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Employment Application

Due to Immigration and Control Act that was signed into laws on November 6, 1986, it is the Authority's intention to hire only individuals who are United States Citizens or Aliens authorized to work in the United States.

Do you have any relatives working for the Authority?
Do you have any relatives on the Board of Commissioners?

All positions require a valid driver's license and eligibility for coverage under the Authority's automobile insurance.

Have you ever been convicted of a felony or a misdemeanor, except a minor traffic violation in the past 7 years?

(Note: A conviction will not necessarily disqualify applicant from employment.)

Have you ever been discharged or forced to resign from a position?

High School
College 1
College 2

Work History

Begin with most current/recent employer and/or military service.

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Provide name and contact information for three (3) professional references other than past employers.

Reference 1
Reference 2
Reference 3

(For statistical purposes only)

Pursuant to federal regulations, we collect responses to the questions below for record keeping purposes. This information will not be kept with your application for employment. Federal law prohibits unlawful discrimination on that basis of race, color, sex, national origin, religion or disability.

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Optional – Attach your PDF resume here (max file size 2mb)

I hereby affirm that the information given in this application is true and accurate to the best of my knowledge and belief. I understand that any false statement contained herein will disqualify me for employment consideration with the Suffolk Redevelopment and Housing Authority.

I hereby authorize all my previous employers and persons listed as personal references to furnish any information concerning my personal character, work habits or employment record, and I release all such persons from liability for damages incurred as a result of furnishing such information.

Suffolk Redevelopment and Housing Authority is an equal opportunity employer. Our policy is to consider all applicants for employment based on their qualifications and our current job vacancies. Applicants are considered without regard to race, color, religion, national origin, age or disability.

Authorization to Release Personnel Information

I am seeking employment with Suffolk Redevelopment and Housing Authority and hereby authorize my past and present employers and past and present educational institutions to release information regarding my employment or educational transcript record with same.

Further, I understand that my past and present employers and past and present educational institutions are not responsible in any way for the uses made of this information by Suffolk Redevelopment and Housing Authority.

I hereby also release from liability the Suffolk Redevelopment and Housing Authority and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.

Should i be hired prior to the Suffolk Redevelopment and Housing Authority's completion of verification of employment work history, performance on the job, or education, any unsatisfactory reports, false information or omissions given by me may be considered grounds for my dismissal.

I also agree that a photocopy of this agreement shall be as valid as the original.

*Required Fields