Applicants for employment are considered without regard to race, color, religion, sex, protected sexual orientation, marital status, veteran’s status, national origin, ancestry, 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.

 Indicate what foreign languages you speak, ready, and/or write. Also specify Fluently, Good, or Fair.  (Optional – Answer only if your knowledge of a foreign language is related to the requirements of the position for which you are applying.)

Start with your present or last job. Include military service assignments and any verified work performed on a volunteer basis. Exclude organization names which indicate race, color, religion, sex or national origin.

It is my understanding that this employment application, or the granting of an oral interview, does not represent a contract of employment or a promise of future benefits by this company/organization. I understand and agree that if hired, my employment will be at-will in nature and may be terminated, with or without cause, at any time, by either myself of my employer. I also understand that this written statement supersedes and all oral representations made by agents or representatives of this company/organization.

AGREEMENT: I certify that the information on this application is true complete and correct. I authorize ________ to investigate my past employment, education and activities and I release from all liability all persons, companies and corporations supplying such information. I understand that false answers, statements or significant omissions made by me on this form shall be sufficient cause for denial of employment or discharge.