Housekeeping Employment Application

Programs, services and employment are equally available to everyone.
Please inform the Human Resources Department if you require reasonable accommodation for the application or interview.


Are you at least 18 years old? *
If no, can you furnish a work permit if required? *
Are you a citizen of the United States? *
If no, are you authorized to work in the U.S.? *
Have you ever worked for this company? *
Do you have any family member that currently works for Elliott Realty? *
Type of employment desired: *
Have you ever plead “guilty”, “no contest” Or been convicted of a crime? *


I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Authorization to Release Information

Please be advised that I have applied for a position with Elliott Realty, Inc. and its divisions.  I have been requested to provide information for their use in reviewing my background & qualifications.  Therefore, I authorize the investigation of my character, criminal background check, education, military and employment qualifications.

The release in any manner of all information by you to Elliott Realty, Inc. and its divisions is hereby authorized whether such information is of record or not, and I do hereby release all persons, agencies and/or firms from any liability resulting from such information.

The authorization, and any copy thereof, is valid for thirty (30) days from the date of my signature below.  Please keep this copy of my release request for your files.  Thank you for your cooperation.

Signature *