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The NYCHA Employment Application form is an essential tool for job applicants and current employees seeking reasonable accommodations within the New York City Housing Authority. This form is designed to ensure that individuals with disabilities can perform their job functions effectively and enjoy equal employment opportunities. It includes specific sections that guide applicants and employees through the process of requesting accommodations. Sections I and II are for job applicants, while Section III is reserved for current employees. Each section requires personal information, details about the requested accommodation, and any supporting medical documentation that may be necessary. Supervisors and interviewers play a crucial role in this process, as they are responsible for assisting applicants in completing the form and ensuring it is submitted correctly. After the request is made, the form must be processed by relevant personnel, including the Department Director or HR Director, who will review and make a decision regarding the accommodation. The form also provides a clear pathway for appeals if a request is denied, allowing employees to seek further consideration within a specified timeframe. By understanding the components of the NYCHA Employment Application form, individuals can navigate the process more effectively and advocate for their rights in the workplace.

Similar forms

  • Job Application Form: Similar to the NYCHA Employment Application, this document collects personal information, job history, and references from candidates applying for various positions.
  • Reasonable Accommodation Request Form: This form is specifically designed for employees or applicants to request accommodations due to disabilities, much like the NYCHA form that facilitates such requests.
  • Employee Evaluation Form: This document assesses employee performance and may include sections for employees to discuss any accommodations needed, paralleling the NYCHA form's focus on accommodations.
  • Interview Feedback Form: Used by interviewers to provide feedback on candidates, it may also include sections on accommodations requested, similar to the structure of the NYCHA form.
  • Onboarding Form: This document gathers essential information from new hires, including any accommodation needs, akin to the NYCHA form's purpose of identifying accommodation requests.
  • Disability Disclosure Form: This form allows employees to disclose disabilities and request accommodations, resembling the NYCHA form in its intent to support employees.
  • Employee Handbook Acknowledgment: Employees often sign this document to acknowledge understanding of policies, including those related to accommodations, similar to the information provided in the NYCHA form.
  • HR Policy Acknowledgment Form: This document ensures that employees understand HR policies, including those on reasonable accommodations, paralleling the NYCHA form’s focus on the accommodation process.
  • Leave of Absence Request Form: Employees use this form to request time off, which may include requests for accommodations related to their leave, similar to the NYCHA form's accommodation requests.
  • Exit Interview Form: This document collects feedback from departing employees, including any final requests for accommodations or feedback on the accommodation process, much like the NYCHA 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 decision-maker. (In the case of the Supervisor, it will be the Department Director, not the HR Director.)

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.

Common mistakes

When completing the NYCHA Employment Application form, applicants often make several common mistakes that can hinder their chances of success. One frequent error is not providing complete and accurate information in Section I. This section requires essential details such as name, address, and phone number. Omitting any of this information can lead to delays or even disqualification from the application process.

Another mistake involves the accommodation request. Applicants sometimes forget to attach the necessary supporting medical documentation. This documentation is crucial for justifying the need for a reasonable accommodation. Without it, the request may be denied or left unconsidered, which can be frustrating for applicants who genuinely require assistance.

In Section II, job applicants must specify the position or title they are applying for. A common oversight is entering incorrect or incomplete job titles or failing to include the Job Vacancy Notice Number. This information helps NYCHA to process applications efficiently. If these details are missing, it can create confusion and may lead to a longer waiting period for applicants.

Current NYCHA employees often make mistakes in Section III by not indicating their supervisor’s name or department accurately. This section is essential for tracking internal requests and ensuring that the appropriate personnel are aware of the accommodation needs. If this information is incorrect, it can complicate the review process.

Additionally, applicants sometimes neglect to sign the form. A signature is necessary to validate the request and confirm that the information provided is true and complete. Without a signature, the application may be considered incomplete, which can halt the process entirely.

Finally, one of the most significant errors occurs when applicants fail to follow the submission guidelines. They may send the form to the wrong department or not adhere to the required format. Each step in the process is designed to ensure that requests are handled efficiently. Not following these guidelines can result in unnecessary delays or rejection of the application.

More About Nycha Employment Application

  1. What is the purpose of the NYCHA Employment Application form?

    The NYCHA Employment Application form is designed to help job applicants and current employees request reasonable accommodations for disabilities. This ensures that they can perform their job functions effectively and enjoy equal benefits and privileges in the workplace.

  2. Who can use the NYCHA Employment Application form?

    Both job applicants and current employees of NYCHA can use this form. Job applicants complete specific sections to request accommodations during the application process, while current employees fill out different sections to request accommodations related to their current roles.

  3. What sections need to be completed by job applicants?

    Job applicants should complete Sections I and II of the form. Section I requires basic personal information and details about the accommodation requested. Section II focuses on the position applied for, including the job title and any relevant job vacancy notice numbers.

  4. What sections should current employees fill out?

    Current NYCHA employees need to complete Sections I and III. Section I is the same as for job applicants, while Section III requires information about the employee’s current position, department, and supervisor.

  5. What is the role of the Interviewer or Supervisor in the process?

    The Interviewer or Supervisor is responsible for completing Section IV of the form. They must provide their name, title, department, and the date the request was received. Their signature is also required to acknowledge the request.

  6. What happens after the request for accommodation is submitted?

    Once the request is submitted, the appropriate decision-maker will review it. If the accommodation is granted, the Department Director or HR Director will complete Section V, describing the accommodation and noting whether it was granted, recommended, or denied.

  7. Can an employee appeal a denied request for accommodation?

    Yes, if a request for reasonable accommodation is denied, the employee has the right to file a written appeal with the Employee Reasonable Accommodation Coordinator (ERAC) within 10 days of receiving the decision.

  8. What supporting documentation is needed with the application?

    Applicants and employees may need to attach additional sheets or medical documentation that supports their request for accommodation. This information helps clarify the nature of the disability and the specific needs for accommodation.

  9. What is the process for submitting the completed form?

    Job applicants should submit the completed form to the staff supervising the application process. Current employees must submit their forms to their immediate supervisors. Supervisors then complete their section and send copies to the ERAC while retaining one for their records.

Misconceptions

Misconceptions about the NYCHA Employment Application form can lead to confusion and hinder the application process. Below are nine common misunderstandings:

  1. Only applicants with disabilities can use the form.

    In fact, both job applicants and current employees can use the form to request reasonable accommodations, regardless of their disability status.

  2. The form is only for new job applicants.

    This is incorrect. Current employees seeking accommodations also need to complete the form, especially if they are on leave.

  3. Submitting the form guarantees an accommodation.

    While the form initiates the request process, accommodations are granted based on the specifics of each case and the nature of the request.

  4. Medical documentation is not necessary.

    In many cases, applicants may need to attach supporting medical documentation to substantiate their request for accommodation.

  5. All requests are handled by the HR Director.

    The initial review is typically conducted by the Department Director or the immediate supervisor, not directly by the HR Director.

  6. The form must be completed in one sitting.

    Applicants can take their time to gather necessary information and documentation before submitting the form, as it does not have to be completed all at once.

  7. There is no appeal process for denied requests.

    Applicants have the right to appeal a denied request within 10 days by submitting a written appeal to the Employee Reasonable Accommodation Coordinator (ERAC).

  8. The form is confidential and not shared.

    While the form is treated with confidentiality, it may be shared with relevant personnel involved in the decision-making process.

  9. All accommodations are the same.

    Accommodations are tailored to individual needs and circumstances, meaning that what works for one person may not work for another.

Key takeaways

Filling out the NYCHA Employment Application form is an important step for both job applicants and current employees seeking reasonable accommodations. Here are some key takeaways to keep in mind:

  • Understand the Purpose: The form is designed to request reasonable accommodations for individuals with disabilities, ensuring they can perform their job functions effectively.
  • Know Your Sections: Job applicants should complete Sections I and II, while current employees need to fill out Sections I and III. This distinction is crucial for proper processing.
  • Documentation Matters: When requesting accommodations, attach any necessary medical documentation. This helps support your request and clarifies the need for accommodations.
  • Follow Submission Guidelines: Submit the completed form to the appropriate supervisor or HR representative. Ensure that the original form reaches the decision-maker for timely processing.
  • Be Aware of the Appeal Process: If your request for accommodation is denied, you have the right to appeal the decision within 10 days. This ensures your voice is heard.
  • Keep Copies: Always retain a copy of your completed form for your records. This can be useful for future reference and tracking the status of your request.

By following these guidelines, you can navigate the application process with confidence, ensuring your needs are communicated clearly and effectively.

Nycha Employment Application: Usage Guide

Completing the NYCHA Employment Application form is an important step in the application process. Following the steps outlined below will help ensure that all necessary information is provided accurately and efficiently. Be sure to take your time and double-check your entries before submission.

  1. Begin by filling out Section I. Provide your name, address, phone number, and the accommodation you are requesting. If needed, attach additional sheets and any supporting medical documentation.
  2. If you are a job applicant, proceed to Section II. Here, indicate the position or title you are applying for, the department or development (if known), the job vacancy notice number (if known), and the date of your examination or interview.
  3. If you are a current NYCHA employee, complete Section III. Include your position/title, department or development, and your supervisor's name.
  4. Next, Section IV should be completed by the interviewer or your supervisor. They will need to provide their name, title, department or development, phone number, date the request was received, and their signature.
  5. If applicable, Section V must be completed by the Department Director or HR Director. They will describe the recommended reasonable accommodation, check the appropriate disposition of the request (GRANTED, RECOMMENDED, or DENIED), and provide their name, title, signature, and date.
  6. Review the entire form for accuracy and completeness. Ensure that all sections are filled out as required.
  7. Submit the completed form to the appropriate person: job applicants should give it to the staff supervising the application process, while current employees should submit it to their immediate supervisor.