PSHH Employment Application_English

PSHH Employment Application_English

Employment Application:
Personal Information:
Full Name

First NameMiddle InitialLast Name
[Optional] Pronouns
HR Contact for this application (if applicable):
Phone Number

Area CodePhone Number
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employment Desired:
Position Applying For
Date you can start

MonthDayYear
Salary Desired
Have You Applied Here Before?
How did you hear about this position?

Additional Questions

Rows	Yes	No
Are you 18 years of age or older?
Do you have any relative(s) currently employed at Peoples' Self-Help Housing?
Have you ever applied to Peoples' Self-Help Housing before?
Can you perform the essential functions listed for this position (with or without an accommodation)?
Are you able to verify your identity and employment eligibility to work in the United States of America?

Please list any PSHH employees to whom you are related.
List "N/A" if none

Skills/Qualifications:

Please indicate skills & experience where requested below:

Rows	List all that apply
Computer Software Programs
Language(s) - other than English
Licenses/Certifications

Please list any additional skills relevant for this position.
Qualifying skills, knowledge, experience and abilities.

Education:
High School
Name of High School Attended
Number of Years Attended
Graduated?
Trade School/Other
Name of Trade/Technical/Other School Attended
Number of Years Attended
Graduated?
Area of Study/Degree
College (Associates/Bachelor programs)
Name of College/University Attended
Number of Years Attended
Graduated?
Area of Study/Degree
Graduate School
Name of Graduate School Attended
Number of Years Attended
Graduated?
Area of Study/Degree

Employment History
Previous Employer
Name of Previous Employer
Position
Title(s) held with Employer
Hours
# of hours/week
Start Date

MonthDayYear
End Date

MonthDayYear
Job Duties
Reason for Leaving
Previous Employer
Name of Previous Employer
Position
Title(s) held with Employer
Hours
# of hours/week
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Job Duties
Reason for Leaving
Previous Employer
Name of Previous Employer
Position
Title(s) held with Employer
Hours
# of hours/week
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Job Duties
Reason for Leaving
Previous Employer
Name of Previous Employer
Position
Title(s) held with Employer
Hours
# of hours/week
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Job Duties
Reason for Leaving

Professional References:
Reference 1
Name of Reference
Relationship
Supervisor, peer, etc.
# of Years Acquainted
Phone
Email
Reference 2
Name of Reference
Relationship
Supervisor, peer, etc.
# of Years Acquainted
Phone
Email
Reference 3
Name of Reference
Relationship
Supervisor, peer, etc.
# of Years Acquainted
Phone
Email

Cover Letter & Resume:
Cover Letter (optional)

Upload a File

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Resume

Upload a File

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Send Application:
By clicking the submit button below, I cerity that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement may be terminated at any time.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compenstation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option.

I understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.

I also understand that my employment is contingent upon a satisfactory criminal background check that will be run following extension and acceptance of an offer.
Signature
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