1 Roof Application for Employment

APPLICANT DETAILS

Equal Employment Opportunity Statement:

It is the policy of One Roof Community Housing to provide equal employment opportunities without regard to race, color, creed, national origin, religion, sex, age, sexual orientation, marital status, familial status, veteran status, status with regard to public assistance, membership or activity in a local commission, genetic information, disability, or any other classification protected under local, state, or federal law, to all qualified applicants and employees in all aspects of the employment relationship, including but not limited to recruitment, employment, job assignment, training, promotion, transfers, termination, rate of pay and other forms of compensation and benefits.

If you require an accommodation to participate in the application process, please contact the Executive Director.

Position Applied For

First Name

Middle Name

Last Name

Street Address

City

State

Zip/Postal Code

Phone

Email

Salary Expected

Comments about expected salary

How did you learn about One Roof Community Housing?

AdvertisementEmployment AgencyEmployee ReferralOther

Which advertisement?

Which employment agency?

Which employee?

Please specify what Other pertains to:

Have you applied for a position with us before?

YesNo

Specify date of last application:

Have you ever been employed with us before?

YesNo

Specify start date of last employment with us:

Specify your position in your last employment with us:

EDUCATION

List the last 3 schools attended.

College #1

Name of College

Location

Years Completed

Degree/Major

G.P.A.

Diploma obtained?

YesNo

College #2

Name of College

Location

Years Completed

Degree/Major

G.P.A.

Diploma obtained?

YesNo

College #3

Name of College

Location

Years Completed

Degree/Major

G.P.A.

Diploma obtained?

YesNo

EMPLOYMENT HISTORY

Employer #1

Employer

Supervisor

Phone

Address

Position Title and Duties

Length of Employment

Why did you leave this job?

May we contact this employer?

YesNoLater

Employer #2

Employer

Supervisor

Phone

Address

Position Title and Duties

Length of Employment

Why did you leave this job?

May we contact this employer?

YesNoLater

Employer #3

Employer

Supervisor

Phone

Address

Position Title and Duties

Length of Employment

Why did you leave this job?

May we contact this employer?

YesNoLater

REFERENCES AND ATTACHMENTS

References

Reference #1

Name

Phone Number

Years Known

Reference #2

Name

Phone Number

Years Known

Reference #3

Name

Phone Number

Years Known

Attachments

Comments About Attachments

If you have any comments or context to provide with your attachments (i.e. my 1 year gap in employment was spent taking care of a sick relative), please provide it here.

Cover Letter

Please only attach a pdf or word document. Other file types are not preferred.

Resume

Please only attach a pdf or word document. Other file types are not preferred.

APPLICANT'S STATEMENT

Please read the following statements. If they are accurate, please sign this application form. Applications which are not signed will not be considered as properly completed.

I certify that all of the information given on this application form is true, complete and correct to the best of my knowledge. By signing this form, I am acknowledging that any false or misleading information supplied by me shall be grounds for not hiring me. I am also acknowledging that any false or misleading information supplied by me shall be grounds for automatic termination of employment, should this fact be discovered after I have been hired.

I authorize One Roof to investigate all statements and information included on this application, including but not limited to my employment record. I release One Roof and all educational institutions, employers and personal references I have listed herein, and their employees, officers and agents, from any and all liability for all claims or damages of any kind in connection with the release of information about me to One Roof pursuant to this authorization, and do hereby further agree to defend, indemnify and hold harmless the One Roof, educational institutions, employers and personal references from and against any and all such claims, actions, causes of actions, suits, losses, liabilities, damages and expenses (including attorneys’ fees, costs, and disbursements).

I understand that this application is not an offer or contract of employment.

If I become employed by One Roof, I agree to follow all One Roof policies and procedures as they develop and change.

I agree that, if I become employed by One Roof, and if I become indebted to One Roof during the course of my employment, I will be responsible for repaying the total owed upon termination, whether voluntary or involuntary. If I have not repaid the sum prior to termination, I hereby voluntarily authorize that the sum shall be deducted from my final paycheck.

This application for employment is valid for the next 90 days. I understand that if I wish to be considered for employment after this period of time, I must submit a new application.

Signature of Applicant

Date