Skip to Main Content

Employment Application

Suffolk Redevelopment and Housing Authority Icon.
Phone: 757-539-2100 • Fax: 757-539-5184
530 East Pinner St. • Suffolk, VA 23434
SuffolkRHA.org

Fields marked with * must be completed or form will not submit.

[{"type":"text","required":true,"label":"Position Applied For:","name":"Position-Applied-For","className":"col-md-6","subtype":"text"},{"type":"date","label":"Date Available:","name":"Date-Available","className":"col-md-6 col-lg-3"},{"type":"text","label":"Salary Desired:","name":"Salary-Desired","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","required":true,"label":"First Name:","name":"First-Name","className":"col-lg-4","subtype":"text"},{"type":"text","label":"Middle Name:","name":"Middle-Name","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Last Name:","name":"Last-Name","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Street Address:","name":"Street-Address","className":"d-block","subtype":"text"},{"type":"text","required":true,"label":"City:","name":"City","className":"col-lg-4","subtype":"text"},{"type":"select","required":true,"label":"State:","name":"State","className":"col-lg-4","values":[{"label":"Alabama","value":"AL"},{"label":"Alaska","value":"AK"},{"label":"Arizona","value":"AZ"},{"label":"Arkansas","value":"AR"},{"label":"California","value":"CA"},{"label":"Colorado","value":"CO"},{"label":"Connecticut","value":"CT"},{"label":"Delaware","value":"DE"},{"label":"District of Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN"},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT"},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North Dakota","value":"ND"},{"label":"Ohio","value":"OH"},{"label":"Oklahoma","value":"OK"},{"label":"Oregon","value":"OR"},{"label":"Pennsylvania","value":"PA"},{"label":"Rhode Island","value":"RI"},{"label":"South Carolina","value":"SC"},{"label":"South Dakota","value":"SD"},{"label":"Tennessee","value":"TN"},{"label":"Texas","value":"TX"},{"label":"Utah","value":"UT"},{"label":"Vermont","value":"VT"},{"label":"Virginia","value":"VA","selected":true},{"label":"Washington","value":"WA"},{"label":"West Virginia","value":"WV"},{"label":"Wisconsin","value":"WI"},{"label":"Wyoming","value":"WY"}]},{"type":"text","required":true,"label":"Zip Code:","name":"Zip-Code","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Social Security Number:","name":"Social-Security-Number","className":"col-lg-4","subtype":"text"},{"type":"text","subtype":"email","required":true,"label":"Email","name":"email","className":"col-lg-4"},{"type":"text","subtype":"email","required":true,"label":"Email Confirmation","name":"email-confirmed","className":"col-lg-4"},{"type":"text","label":"Home Phone:","placeholder":"___-___-____","name":"Home-Phone","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Cell Phone:","placeholder":"___-___-____","name":"Cell-Phone","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"date","label":"Date of Birth (If Under 18 Years Old):","name":"Date-of-Birth-If-Under-18-Years-Old","className":"col-md-6 col-lg-3"},{"type":"select","label":"Do you have the legal right to work in the US?","name":"Do-you-have-the-legal-right-to-work-in-the-US","className":"col-md-6 col-lg-3","values":[{"label":"-- Select One --","value":"-- Select One --"},{"label":"Yes","value":"Yes"},{"label":"No","value":"No"}]},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"select","label":"Do you have any relatives working for the Authority?","name":"Do-you-have-any-relatives-working-for-the-Authority","className":"col-lg-4","values":[{"label":"-- Select One --","value":"-- Select One --"},{"label":"Yes","value":"Yes"},{"label":"No","value":"No"}]},{"type":"text","label":"If yes, who works for the Authority:","name":"If-yes-who-works-for-the-Authority","className":"col-lg-4","subtype":"text"},{"type":"text","label":"Relationship of Authority Employee:","name":"Relationship-of-Authority-Employee","className":"col-lg-4","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"select","label":"Do you have any relatives on the Board of Commissioners?","name":"Do-you-have-any-relatives-on-the-Board-of-Commissioners","className":"col-lg-4","values":[{"label":"-- Select One --","value":"-- Select One --"},{"label":"Yes","value":"Yes"},{"label":"No","value":"No"}]},{"type":"text","label":"If yes, whom is on the Board of Commissioners?","name":"If-yes-whom-is-on-the-Board-of-Commissioners","className":"col-lg-4","subtype":"text"},{"type":"text","label":"Relationship of Board Member:","name":"Relationship-of-Board-Member","className":"col-lg-4","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"select","label":"Have you ever been employed by the Authority?","name":"Have-you-ever-been-employed-by-the-Authority","className":"col-md-6 col-lg-3","values":[{"label":"-- Select One --","value":"-- Select One --"},{"label":"Yes","value":"Yes"},{"label":"No","value":"No"}]},{"type":"date","label":"If yes, Start Date:","name":"If-yes-Start-Date","className":"col-md-6 col-lg-3"},{"type":"date","label":"End Date:","name":"End-Date","className":"col-md-6 col-lg-3"},{"type":"text","label":"Position:","name":"Position","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"All positions require a valid driver's license and eligibility for coverage under the Authority's automobile insurance.","className":"d-block"},{"type":"select","label":"Do you have a valid driver's license?","name":"Do-you-have-a-valid-drivers-license","className":"col-lg-4","values":[{"label":"-- Select One --","value":"-- Select One --"},{"label":"Yes","value":"Yes"},{"label":"No","value":"No"}]},{"type":"select","label":"Have you received any traffic violations in the past 2 years?","name":"Have-you-received-any-traffic-violations-in-the-past-2-years","className":"col-lg-4","values":[{"label":"-- Select One --","value":"-- Select One --","selected":true},{"label":"Yes","value":"Yes"},{"label":"No","value":"No"}]},{"type":"text","label":"If yes, please explain traffic violations:","name":"If-yes-please-explain-traffic-violations","className":"col-lg-4","subtype":"text"},{"type":"select","label":"Have you ever been in the Armed Services?","name":"Have-you-ever-been-in-the-Armed-Services","className":"col-lg-4","values":[{"label":"-- Select One --","value":"-- Select One --"},{"label":"Yes","value":"Yes"},{"label":"No","value":"No"}]},{"type":"text","label":"If yes, Branch of Service:","name":"If-yes-Branch-of-Service","className":"col-lg-4","subtype":"text"},{"type":"date","label":"Discharge Date:","name":"Discharge-Date","className":"col-lg-4"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"radio-group","label":"Have you ever been discharged or forced to resign from a position?","inline":true,"name":"Have-you-ever-been-discharged-or-forced-to-resign-from-a-position","className":"col-md-6","values":[{"label":"Yes","value":"Yes"},{"label":"No","value":"No"}]},{"type":"text","label":"If yes, explain discharge or resignation:","name":"If-yes-explain-discharge-or-resignation","className":"col-md-6","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"header","subtype":"h4","label":"Education","className":"d-block"},{"type":"text","label":"High School Diploma or GED:","name":"High-School-Diploma-or-GED","className":"col-md-6","subtype":"text"},{"type":"text","label":"If no, highest grade completed:","name":"If-no-highest-grade-completed","className":"col-md-6","subtype":"text"},{"type":"text","label":"High School or GED Street Address:","name":"High-School-or-GED-Address","className":"d-block","subtype":"text"},{"type":"text","label":"High School or GED City:","name":"High-School-or-GED-city","className":"col-lg-4","subtype":"text"},{"type":"select","label":"High School or GED State:","name":"High-School-or-GED-State","className":"col-lg-4","values":[{"label":"Alabama","value":"AL"},{"label":"Alaska","value":"AK"},{"label":"Arizona","value":"AZ"},{"label":"Arkansas","value":"AR"},{"label":"California","value":"CA"},{"label":"Colorado","value":"CO"},{"label":"Connecticut","value":"CT"},{"label":"Delaware","value":"DE"},{"label":"District of Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN"},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT"},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North Dakota","value":"ND"},{"label":"Ohio","value":"OH"},{"label":"Oklahoma","value":"OK"},{"label":"Oregon","value":"OR"},{"label":"Pennsylvania","value":"PA"},{"label":"Rhode Island","value":"RI"},{"label":"South Carolina","value":"SC"},{"label":"South Dakota","value":"SD"},{"label":"Tennessee","value":"TN"},{"label":"Texas","value":"TX"},{"label":"Utah","value":"UT"},{"label":"Vermont","value":"VT"},{"label":"Virginia","value":"VA","selected":true},{"label":"Washington","value":"WA"},{"label":"West Virginia","value":"WV"},{"label":"Wisconsin","value":"WI"},{"label":"Wyoming","value":"WY"}]},{"type":"text","label":"High School or GED Zip Code:","name":"High-School-or-GED-Zip-Code","className":"col-lg-4","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","label":"College 1 Name:","name":"College-1-Name","className":"col-md-6","subtype":"text"},{"type":"text","label":"College 1 Street Address:","name":"College-1-Street-Address","className":"col-md-6","subtype":"text"},{"type":"text","label":"College 1 City:","name":"College-1-City","className":"col-lg-4","subtype":"text"},{"type":"select","label":"College 1 State:","name":"College-1-State","className":"col-lg-4","values":[{"label":"Alabama","value":"AL"},{"label":"Alaska","value":"AK"},{"label":"Arizona","value":"AZ"},{"label":"Arkansas","value":"AR"},{"label":"California","value":"CA"},{"label":"Colorado","value":"CO"},{"label":"Connecticut","value":"CT"},{"label":"Delaware","value":"DE"},{"label":"District of Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN"},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT"},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North Dakota","value":"ND"},{"label":"Ohio","value":"OH"},{"label":"Oklahoma","value":"OK"},{"label":"Oregon","value":"OR"},{"label":"Pennsylvania","value":"PA"},{"label":"Rhode Island","value":"RI"},{"label":"South Carolina","value":"SC"},{"label":"South Dakota","value":"SD"},{"label":"Tennessee","value":"TN"},{"label":"Texas","value":"TX"},{"label":"Utah","value":"UT"},{"label":"Vermont","value":"VT"},{"label":"Virginia","value":"VA","selected":true},{"label":"Washington","value":"WA"},{"label":"West Virginia","value":"WV"},{"label":"Wisconsin","value":"WI"},{"label":"Wyoming","value":"WY"}]},{"type":"text","label":"College 1 Zip Code:","name":"College-1-Zip-Code","className":"col-lg-4","subtype":"text"},{"type":"text","label":"College 1 Major and Type of Degree:","name":"College-1-Major-and-Type-of-Degree","className":"col-md-6","subtype":"text"},{"type":"select","label":"Did you graduate College 1?","name":"Did-you-graduate-College-1","className":"col-md-6","values":[{"label":"-- Select One --","value":"-- Select One --"},{"label":"Yes","value":"Yes"},{"label":"No","value":"No"}]},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","label":"College 2 Name:","name":"College-2-Name","className":"col-md-6","subtype":"text"},{"type":"text","label":"College 2 Street Address:","name":"College-2-Street-Address","className":"col-md-6","subtype":"text"},{"type":"text","label":"College 2 City:","name":"College-2-City","className":"col-lg-4","subtype":"text"},{"type":"select","label":"College 2 State:","name":"College-2-State","className":"col-lg-4","values":[{"label":"Alabama","value":"AL"},{"label":"Alaska","value":"AK"},{"label":"Arizona","value":"AZ"},{"label":"Arkansas","value":"AR"},{"label":"California","value":"CA"},{"label":"Colorado","value":"CO"},{"label":"Connecticut","value":"CT"},{"label":"Delaware","value":"DE"},{"label":"District of Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN"},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT"},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North Dakota","value":"ND"},{"label":"Ohio","value":"OH"},{"label":"Oklahoma","value":"OK"},{"label":"Oregon","value":"OR"},{"label":"Pennsylvania","value":"PA"},{"label":"Rhode Island","value":"RI"},{"label":"South Carolina","value":"SC"},{"label":"South Dakota","value":"SD"},{"label":"Tennessee","value":"TN"},{"label":"Texas","value":"TX"},{"label":"Utah","value":"UT"},{"label":"Vermont","value":"VT"},{"label":"Virginia","value":"VA","selected":true},{"label":"Washington","value":"WA"},{"label":"West Virginia","value":"WV"},{"label":"Wisconsin","value":"WI"},{"label":"Wyoming","value":"WY"}]},{"type":"text","label":"College 2 Zip Code:","name":"College-2-Zip-Code","className":"col-lg-4","subtype":"text"},{"type":"text","label":"College 2 Major and Type of Degree:","name":"College-2-Major-and-Type-of-Degree","className":"col-md-6","subtype":"text"},{"type":"select","label":"Did you graduate College 2?","name":"Did-you-graduate-College-2","className":"col-md-6","values":[{"label":"-- Select One --","value":"-- Select One --"},{"label":"Yes","value":"Yes"},{"label":"No","value":"No"}]},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"textarea","label":"Special Courses: (Please include School Name, Types of Courses, Credits.)","name":"Special-Courses-Please-include-School-Name-Types-of-Courses-Credits","subtype":"textarea","className":"col-md-6"},{"type":"textarea","label":"Certifications:","name":"Certifications","subtype":"textarea","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"header","subtype":"h4","label":"Work History","className":"d-block"},{"type":"paragraph","subtype":"p","label":"Begin with most current/recent employer and/or military service.","className":"d-block"},{"type":"paragraph","subtype":"p","label":"Past Employer 1","className":"d-block"},{"type":"text","label":"Employer 1 Name:","name":"Employer-1-Name","className":"col-md-6","subtype":"text"},{"type":"text","label":"Employer 1 Street Address:","name":"Employer-1-Street-Address","className":"col-md-6","subtype":"text"},{"type":"text","label":"Employer 1 City:","name":"Employer-1-City","className":"col-lg-4","subtype":"text"},{"type":"select","label":"Employer 1 State:","name":"Employer-1-State","className":"col-lg-4","values":[{"label":"Alabama","value":"AL"},{"label":"Alaska","value":"AK"},{"label":"Arizona","value":"AZ"},{"label":"Arkansas","value":"AR"},{"label":"California","value":"CA"},{"label":"Colorado","value":"CO"},{"label":"Connecticut","value":"CT"},{"label":"Delaware","value":"DE"},{"label":"District of Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN"},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT"},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North Dakota","value":"ND"},{"label":"Ohio","value":"OH"},{"label":"Oklahoma","value":"OK"},{"label":"Oregon","value":"OR"},{"label":"Pennsylvania","value":"PA"},{"label":"Rhode Island","value":"RI"},{"label":"South Carolina","value":"SC"},{"label":"South Dakota","value":"SD"},{"label":"Tennessee","value":"TN"},{"label":"Texas","value":"TX"},{"label":"Utah","value":"UT"},{"label":"Vermont","value":"VT"},{"label":"Virginia","value":"VA","selected":true},{"label":"Washington","value":"WA"},{"label":"West Virginia","value":"WV"},{"label":"Wisconsin","value":"WI"},{"label":"Wyoming","value":"WY"}]},{"type":"text","label":"Employer 1 Zip Code:","name":"Employer-1-Zip-Code","className":"col-lg-4","subtype":"text"},{"type":"text","subtype":"tel","label":"Employer 1 Company Phone:","name":"Employer-1-Company-Phone","className":"col-md-6"},{"type":"text","label":"Employer 1 Name/Title of Supervisor:","name":"Employer-1-NameTitle-of-Supervisor","className":"col-md-6","subtype":"text"},{"type":"date","label":"Employer 1 Start Date:","name":"Employer-1-Start-Date","className":"col-md-6 col-lg-3"},{"type":"date","label":"Employer 1 End Date:","name":"Employer-1-End-Date","className":"col-md-6 col-lg-3"},{"type":"text","label":"Employer 1 Job Title:","name":"Employer-1-Job-Title","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Employer 1 Ending Salary:","name":"Employer-1-Ending-Salary","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"Past Employer 2","className":"d-block"},{"type":"text","label":"Employer 2 Name:","name":"Employer-2-Name","className":"col-md-6","subtype":"text"},{"type":"text","label":"Employer 2 Street Address:","name":"Employer-2-Street-Address","className":"col-md-6","subtype":"text"},{"type":"text","label":"Employer 2 City:","name":"Employer-2-City","className":"col-lg-4","subtype":"text"},{"type":"select","label":"Employer 2 State:","name":"Employer-2-State","className":"col-lg-4","values":[{"label":"Alabama","value":"AL"},{"label":"Alaska","value":"AK"},{"label":"Arizona","value":"AZ"},{"label":"Arkansas","value":"AR"},{"label":"California","value":"CA"},{"label":"Colorado","value":"CO"},{"label":"Connecticut","value":"CT"},{"label":"Delaware","value":"DE"},{"label":"District of Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN"},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT"},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North Dakota","value":"ND"},{"label":"Ohio","value":"OH"},{"label":"Oklahoma","value":"OK"},{"label":"Oregon","value":"OR"},{"label":"Pennsylvania","value":"PA"},{"label":"Rhode Island","value":"RI"},{"label":"South Carolina","value":"SC"},{"label":"South Dakota","value":"SD"},{"label":"Tennessee","value":"TN"},{"label":"Texas","value":"TX"},{"label":"Utah","value":"UT"},{"label":"Vermont","value":"VT"},{"label":"Virginia","value":"VA","selected":true},{"label":"Washington","value":"WA"},{"label":"West Virginia","value":"WV"},{"label":"Wisconsin","value":"WI"},{"label":"Wyoming","value":"WY"}]},{"type":"text","label":"Employer 2 Zip Code:","name":"Employer-2-Zip-Code","className":"col-lg-4","subtype":"text"},{"type":"text","subtype":"tel","label":"Employer 2 Company Phone:","name":"Employer-2-Company-Phone","className":"col-md-6"},{"type":"text","label":"Employer 2 Name/Title of Supervisor:","name":"Employer-2-NameTitle-of-Supervisor","className":"col-md-6","subtype":"text"},{"type":"date","label":"Employer 2 Start Date:","name":"Employer-2-Start-Date","className":"col-md-6 col-lg-3"},{"type":"date","label":"Employer 2 End Date:","name":"Employer-2-End-Date","className":"col-md-6 col-lg-3"},{"type":"text","label":"Employer 2 Job Title:","name":"Employer-2-Job-Title","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Employer 2 Ending Salary:","name":"Employer-2-Ending-Salary","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"Past Employer 3","className":"d-block"},{"type":"text","label":"Employer 3 Name:","name":"Employer-3-Name","className":"col-md-6","subtype":"text"},{"type":"text","label":"Employer 3 Street Address:","name":"Employer-3-Street-Address","className":"col-md-6","subtype":"text"},{"type":"text","label":"Employer 3 City:","name":"Employer-3-City","className":"col-lg-4","subtype":"text"},{"type":"select","label":"Employer 3 State:","name":"Employer-3-State","className":"col-lg-4","values":[{"label":"Alabama","value":"AL"},{"label":"Alaska","value":"AK"},{"label":"Arizona","value":"AZ"},{"label":"Arkansas","value":"AR"},{"label":"California","value":"CA"},{"label":"Colorado","value":"CO"},{"label":"Connecticut","value":"CT"},{"label":"Delaware","value":"DE"},{"label":"District of Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN"},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT"},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North Dakota","value":"ND"},{"label":"Ohio","value":"OH"},{"label":"Oklahoma","value":"OK"},{"label":"Oregon","value":"OR"},{"label":"Pennsylvania","value":"PA"},{"label":"Rhode Island","value":"RI"},{"label":"South Carolina","value":"SC"},{"label":"South Dakota","value":"SD"},{"label":"Tennessee","value":"TN"},{"label":"Texas","value":"TX"},{"label":"Utah","value":"UT"},{"label":"Vermont","value":"VT"},{"label":"Virginia","value":"VA","selected":true},{"label":"Washington","value":"WA"},{"label":"West Virginia","value":"WV"},{"label":"Wisconsin","value":"WI"},{"label":"Wyoming","value":"WY"}]},{"type":"text","label":"Employer 3 Zip Code:","name":"Employer-3-Zip-Code","className":"col-lg-4","subtype":"text"},{"type":"text","subtype":"tel","label":"Employer 3 Company Phone:","name":"Employer-3-Company-Phone","className":"col-md-6"},{"type":"text","label":"Employer 3 Name/Title of Supervisor:","name":"Employer-3-NameTitle-of-Supervisor","className":"col-md-6","subtype":"text"},{"type":"date","label":"Employer 3 Start Date:","name":"Employer-3-Start-Date","className":"col-md-6 col-lg-3"},{"type":"date","label":"Employer 3 End Date:","name":"Employer-3-End-Date","className":"col-md-6 col-lg-3"},{"type":"text","label":"Employer 3 Job Title:","name":"Employer-3-Job-Title","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Employer 3 Ending Salary:","name":"Employer-3-Ending-Salary","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","label":"State reason and length of inactivity between employers:","name":"State-reason-and-length-of-inactivity-between-employers","className":"col-md-6","subtype":"text"},{"type":"select","label":"May we contact your present employer for a work reference?","name":"select-1761081437227","className":"col-md-6","values":[{"label":"-- Select One --","value":"-- Select One --"},{"label":"Yes","value":"Yes"},{"label":"No","value":"No"}]},{"type":"select","label":"To assist us in verifying your prior employment, have you ever worked under another name?","name":"To-assist-us-in-verifying-your-prior-employment-have-you-ever-worked-under-another-name","className":"col-md-6","values":[{"label":"-- Select One --","value":"-- Select One --","selected":true},{"label":"Yes","value":"Yes"},{"label":"No","value":"No"}]},{"type":"text","label":"If yes, list name:","name":"If-yes-list-name","className":"col-md-6","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"header","subtype":"h4","label":"References","className":"d-block"},{"type":"paragraph","subtype":"p","label":"Provide name and contact information for three (3) professional references other than past employers.","className":"d-block"},{"type":"paragraph","subtype":"p","label":"Reference 1","className":"d-block"},{"type":"text","label":"Reference 1 Name:","name":"Reference-1-Name","className":"col-md-6","subtype":"text"},{"type":"text","label":"Reference 1 Street Address:","name":"Reference-1-Street-Address","className":"col-md-6","subtype":"text"},{"type":"text","label":"Reference 1 City:","name":"Reference-1-City","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"select","label":"Reference 1 State:","name":"Reference-1-State","className":"col-md-6 col-lg-3","values":[{"label":"Alabama","value":"AL"},{"label":"Alaska","value":"AK"},{"label":"Arizona","value":"AZ"},{"label":"Arkansas","value":"AR"},{"label":"California","value":"CA"},{"label":"Colorado","value":"CO"},{"label":"Connecticut","value":"CT"},{"label":"Delaware","value":"DE"},{"label":"District of Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN"},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT"},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North Dakota","value":"ND"},{"label":"Ohio","value":"OH"},{"label":"Oklahoma","value":"OK"},{"label":"Oregon","value":"OR"},{"label":"Pennsylvania","value":"PA"},{"label":"Rhode Island","value":"RI"},{"label":"South Carolina","value":"SC"},{"label":"South Dakota","value":"SD"},{"label":"Tennessee","value":"TN"},{"label":"Texas","value":"TX"},{"label":"Utah","value":"UT"},{"label":"Vermont","value":"VT"},{"label":"Virginia","value":"VA","selected":true},{"label":"Washington","value":"WA"},{"label":"West Virginia","value":"WV"},{"label":"Wisconsin","value":"WI"},{"label":"Wyoming","value":"WY"}]},{"type":"text","label":"Reference 1 Zip Code:","name":"Reference-1-Zip-Code","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","subtype":"tel","label":"Reference 1 Phone Number:","name":"Reference-1-Phone-Number","className":"col-md-6 col-lg-3"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"Reference 2","className":"d-block"},{"type":"text","label":"Reference 2 Name:","name":"Reference-2-Name","className":"col-md-6","subtype":"text"},{"type":"text","label":"Reference 2 Street Address:","name":"Reference-2-Street-Address","className":"col-md-6","subtype":"text"},{"type":"text","label":"Reference 2 City:","name":"Reference-2-City","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"select","label":"Reference 2 State:","name":"Reference-2-State","className":"col-md-6 col-lg-3","values":[{"label":"Alabama","value":"AL"},{"label":"Alaska","value":"AK"},{"label":"Arizona","value":"AZ"},{"label":"Arkansas","value":"AR"},{"label":"California","value":"CA"},{"label":"Colorado","value":"CO"},{"label":"Connecticut","value":"CT"},{"label":"Delaware","value":"DE"},{"label":"District of Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN"},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT"},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North Dakota","value":"ND"},{"label":"Ohio","value":"OH"},{"label":"Oklahoma","value":"OK"},{"label":"Oregon","value":"OR"},{"label":"Pennsylvania","value":"PA"},{"label":"Rhode Island","value":"RI"},{"label":"South Carolina","value":"SC"},{"label":"South Dakota","value":"SD"},{"label":"Tennessee","value":"TN"},{"label":"Texas","value":"TX"},{"label":"Utah","value":"UT"},{"label":"Vermont","value":"VT"},{"label":"Virginia","value":"VA","selected":true},{"label":"Washington","value":"WA"},{"label":"West Virginia","value":"WV"},{"label":"Wisconsin","value":"WI"},{"label":"Wyoming","value":"WY"}]},{"type":"text","label":"Reference 2 Zip Code:","name":"Reference-2-Zip-Code","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","subtype":"tel","label":"Reference 2 Phone Number:","name":"Reference-2-Phone-Number","className":"col-md-6 col-lg-3"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"Reference 2","className":"d-block"},{"type":"text","label":"Reference 3 Name:","name":"Reference-3-Name","className":"col-md-6","subtype":"text"},{"type":"text","label":"Reference 3 Street Address:","name":"Reference-3-Street-Address","className":"col-md-6","subtype":"text"},{"type":"text","label":"Reference 3 City:","name":"Reference-3-City","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"select","label":"Reference 3 State:","name":"Reference-3-State","className":"col-md-6 col-lg-3","values":[{"label":"Alabama","value":"AL"},{"label":"Alaska","value":"AK"},{"label":"Arizona","value":"AZ"},{"label":"Arkansas","value":"AR"},{"label":"California","value":"CA"},{"label":"Colorado","value":"CO"},{"label":"Connecticut","value":"CT"},{"label":"Delaware","value":"DE"},{"label":"District of Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN"},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT"},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North Dakota","value":"ND"},{"label":"Ohio","value":"OH"},{"label":"Oklahoma","value":"OK"},{"label":"Oregon","value":"OR"},{"label":"Pennsylvania","value":"PA"},{"label":"Rhode Island","value":"RI"},{"label":"South Carolina","value":"SC"},{"label":"South Dakota","value":"SD"},{"label":"Tennessee","value":"TN"},{"label":"Texas","value":"TX"},{"label":"Utah","value":"UT"},{"label":"Vermont","value":"VT"},{"label":"Virginia","value":"VA","selected":true},{"label":"Washington","value":"WA"},{"label":"West Virginia","value":"WV"},{"label":"Wisconsin","value":"WI"},{"label":"Wyoming","value":"WY"}]},{"type":"text","label":"Reference 3 Zip Code:","name":"Reference-3-Zip-Code","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","subtype":"tel","label":"Reference 3 Phone Number:","name":"Reference-3-Phone-Number","className":"col-md-6 col-lg-3"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"header","subtype":"h4","label":"Upload Supporting Documents","className":"d-block"},{"type":"file","label":"Please select one or more files for upload. You may upload up to 20 files (35 Mb max).","description":"Files can be PDF, JPG, JPEG format. To upload multiple files, please hold control while clicking on multiple files before clicking \"Open\".","name":"file-1761082267387","subtype":"file","multiple":true,"className":"d-block"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"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.<div><br></div><div>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.</div><div><br></div><div>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.</div>","className":"d-block"},{"type":"text","required":true,"label":"Applicant Signature:","placeholder":"Disclaimer: By typing your name, you are signing this document.","name":"Applicant-Signature","className":"col-md-6","subtype":"text"},{"type":"date","required":true,"label":"Date of Applicant Signature:","name":"Date-of-Applicant-Signature","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"header","subtype":"h4","label":"Authorization to Release Personnel Information","className":"d-block"},{"type":"paragraph","subtype":"p","label":"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.<div><br></div><div>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.</div><div><br></div><div>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.</div><div><br></div><div>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.</div><div><br></div><div>I also agree that a photocopy of this agreement shall be as valid as the original.</div>","className":"d-block"},{"type":"text","required":true,"label":"Signature of Applicant Authorizing Release of Information:","placeholder":"Disclaimer: By typing your name, you are signing this document.","name":"Signature-of-Applicant-Authorizing-Release-of-Information","className":"col-md-6","subtype":"text"},{"type":"date","required":true,"label":"Date of Signature of Applicant Authorizing Release of Information:","name":"Date-of-Signature-of-Applicant-Authorizing-Release-of-Information","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"header","subtype":"h4","label":"Optional Data Collected for Statistical Purposes","className":"d-block"},{"type":"paragraph","subtype":"p","label":"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.","className":"d-block"},{"type":"select","label":"Highest Level of education you have completed:","name":"Highest-Level-of-education-you-have-completed","className":"col-md-6","values":[{"label":"--Select One--","value":"--Select One--","selected":true},{"label":"Less than 8th grade","value":"Less than 8th grade"},{"label":"Completed 8th grade","value":"Completed 8th grade"},{"label":"Attended High School","value":"Attended High School"},{"label":"High School Graduate or Equivalent","value":"High School Graduate or Equivalent"},{"label":"Attended College","value":"Attended College"},{"label":"Associate's Degree","value":"Associate's Degree"},{"label":"Bachelor's Degree","value":"Bachelor's Degree"},{"label":"Master's Degree","value":"Master's Degree"},{"label":"Attended Graduate School","value":"Attended Graduate School"},{"label":"PhD or Professional Degree","value":"PhD or Professional Degree"},{"label":"Graduate Studies Beyond Master's Requirements","value":"Graduate Studies Beyond Master's Requirements"}]},{"type":"select","label":"Racial or ethnic group with which you identify:","name":"Racial-or-ethnic-group-with-which-you-identify","className":"col-md-6","values":[{"label":"--Select One--","value":"--Select One--","selected":true},{"label":"White (Includes Arabian)","value":"White (Includes Arabian)"},{"label":"Black (Includes Jamaican, Bahamians, and other Caribbean of African but not Hispanic or Arabian Descent)","value":"Black (Includes Jamaican, Bahamians, and other Caribbean of African but not Hispanic or Arabian Descent)"},{"label":"Asian and Asian American (Includes Pakistanis, Indians, and Pacific Islanders)","value":"Asian and Asian American (Includes Pakistanis, Indians, and Pacific Islanders)"},{"label":"American Indians (Includes Alaskans)","value":"American Indians (Includes Alaskans)"}]},{"type":"select","label":"Sex:","name":"Sex","className":"col-lg-4","values":[{"label":"--Select One--","value":"--Select One--","selected":true},{"label":"Male","value":"Male"},{"label":"Female","value":"Female"}]},{"type":"date","label":"Date of Birth:","name":"Date-of-Birth","className":"col-lg-4"},{"type":"text","required":true,"label":"Position Applied For:","name":"Position-Applied-For","className":"col-lg-4","subtype":"text"}]

What Can We Help You With Today?

Industry Links