions that may prevent you from performing the essential job functions of the position for which you are applying?*YesNoIf Yes, explain If you wish, you may make comments concerning your qualifications for the job(s) for which you are applying or explain your response to any of the questions you completed on this application. These comments may include details concerning your past work, reasons for leaving former jobs, or any information that may be helpful in evaluating your application for employment.Extra Comments If you would like to paste or upload a resume, please do so here. Otherwise hit next to continue.Paste Resume HereUpload Resume in PDF FormatAccepted file types: pdf.NOTE: You must save Word documents in PDF format before attempting to upload. The server will not accept .doc or .docx formats. APPLICANT/EMPLOYEE CONDITIONS - METROPOLITAN HOUSING ALLIANCE The undersigned understands and agrees that: Any material misrepresentation or deliberate omission of a fact in my application may be justification for refusal of, or if employed, termination from, employment. It is my understanding that the MHA may make a thorough investigation of my entire work and personal history and may verify all data given in my application for employment, related papers, or oral interviews. I authorize such investigation and the giving and receiving of any information requested by MHA and I release from liability any person giving or receiving any such information. I understand the falsification of data so given or other derogatory information discovered as a result of the investigation may prevent my being hired, or if hired, may subject me to immediate dismissal. I agree that MHA may terminate my employment at any time without liability for wages or salary except such as may have been earned by the date of such termination. If requested by management at any time, I agree to submit to search of my personal or of any locker that may be assigned to me, and I hereby waive all claims for damages on account of such examination. I authorize any physician or hospital to release any information that may be necessary to determine my ability to perform the duties of a job for which I am being considered. This may be done prior to employment or during my employment with MHA. Although management makes every effort to accommodate individual preferences, MHA may at times make the following conditions mandatory: overtime, shift work, a rotating work schedule or a work schedule other than Monday through Friday. I understand and accept these as conditions of my continuing employment. I further understand that this is an application for employment and that no employment contract is being offered. I understand that if I am employed, such employment is for indefinite period and that MHA can change wages, benefits and conditions at any time. I have read and understand the above.* I have read and understand the above.