Love in the Air

APPLICATION FOR EMPLOYMENT

P.O. Box 2971 · Houston, Texas 77252 2640 Fountainview, Suite 407 · Houston, Texas 77057 (713)260-0517

TO APPLICANT: We appreciate your interest in our organization and assure you that we are interested in your qualifications. A clear understanding of your background and work history will aid us in placing you in the position that best meets your qualification and may assist us in possible future upgrading. Please Print Clearly.

HOUSTON HOUSING AUTHORITY

PERSONAL Name

Last

Date ____

First Middle

.

Social Security No. Telephone No. (

– )

–

.

Address

No. Street City State Zip

.

Position applying for Best time to contact you at home: Are you legally eligible for employment in the U.S.? Were you previously employed by us? Date available for work If yes, indicate name of development (If yes, indicate name and relationship) ____ If yes, When?

Rate of pay expected $

yearly

.

State your age if under 18 Type of transportation (Circle one): Car Bus

.

Other

.

Are you a resident of a Houston Housing Authority development?

Do you have any relatives working for the Authority?

Are you or any members of your family presently participating in Houston Housing Authority Assistance programs, either as a tenant or landlord? Yes No If yes, explain. Have you been told the essential functions of the job or have you been shown a copy of the job description listing the essential functions of the job? Yes No Can you perform these essential functions with or without reasonable accommodation? Are there any hours, shifts or days you cannot or will not work? Are you willing to work overtime if required? Yes No

.

Yes

No

Yes

No

Do you possess a valid Texas Driver's License? (If yes, indicate license number) Have you been convicted of a felony in the last seven (7) years? Yes No (If yes, explain) _ (Such conviction may be relevant if job related, but does not bar you from employment.) Indicate...