Boston Housing Authority - Boston Housing Authority

Please fill this TAB to enable next TAB

First Name * * * Middle * Last * * *

Number & Street * * Address line 2

City * * * State * Zip * * *

Primary Phone * * Extension

Email * * * Retype Email * * * *

If hired, can you provide proof that you are eligible to work in the U.S ?*
Yes No *

Have you served in the U.S. military ?*
Yes No *

Branch of Service *	*
From *	*
To *	*

Have you ever worked for the Boston Housing Authority before ?*
Yes No *

Position *	*
From *	*
To *	*

Are you 18 years of age or older ?*
Yes No *

Are you a BHA tenant ? You must appear on the most recent Tenant Status Review of a BHA resident household to answer *
Yes No *

Are any members of your immediate family or any relatives currently employed by the Boston Housing Authority ? *
Yes No *

Name *	*
Department *	*
Relation *	*

Please fill this TAB to enable next TAB

Education Entry

School Type * : *

Name *: City *: * State *: *

Attended From *:

To *: *

Present

Did you graduate? *:
Yes No *

Please fill this TAB to enable next TAB

Beginning with your present or last position, please list the last three jobs you have held.
(Work performed on a volunteer basis may be included in this section.)

Employer Entry

Employer Name *: * Supervisor *: *

Address *: * Phone *: * Ext. *: *

From *:

To *: *

Present

Position Held *: *

Reason for leaving *: *

Duties *:

Office equipment operated/Machinery operated *:

May we contact this Employer *:

Yes

No

*

Please fill this TAB to enable next TAB

Please list any special training, skills and experience as well as any language fluency you have in addition to English that you feel would be important to your employment with the Boston Housing Authority. List all machinery you can operate and/or office equipment/software packages with which you are familiar *:

You may attach a resume and cover letter here

Please fill this TAB to enable next TAB

	We are glad you are interested in joining the staff of the Boston Housing Authority. Please acknowledge the following statements before you submit your application.

* *	I give the Boston Housing Authority the right to investigate all references given in this application form and to secure additional information about me. This may include a criminal records check, motor vehicle/driving record, as required by the position for which I am applying. I hereby release from liability the BHA and its representative for seeking such information and all other persons, corporations or organizations for furnishing such information. I have read, understand and agree to this statement.

* *	I understand that the Boston Housing Authority has a commitment to maintain an alcohol/drug-free workplace and that the BHA, unless prohibited by state law, may require a drug screening test as a part of its selection and hiring process. I further understand and agree that if I am employed, I may be required to submit to alcohol/drug testing under certain circumstances during my employment. I have read, understand and agree to this statement.

* *	This application will be given due consideration, but I understand that its submission does not imply that I will be offered employment. I have read, understand and agree to this statement.

* *	It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. I certify that all information given on this application for employment is true and correct. I understand that if I am employed, any false statement, omission, or misstatement of information may result in denial of employment or later dismissal from employment. I have read, understand and agree to this statement.

Boston Housing Authority Employment Application

Stay connected and up to date