Worker Interest Form JCHA
Please complete the questions below so that JCHA can have your information on file for whenever opportunities for hands-on work opportunities present themselves.  The information you provide will be maintained confidentially by the Jersey City Housing Authority.  Your personal information will only be shared with employers in reference to relevant work opportunities.  Fill out this form if you are a:

Skilled Trades Worker - List licenses under educational experience
            OR
Section 3 Worker Interest
  • Public Housing residents or Section 8 (Housing Choice Voucher)
  • Individuals who made less than $82,550 last year**
  • YouthBuild participants
**If you live outside of Hudson County and want to see the HUD Low Income Limit for your region, visit https://www.huduser.gov/portal/datasets/il.html and click on the current year to see the LIL for 1 person

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Full Name *
Phone Number *
Can we text this number?
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Email address: *
Age Eligibility - Are you 18 or older?  (If not, click "other" and write in your birthdate)
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Section 3 Eligibility - check off ALL of the following that apply to you: *
Required
Full Home Address
Current job status & availability - Check ALL that apply:
Educational Experience - Please check ALL that apply:
Education Details - Please list all schools & training programs attended, the years attended, and degree/certificate obtained
Work Readiness - Please check ALL that apply to you
Do you have prior experience in any of the following?
Do you have any previous Section 3 work experience?  If so, please list the name(s) of these employer orgs.   If not, leave question blank.  
Please state any other personality traits, skills or competencies that you may want employers to know about
I give permission for JCHA to share my information with program providers who match my selections for requested opportunities, employment preferences, or workshop interests.
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Do you have a recent resume? If so, you can submit this form now and send the resume to mstrom@jcha.us by email.  If you do not have a resume, please continue with the form and we will use your answers to create a resume!  *
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