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Application for Employment


First Name:
Middle Name:
Last Name:
Street Address:
City: State:
Zip Code:
Social Security Number:
Date of Birth:
In Case of Emergency:  
Person's Name:
Are you authorized to work in the Unites States?
Proof of employability will be required of all applicants hired.
Have you ever been convicted of a felony?
Have you been convicted of a misdemeanor in the last 10 years?
If yes, please give details and date:
Do you hold a current valid Massachusets driver's license?
Do you have access to an automobile?
Are you willing to travel if the job requires it?
Date available to begin work:
Last day available:
Are you currently attending school? Yes  No  
High School:
Which sport program offered by your school do you play?
(Check one or all that apply)

Which team do you play? (Check one only)
Employment History:
Date Employed:
Date Employed:
From (Month / Year): To (Month / Year):
Business Skills:
Extracurricular Activities:

Languages other than English:
Recreational Activites:
I certify that the above information is true to the best of my knowledge. I understand that any false statements, misrepresentation, or material omission made by my application, resume, or any other submitted material or during my interviews can result in denial of employment. If already employed when such false statements, misrepresentation, or material omission is discovered, my employment will be subject to immediate termination.