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Applying for a job with the New York City Housing Authority (NYCHA) involves more than just submitting a resume; it requires understanding the specific employment application form that facilitates the process. This form is designed to assist both job applicants and current employees in requesting reasonable accommodations, ensuring that individuals with disabilities can perform essential job functions and enjoy equal employment benefits. The application is divided into several sections, each tailored to different groups: job applicants complete Sections I and II, while current employees fill out Sections I and III. Essential information such as personal details, the position applied for, and the nature of the accommodation requested are collected to streamline the review process. Additionally, supervisors and interviewers play a crucial role by completing Section IV, which helps in assessing the request for accommodation. The form also includes provisions for the Department Director or HR Director to document the outcome of the request in Section V, ensuring transparency and clarity in the decision-making process. The NYCHA Employment Application form not only serves as a tool for job applications but also embodies the organization's commitment to inclusivity and support for all employees.
Preview - Nycha Employment Application Form
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NYCHA 015.208 (Rev. 9/04) & Reverse
Reasonable Accommodation Request
NEW YORK CITY HOUSING AUTHORITY
Human Resources Department
Date Received:
(To be completed by ERAC)
The New York City Housing Authority (NYCHA) will make reasonable accommodations for qualified job applicants and employees with disabilities to enable them to perform the essential functions of their jobs, or to enjoy the equal benefits and privileges of employment and the employment process, unless providing such an accommodation would be unduly costly, extensive, substantial or disruptive, or would fundamentally alter the nature of operation of the Housing Authority or any of its programs. This form shall be made available to, and used by, all job applicants and employees requesting a reasonable accommodation in accordance with NYCHA’s
Reasonable Accommodation Policy and Procedure for Employees and Job Applicants.
INSTRUCTIONS: Where necessary or requested, NYCHA supervisory staff, the Human Resources Placement and Certification Coordinator (Interviewer), and/or the Employee Reasonable Accommodation Coordinator (ERAC) shall assist applicants or employees in completing this form.
Job applicants - Complete Sections I and II and submit this form to the staff supervising the application process. Current NYCHA employees - Complete Sections I and III and submit this form to your immediate supervisor. Interviewers/Supervisors - Complete Section IV, and return one copy of the completed form to the job applicant or employee requesting the accommodation. In a separate confidential file, retain a copy of completed form, and send a copy to the ERAC (Human Resources Department, 90 Church Street, 5th Floor, New York, NY 10007). The original form is to be sent to the
Department Director/HR Director - Complete Section V, as appropriate.
Section I
Both job applicants and current employees should complete this section.
Name
Address
Phone
Accommodation Requested (attach additional sheets and any supporting medical documentation, as appropriate)
Section II
To be completed by job applicants only.
Position/title applied for gvbhfghgfh
Department/Development (if known)
Job Vacancy Notice Number (if known)
Date of Examination/Interview
Over
NYCHA 015.208 (Rev. 9/04) - Reverse
Section III
To be completed by NYCHA employees only (even if you are currently on leave).
Position/Title
Department/Development
Supervisor
Section IV
This section should be completed by the Interviewer of the job applicant, or by the supervisor of the em- ployee requesting a reasonable accommodation.
Name and Title
Department/Development
Phone
Date Request Received
Signature
Section V
In the event a reasonable accommodation is granted at the outset of the process, this section should also be completed before sending a copy to the ERAC.
If the request involves a personnel action that requires the Human Resources Director’s approval, describe the recommended reasonable accommodation and check RECOMMENDED.
Disposition of the Request for Reasonable Accommodation:
GRANTED
RECOMMENDED
DENIED Date
If a reasonable accommodation has been GRANTED/RECOMMENDED, describe the accommodation:
Name and Title
Department
Signature |
|
Date |
An employee may file a written appeal of the Department Director’s decision with the ERAC
within 10 days of receipt of the decision.
Form Characteristics
| Fact Name | Description |
|---|---|
| Form Purpose | The NYCHA Employment Application form is used to request reasonable accommodations for job applicants and employees with disabilities. |
| Eligibility | All qualified job applicants and current employees of NYCHA can use this form to request accommodations that help them perform essential job functions. |
| Submission Process | Job applicants must complete Sections I and II, while current employees complete Sections I and III. The form is then submitted to the appropriate supervisor. |
| Decision-Making | The completed form is sent to the decision-maker, typically the Department Director, who will assess the request for accommodation. |
| Appeal Rights | If a request is denied, employees have the right to appeal the decision to the Employee Reasonable Accommodation Coordinator (ERAC) within 10 days. |
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