Please List your last 3 previous employers and include the following information:
Company Name and Address | Dates of Employment
Telephone Number | Job Title and Responsibilities | Reason for leaving
PLEASE LIST THREE REFERENCES
Please note. References will be contacted prior to selection and must be available for phone or mail based interview. Please ensure phone numbers and addresses are correct and current. Selection is rated on a point system.
Please include: Name | Address | Telephone Number
This is a drug free work place and all future full time, part time, or temporary employees are subject to mandatory drug test.
I consent and agree to drug and/or alcohol testing as a condition of employment and continued employment by the Yankton Sioux Housing Authority (YSHA), if I am hired.
I understand that information regarding the test results will be released to the YSHA and that such information may be used as grounds for adverse employment action, including denial or employment and/or termination of my employment with the YSHA.
The result of the test will be reviewed by the designated employee and the individual that took the test. The test results will be released to the YSHA in determining any adverse employment action that may be taken against me.
I have a right to refuse to submit to such testing: understanding, however, that my refusal to submit to or to cooperate with such testing shall be considered equivalent to confirmed "positive" test.
I further agree that YSHA have made no representation, inducements, or statements, other than those in writing, about the testing, and that I consent to be tested.
AUTHORIZATION OF RELEASE OF INFORMATION
This information provided in the application is true and complete. If employed, any misstatement or omission of face on this application may result in my dismissal. I give the Yankton Sioux Housing Authority the right to contact all references and to secure additional information, if job related. I release from liability the Yankton Sioux Housing Authority and its representative for seeking such information and all other person, corporation, or organizations for furnishing such information.
