Employment Application Apply Online Employment with AVCP RHA is “at-will”. AVCP is an equal opportunity employer with Alaska Native / Indian Preference. 1Personnel Information2Employment Information3Education4Skills5Service & Employment History6References7Authorizations Name * Required First Last Date of Birth * Required MM slash DD slash YYYY Physical Address * Required Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mailing AddressIf different than physical address. Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell PhoneWork PhoneEmail * Required May we contact you at work? Yes No Do you have the legal right for employment in the U.S.?Proof of citizenship or immigration status will be required upon employment. Yes No Within the past 5 years, have you been charged, convicted or released from prison for any criminal offense? Yes No If yes, please explain. * RequiredA conviction will not necessarily disqualify you from employment. Upon a finding of a criminal conviction, suitability will be determined based on the nature and frequency of criminal act, time elapsed since conviction, nature of employment, qualifications and whether you, the applicant, have been rehabilitated.Do you claim Alaska Native/Indian Preference? Yes No If yes, please provide tribal affiliation and enrollment number. * Required Have you ever applied with AVCP RHA before? Yes No If yes, what date? * Required MM slash DD slash YYYY Have you ever been employed with AVCP RHA before? Yes No Start Date * Required MM slash DD slash YYYY End Date * Required MM slash DD slash YYYY Position Applying For * Required Date Available for Employment * Required MM slash DD slash YYYY Type of Employment Status Desired Full Time Part Time Temporary Seasonal Have you read the job description? Yes No If required for the position, do you have a current and valid driver's license? Yes No Can you perform the essential position requirements, duties, and responsibilities of the position you are applying for without reasonable accommodation?AVCP RHA considers reasonable accommodation measures that may be necessary for eligible applicants to perform essential job functions. Yes No Are you willing to travel if required? Yes No Are you willing to relocate if required? Yes No Are you willing to work overtime if required? Yes No High SchoolSchool Name School Location Course of Study Number of Years CompletedDid you graduate? Yes No CollegeSchool Name School Location Course of Study Number of Years CompletedDid you graduate? Yes No DegreeInclude Major and Minor if applicable. Trade / Technical SchoolSchool Name School Location Course of Study Number of Years CompletedDid you graduate? Yes No Degree, Diploma, or Certificate List any other professional, business, or civic membership/offices and/or special training received.Exclude any membership which would reveal sex, race, religion, national origin, age, ancestry, handicap or other protected status. HardwareComputer Novice Intermediate Advanced WPM10-Key Calculator Novice Intermediate Advanced WPMFax Machine Novice Intermediate Advanced Multifunction Printer / Copier Novice Intermediate Advanced Other Hardware Other Hardware Expertise Novice Intermediate Advanced SoftwarePlease list any skill using software and note experience as novice, intermediate, or advanced.Foreign LanguagesPlease list any foreign language skills and note efficiency as read, speak and/or write. Military ServiceHave you ever served in the Armed Forces? * Required Yes No Start Date * Required MM slash DD slash YYYY End Date * Required MM slash DD slash YYYY Branch * Required Rank at Time of Discharge * Required Name your MOS and provice a brief description of your job duties. * RequiredEmployment HistoryStarting with your most recent, list your previous employment history, including military service. Account for periods of unemployment over 30 days. Fill in all fields, even if you have provided a resume.Past Employment Company Name Job Title Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Provide three business/work references who are not related to you and have knowledge of your work experience. If not applicable, list three school or personal references who are not related to you.Reference 1Name * Required First Last Occupation * Required Organization * Required Phone * RequiredEmail * Required Number of Years Acquainted * RequiredReference 2Name * Required First Last Occupation * Required Organization * Required Phone * RequiredEmail * Required Number of Years Acquainted * RequiredReference 3Name * Required First Last Occupation * Required Organization * Required Phone * RequiredEmail * Required Number of Years Acquainted * RequiredAny Additional Information You Would Like Us to Consider Authorization of Release of Information * RequiredNB: You must read the full text to activate the checkbox.I understand that employment with AVCP Regional Housing Authority is contingent upon satisfactory results of an investigation of my past employment, experience, education, credit history, criminal history, driving record and other activities referred to in this application. I certify that the information provided in this Application for Employment is true and complete to best of my knowledge. I certify that any misrepresentation, omission and/or misstatement of fact on or in this application may result in cancellation or reject of this application or may result in termination of employment, if employed. I hereby authorize AVCP Regional Housing Authority the right to substantiate and verify my past employment, previous salary history, education, driving record, credit history, criminal history and/or any other information associated with my Application for Employment. I also authorize my previous schools, employers and/or listed references to release to AVCP Regional Housing Authority any relevant information that may be requested in connection with my Application for Employment. If a credit report or criminal background check is obtained, AVCP Regional Housing Authority must provide, at my request, the name and address of the agency so I may obtain from them the nature and substance of the information contained in the report. I hereby authorize and release, without reservation, any party or agency contacted by AVCP Regional Housing Authority and their employees or assigns from any and all claims, actions, suits, agreements, and/or liabilities arising from the release of information to AVCP Regional Housing Authority or any authorized agent thereof. I agree to the Release of Information Acknowledgement of Employment Information * RequiredNB: You must read the full text to activate the checkbox.I hereby understand that employment with AVCP Regional Housing Authority is considered “At – Will” and AVCP Regional Housing Authority or I may terminate my employment with or without good cause, explanation and/or at any given time without explanation or prior notice. I understand that AVCP Regional Housing Authority is an equal opportunity employer with Indian Preference pursuant to Section 7(b) of the Indian Self-Determination Act of 1975, 25 U.S.C. § 450e(b). AVCP Regional Housing Authority agrees to give preference to Indians who can perform the work required regardless of age, sex, religion, or tribal affiliation for training and employment opportunities… I understand and certify to be considered under Indian Preference, you must provide verification with your Application for Employment and resume. All qualified applicants will receive consideration for employment without regard to their protected veteran or disabled status and will not be discriminated against. AVCP Regional Housing Authority does not discriminate in employment and no question on this application is used for the purpose of limiting or excluding any applicant’s consideration for employment on a basis prohibited by local, State and/or Federal law. A separate application is required for each position applying for. This application will be kept for a period of six months. At the conclusion of the six month application holding period, if I have not been contacted by AVCP Regional Housing Authority and still wish to be considered for employment, it will be necessary to complete a new application. Within the six month holding period, if a position is open and you wish to apply your application and resume to such position notify AVCP Regional Housing Authority. I certify that this application is not and is not intended to be a contract of agreement or employment. I agree to the Acknowledgement of Employment Information CAPTCHAEmailThis field is for validation purposes and should be left unchanged. Δ
