Employment Application - Marion Housing Authority

Apply for a Position

Please complete the application below to apply for a position with us.

Name*

First Middle Last

Address:*

Street

City

State

Zip Code

Phone

Email

Social Security Number (optional):

What position are you applying for?*

How did you hear about the position?*

Online
MHA's website
Friend\Relative
MHA Employee
Facebook
Other

Generally speaking, when is the best time for us to contact you?*

8:00am-12:00pm
12:00pm-5:00pm
5:00pm or after

Have you ever filed an application with us before?*

Yes
No

If the answer is "yes", when did you last apply?*

Do any of your friends or relatives, other than spouse, work here?*

Yes
No

Are you currently employed?*

Yes
No

May we contact your present employer?*

Yes
No

Are you currently on "lay-off" status and subject to recall?*

Yes
No

Are you prevented from lawfully becoming employed in the U.S. because of Visa or Immigration Status?*

Yes
No

*Proof of citizenship or immigration status will be required upon employment.

When are you available to work?*

Part-Time
Full-Time
Temporary

Date available to start work:*

Are you able to travel for work if a job requires it?*

Yes
No

Employment Experience

Start with your present or most recent job experience. Include any job related military-service assignments and volunteer activities. You may exclude any organizations which may indicate race, color, religion, gender, national origin, disabilities, or other protected status.

Employer:

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Job Title:

Supervisor's Name:

Please describe the work you were responsible for in this role:

Starting Pay:

Ending Pay:

Date Employed From:

Date Employed To:

I currently work here

Reason for Leaving:

Employer:

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Job Title:

Supervisor's Name:

Please describe the work you were responsible for in this role:

Starting Pay:

Ending Pay:

Date Employed From:

Date Employed To:

Reason for Leaving:

Employer:

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Job Title:

Supervisor's Name:

Please describe the work you were responsible for in this role:

Starting Pay:

Ending Pay:

Date Employed From:

Date Employed To:

Reason for Leaving:

Education & Training

What is the highest level of education you have achieved?*

Describe any specialized training, apprenticeship, certificates, or skills you have:

Upload your resume or other files that will be helpful as we consider your application (optional):

Drop files here or

Max. file size: 60 MB, Max. files: 3.

I hereby certify that my answers are true and complete to the best of my knowledge:

Yes, I confirm my answers are true.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.

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Name

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