Employment Application SFHDC (1) (PDF)

San Francisco Housing
Development Corp.
Employment Application
Applicant Information
Full Name:

Date:
Last

First

M.I.

Address:
Street Address

Apartment/Unit #

City

State

Phone:

ZIP Code

Email:

Date Available:

Social Security No.:

Desired Salary:

Position Applied for:
Are you a citizen of the United States?
Have you ever worked for this company?
Have you ever been convicted of a felony?

YES

NO

YES

NO

YES

NO

If no, are you authorized to work in the U.S.?

YES

NO

If yes, when?

If yes, explain:

Education
High School:
From:

Address:
To:

Did you graduate?

College:
From:

NO

YES

NO

YES

NO

Diploma::

Address:
To:

Did you graduate?

Other:
From:

YES

Degree:

Address:
To:

Did you graduate?

Degree:

References
Please list three professional references.
Full Name:

Relationship:

Company:

Phone:

Address:
Page 1 of 3

Form updated May 2015

Full Name:

Relationship:

Company:

Phone:

Address:
Full Name:

Relationship:

Company:

Phone:

Address:

Current and Previous Employment (please list current/most recent first)
Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:$

Ending Salary:$

Responsibilities:
From:

To:

Reason for Leaving:

May we contact your previous supervisor for a reference?

YES

NO

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:$

Ending Salary:$

Responsibilities:
From:

To:

Reason for Leaving:

May we contact your previous supervisor for a reference?

YES

NO

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:$

Ending Salary:$

Responsibilities:
From:

To:

May we contact your previous supervisor for a reference?

Page 2 of 3

Reason for Leaving:
YES

NO

Form updated May 2015

Previous Employment - continued

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:$

Ending Salary:$

Responsibilities:
From:

To:

Reason for Leaving:

May we contact your previous supervisor for a reference?

YES

NO

Military Service
Branch:
Rank at Discharge:

From:

To:

Type of Discharge:

If other than honorable, explain:

Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such
investigations and inquiries of my personal, employment, educational, financial, or medical history and other
related matters as may be necessary for an employment decision. I hereby release employers, schools or
persons from al liability when responding to inquiries in connection with my application.
If this application leads to employment, I understand that false or misleading information in my application or
interview may result in my immediate or eventual suspension or other disciplinary action, up to and including
termination of employment.
Signature:

Page 3 of 3

Date:

Form updated May 2015