UVA Off-Grounds Housing

Application for Employment

 
PERSONAL INFORMATION:
Name:  
 Last
 
 Middle
 
 First
Present Address:  
 Street
 
 City
 
 State
 
 Zip
* Date of Birth   SSN   Phone  
Referred By:  
 
EMPLOYMENT DESIRED:
Position:   Starting Date:   Salary Desired:  
Currently Employed? Yes No    If so, may we inquire? Yes No 
 
EDUCATION:
  School Name
and Location
Years
Attended
Date
Graduated
Subjects
Studied
High School:
College:
Trade / Bus. School:
 
EMPLOYMENT HISTORY: (List most recent first)
  From
( mo-yr )
To
( mo-yr )
Name & Address
of Employer
Salary Position Reason for Termination
 
 
 
 
REFERENCES:
Please list three work related references.
  Name Business Name Phone # Years
Known
1. 
2. 
3. 
 
GENERAL INFORMATION:
  • Are there any outstanding judgements or collections against you?  Yes No 
  • Have you been evicted for non-payment of rent or lease violations?  Yes No 
  • Are you a party to a lawsuit?  Yes No 
  • Are you a U. S. Citizen?  Yes No 
  • If not a citizen, do you have Permanent Resident Alien Registration?  Yes No 
  • Have you ever been convicted of a Felony?  Yes No  -- If yes, please explain:
  • Do you have a valid Virginia Driver's License?  Yes No 
  • Do you own a motor vehicle?  Yes No  -- Type 
    -- Would you be willing to use it for business purposes?  Yes No 
 
AUTHORIZATION AND AGREEMENT:
I authorize investigation of all statements contained in this application. I understand that misrepresentation or ommission of facts called for is cause for dismissal. Further, I understand that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice.
  Check this box, indicating you are in agreement with the above statements.
 
*  The Age Discrimination in Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 70 years of age.
Contact Options:
University Apartments
1025 Wertland Street
Charlottesville, Virginia 22903
Tel:  (434) 977-9000
Fax:  (434) 971-8020
Email:  leasing@u-apts.com

Hours:
8am - 5pm Monday - Friday
9am - 5pm Saturday
Closed Sunday

A drop slot is located on the door
at the left side of our office for after hours payments.

Current/future tenants can access our
online tenant portal here.
Copyright © 2017 University Apartments LLC


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