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We are an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

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Applicant Information

First Name:* Last Name:* Address: Address 2: City: State: Zip: Phone Number:* Email Address:* Last four digits of Social Security # Are you 18 years or older? Indian Preference: Tribe Enrollment Number Do you have a valid drivers license? Drivers License # Endorsement/Restrictions Are you a Veteran? Are any of your relatives presently employed with YNHA?* If yes, who? Have you been convicted of a Felony within the past ten (10) Years? If so, when, where, and disposition of case:

Educational Background

GED Graduated? Major High School Graduated? Major College Graduated? Major Trade/Other Graduated? Major Other Training / Certificates / Awards Received

Professional References

List at least three professional references that are not related to you, whom you have known at least one year.

Reference Name Phone Number Address Years Acquainted

Previous Employment

This section must be completed entirely. Do Not write "Refer to Resume".

Most Recent Job

Company: Job Title: Employed from: through: Supervisor: Phone #: Salary: Reason for Leaving: Description of Duties:

Additional Work Experience

Company: Job Title: Employed from: through: Supervisor: Phone #: Salary: Reason for Leaving: Description of Duties:

Additional Work Experience

Company: Job Title: Employed from: through: Supervisor: Phone #: Salary: Reason for Leaving: Description of Duties:

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Résumé Letter of Recommendation Education Certifications

I authorize all previous employers and supervisors, including all persons with and for whom I have worked, to give Yakama Nation Housing Authority's (YNHA) representatives any and all information regarding me and my previous employment. I release YNHA, and all previous employers and supervisors from liability for any damages that may result from furnishing information to YNHA.

I understand that if employed; employment at YNHA is at-will, this means that employees may decide to terminate their employment with YNHA, or YNHA may decide to terminate their employment, at any time, for any reason or no reason.

I understand that if employed, I am required to undergo an Employee Alcohol and Drug Free Evaluation Test for preemployment, random, job-related injury, and reasonable cause/suspicion. Positive testing may result in disciplinary action and/or termination.

I certify that I have answered truthfully and have not knowingly withheld any information relative to my application. I understand that a misrepresentation or material omission on this application will result in my being eliminated from further consideration. I further understand that, if accepted for employment, any misrepresentation or material omission which becomes known to YNHA, will result in immediate termination of my employment.

I understand that my electronic signature has the same legal status as my handwritten signature.

Enter your full name to sign this application: Date:

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Applicant Information

Educational Background

Professional References

Previous Employment

Most Recent Job

Additional Work Experience

Additional Work Experience

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