Employment Application

APPLICANT INFORMATION

MM slash DD slash YYYY
Your Address
Are you over 18?
Do you have a valid Driver's license?
Do you have access to a vehicle?
Are you authorized to work in the U.S.?

EDUCATION

Graduated?

PREVIOUS EMPLOYMENT

Employer Address
May we contact this employer?
Employer Address
May we contact this employer?

PHYSICAL REQUIREMENTS

Some positions may require certain physical capabilities. Please specify whether you are or are not able to safely perform the activities below. Please be assured that a negative response will not disqualify you from consideration.

Do you have difficulty:

Bending/Stooping
Standing long periods of time
Climbing Stairs/Ladders
Working in extreme temperatures
Lifting 25 lbs.
Lifting 50 lbs.
Lifting 75 lbs.
Lifting 100 lbs.

DISCLAIMER & SIGNATURE

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I Authorize the River Falls Housing Authority to verify my arrest and convictions records on the Wisconsin Circuit Court System.
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.

Providing Affordable Housing for Senior Citizens, Persons with Disabilities and Families. Managers for Family Homes, Edgewater, Riverview Manor, Briarwood, Oakpark, Windmill Place, Watertower, & St. Croix Manor Apts. This institution is an equal opportunity provider and employer.