Application for Employment

P.O. Box 156 * 611 S. Camas Ave.* Wapato* WA* 98951


Personal Background

Educational Background

Education Name /Location Graduated Y/N Major


Give the names of three persons, not related to you, whom you have known at least one year

Name Address Phone# Yrs. Acquaint.

Employment Background

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

Read and initial the following statements before signing this application

I authorize all previous employers and supervisors, including all vwrsons 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 ( initial here.)

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 ( initial here.)

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 ( initial here.)

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. ( initial here.)