Housing Northwest, Inc. is an Equal Employment Opportunity employer. We recruit, hire, and promote for positions without regard to race, color, religion, sex, age, national origin, sexual orientation, disability, veteran status or any other protection afforded by law. Applications are considered active for 60 days from the date signed. If you want to be considered for job openings after the 60 days, you will need to submit a new application. *Please Complete all fields*

Position Applying For: Date Available
for Employment: 		Desired Hourly Compensation:
 
Resume:
Attach your resume in Microsoft Word or Adobe PDF.
(Even if you attach your resume, you are still required to fill out the entire Employment Application.)
 
General Information
First Name: Middle Name: Last Name:
Present Address: City, State & Zip:
Phone Number:
What hours & days are you available to work?
How did you learn about the position?
Have you ever been employed with us before? Yes No
If yes, dates and position(s) held:
Are any of your relatives presently employed at Housing Northwest? Yes No
If yes, name of relative(s) & relationship:
Are you at least 18 years of age? Yes No
Do you have a valid driver's license? Yes No
License Number State:

Are you prevented from lawfully becoming employed in this
country because of Visa or Immigration status?

Yes No

Are you aware of the essential functions of the position?

Yes No

With or without a reasonable accommodation, can you perform those essential functions, including regular attendance and punctuality?

Yes No

Have you ever been convicted of any felony or misdemeanor? OR Have you been arrested within the last year?

Yes No
If yes, please explain.
(A conviction or an arrest will not necessarily exclude you from consideration.)
 
Education High School College Graduate School Business/Trade
School Name
Years Completed
Course of Study
Diploma, Degree
or Equivalent 		Yes No Yes No Yes No Yes No
 
References
List 3 non-relatives who are familiar with your qualifications and actual work history and ablility.
Name: Relationship: Years Known: Phone:
Name: Relationship: Years Known: Phone:
Name: Relationship: Years Known: Phone:
 
Employment History
Begin with your current or most recent employment. Do not skip any employers.
Employer: Phone: City/State:
Date Hired: Date Left: Position: Supervisor:
Duties: Starting Wage: Ending Wage:
Type of Termination: Reason For Leaving:
What did you like best about your job?
What did you least like about your job?
Please explain any period between jobs:
 
Employer: Phone: City/State:
Date Hired: Date Left: Position: Supervisor:
Duties: Starting Wage: Ending Wage:
Type of Termination: Reason For Leaving:
What did you like best about your job?
What did you least like about your job?
Please explain any period between jobs:
 
Employer: Phone: City/State:
Date Hired: Date Left: Position: Supervisor:
Duties: Starting Wage: Ending Wage:
Type of Termination: Reason For Leaving:
What did you like best about your job?
What did you least like about your job?
Please explain any period between jobs:
 
Please read the following statements carefullly before signing this application. Only those applications that are signed and dated are considered valid. If you have any questions regarding this statement, please ask them before signing.

I certify that all answers and statements I have made on this application are true and complete without omissions. I understand that any false information will be grounds for refusal to hire or for immediate discharge if I am employed.
Yes
No

I authorize any of the persons or organizations named in this application to give you complete information and records regarding my employment, education, character, and qualifications.
Yes
No

If hired, I will be responsible for familiarizing myself with all rules and regulations of the Company as they presently exist or are later modified. I recognize that my employment can be terminated, at the discretion of the Company or at my option, without notice, at any time, except as specifically set forth in writing in a current individual employment agreement signed by the President. I further understand that no representative of the Company has any authority to enter into any employment agreement for any specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment.

 Yes No

I have read, understand and agree to the above.

 Yes No
 
   
First and Last Name Email Address Date
 
Housing Northwest, Inc.
1708 S.W. Columbia
Portland, Oregon 97201
Phone: 503.497.1188
Toll: 800.783.3454
Fax: 503.497.1181		 Copyright © 2007 Housing Northwest, Inc. All rights reserved Legal Information