Application for Employment |
Applicants for employment are considered without regard to race, color, religion, sex, marital status, national origin, age, or handicap. Also it is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
|
AN EQUAL OPPORTUNITY EMPLOYER
Education and References
Reference 1
Name-Address-Telephone |
Reference 2
Name-Address-Telephone |
Reference 3
Name-Address-Telephone |
|
|
|
EMPLOYMENT EXPERIENCE
Start with your present or last job. Include military service assignments and any verified work performed on a volunteer basis. Exclude organization names that indicate race, religion, sex, or national origin.
EMPLOYER 1
EMPLOYER 2
EMPLOYER 3
EMPLOYER 4
Special Skills and Qualifications
Summarize special skills and qualifications acquired from employment or other experience:
NOTICE TO APPLICANTS
United States law (immigration Reform And Control Act of 1986) forbids the company from hiring any person who is not a United States citizen or an alien who is specifically allowed by the U.S. government to work in the United States.
If you are not authorized to work in the United States please do not apply. We hire only U.S. citizens and those aliens who are permitted by the United States government to work in the United States.
No one that we hire will be allowed to work until:
- They sign a sworn statement that they can legally work in the United States, and
- They show us the original and give us a copy for our files of a birth certificate, social security card, driver’s license with photograph, photograph identification issued by the State, U.S. Passport, Certificate of Citizenship or Naturalization, resident alien card (“green card”) or other identification documents approved by the U.S. government.
Making a false oath or giving us false papers to get a job is punishable by jail and a possible fine.
Our application papers may be inspected by the U.S. Immigration Service and the U.S. Department of Labor.
SEALED RECORD NOTICE |
BY SUBMITTING THIS FORM I understand the terms of this form and agree to the following:
I certify that the information on this application is true, complete and correct. I authorize the investigation of my past employment, education and activities and I release from all liability all persons, companies and corporations supply such information. I understand that false answers or statements or significant omissions made by me on this form shall be sufficient cause for denial of employment or discharge.
|
|
|