St. Paul PHA Employment Application

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PLEASE READ CAREFULLY

Fill the application out completely and accurately. Failure to complete the application may result in disqualification, and a decision to employ you could be affected by the information you give us.

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Please provide your email address to receive confirmation that your application has been submitted. If you do not receive a return email within 24 hours please contact Human Resources at 651-298-5664.

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BACKGROUND QUESTIONS

Please answer the following questions.
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EDUCATIONAL BACKGROUND

List the last three (3) schools you attended, beginning with the most recent.

High School

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EMPLOYMENT HISTORY

Start with your present job and work back. Include all paid or unpaid, full or part time, military or summer jobs. Do not mark application "see resume". You may attach a resume in addition to completing this form. Do not mark application "see previous application".

Current or most recent employer

Job1

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Major Duties or Responsibilities and % of Time Performing Duty
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APPLICANT CERTIFICATION
Before submitting this certification, read the following carefully.
1. ALL INFORMATION IS TRUE AND COMPLETE. I certify that all the information I have given on this application is true and complete to the best of my knowledge. I understand that I will not be hired, or will be terminated later, if I give false information or leave out requested information.
2. VERIFICATION. I authorize the PHA to verify this information to determine whether or not I am qualified for the position for which I am applying.
3. AUTHORIZATION TO RELEASE INFORMATION. (Good for one year from this date) I authorize all of my current and past employers to give job related information to the PHA. In addition, I authorize the educational institutions I attended to release my records related to my academic performance. This information is to be used by the PHA to decide whether to hire me. If I am or was a tenant of the PHA, the PHA may also use information from my employers to check if I am or was eligible for housing assistance. I hereby release the Public Housing Agency of the City of Saint Paul from any and all liability from whatsoever nature by reason of requesting such information from any person.
4. CHANGES TO INFORMATION. I understand that I must notify the PHA in writing of any changes to information I have given on this application.
5. JOB TESTS. I understand that I may be required to take one or more tests to help the PHA decide whether to hire me. Some tests may show my personal fitness, job skills and other qualifications for particular jobs.
6. WAIVER OF CLAIMS FOR INJURIES OR DAMAGES. If the PHA permits me to take job-related tests, I waive any claims I might have against the PHA or its agents or employees for personal injuries or property damage related to my taking the tests. I accept personal liability for any risks involved in the tests.
7. DATA PRIVACY. I have read the Privacy Statement (Tennessen Warning) on the back of this page.
8. PRE-EMPLOYMENT PHYSICAL/CRIMINAL BACKGROUND CHECK. I understand that any offer of employment will be contingent upon satisfactorily passing a pre-employment physical examination and a criminal background check.
The Public Housing Agency of the City of Saint Paul will not discriminate against or sanction harassment of any employee or applicant for employment because of race, creed, religion, color, sex, sexual or affectional orientation, national origin or ancestry, age, disability, marital status, citizenship status or status with regard to public assistance.
NOTICE TO APPLICANT/EMPLOYEE
(TENNESSEN WARNING)
There are laws to protect your rights to information and privacy. (please read this important information carefully)
Under the Minnesota Government Data Practices Act (Minn. Statutes, Chapter 13) you have the right to know:
WHAT IS THE PURPOSE AND INTENDED USE OF THE INFORMATION THE PHA COLLECTS?
The information we collect from you or about you (or from other individuals or agencies authorized by you) is collected, used and disseminated to determine your eligibility for employment, promotion and other personnel related activities in order for the PHA to carry out legally authorized programs.
The information we collect about you is classified under Minnesota Law as:
(1) Private - only you and those authorized by law or by you can see the information.
(2) Public - anyone can see the information.
Veteran status; relevant test scores; job history; prior education and training; and your work availability. Your name is considered private until you are selected to be interviewed as a finalist for employment. If you are hired by the PHA, the following additional information about you will be considered public:
Your name; actual gross salary range; pension; the value and nature of your PHA-paid fringe benefits; job description; dates of employment; status of any complaints or charges against you while you work for the PHA, whether or not they result in a disciplinary action after all legal proceeding have been completed; disciplinary actions; honors and awards you receive; the basis for and any added remuneration such as expense or mileage reimbursement in addition to your salary; work location and work telephone number; data which accounts for your work time; and your city and county residence. Anything not listed above which is placed in your application folder or your personnel jacket (such as medical information, letters of recommendation, resumes, etc.) is made by this statute private information.
Information collected about you will be shared with those members of the PHA staff who must use it to process your application or to conduct normal PHA business. Also the following agencies may be authorized by state or federal law to receive private information from your file: Federal Equal Employment Opportunity Commission; Minnesota Human Rights Department; Labor Organizations; and the Bureau of Mediation Services.
IF YOU ARE A RESIDENT OF PHA, any information you provide in this application about your employment and income will be reviewed by the PHA Resident Services staff.
In addition, before residents are hired by the PHA, their files are reviewed by Resident Services staff to determine if there is a history of serious violations of PHA lease provisions.
If you have any other questions about your privacy rights, please contact the PHA Responsible Authority.
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By continuing this application you are certifying that you have read the above information.