Careers

Application for Resident Initiatives Coordinator

* First Name

* Last Name

* Address

* City

* State

* Zip Code

* Phone

* Email

Check All below that Apply

I can be lawfully employed in this country
I am currently receiving housing assistance from CMHA
I have previously worked for CMHA
I have relatives that have worked, or are working, for CMHA

Education

Years of Education

(Include Primary School)

Highest academic degree attained:

GED
High School Diploma
Some College
Associate's Degree
Bachelor's Degree or Higher

High School

Address

Did you Graduate?

Yes No

College

Address

Degree

Did you Graduate?

Yes No

College

Address

Degree

Did you Graduate?

Yes No

Please list the specific course(s) that qualify you for the position for which you have applied.

References

Name

Address

Occupation

Phone

Relationship

Personal Professional

How long have you known this reference?

Name

Address

Occupation

Phone

Relationship

Personal Professional

How long have you known this reference?

Previous Employment

Company

Address

Phone

Supervisor

Job Title

Starting Salary

Ending Salary

From

Responsibilities

Reason for leaving

Company

Address

Phone

Supervisor

Job Title

Starting Salary

Ending Salary

From

Responsibilities

Reason for leaving

Military Service

Branch

From

Rank at Discharge

Duties

*Resume

Acceptable file types: docx doc rtf pdf.
Max file size: 1MB

Disclaimer

I certify that my answers are true and complete to the best of my knowledge. If this application leads to my employment, I understand that false or misleading information in my application or interview may result in my release.