Your name will be certified only for job vacancies in the geographic zones you check. Is any additional lnforrnatlon regardlng a change of name or use of an assumed name or nlckname necessary to enable a check on 'your work record?Riverhead, Southold, Shelter Island, Southampton, and. If Renting, Give Name, Complete Address, And Telephone Number Of Person Who Collects The Rent: Address. This guide describes how to apply for jobs using the Career Page web site. The process consists of the following steps: Are you able to perform the "essential functions" of the job for which you are applying (with or without reasonable accommodation)?. Starting with your present or most recent job or voluntary position, please complete the table below. Please read the Guidance Notes carefully before completing this form. Please read the Guidance Notes carefully before completing this form.