Application for Employment
Nature and Scope Disclosure
This disclosure is made in accordance with Section 606(b) of the Fair Credit Reporting Act as to the nature and scope of the investigative consumer report prepared by an outside agency for employment purposes.
Equal Opportunity Employment
The Brien Center is committed to a policy of non discrimination and equal opportunity employment for all employees and qualified applicants without regard to race, color, religion, creed, national origin, sex, sexual orientation, genetic information, military service, age, ancestry or disability.
No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that persons need for a reasonable accommodation as required by the ADA. Those applicants requiring reasonable accommodation to the application and/or interview process should notify Human Resources as soon as possible.
Employment Release and Privacy Statement
I hereby authorize the Brien Center to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability The Brien Center and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information.
I understand that any misrepresentation or material omission made by me on this application will be just cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.
If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either the employer or I can terminate the relationship "At Will", with or without cause, at any time, for any reason, so long as there is no violation of applicable federal or state law.
I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.
I also understand that my employment is contingent upon my passing of a Criminal History Background Check (CORI) and Department of Motor Vehicle Check (DMV) upon my written consent and verification of references. I also understand that the agency may conduct CORI and DMV checks during the course of my employment upon my written consent.
I also understand that I will follow all rules and policies of the Brien Center and my failure to follow the agency's rules and policies will subject me to termination.
I understand that the Brien Center may change hours, shifts, schedules, rules and policies based upon the best interests of the agency's ability to operate and conduct business, in accordance with the Collective Bargaining Unit, if applicable.
I also understand this it is unlawful in Massachusetts for employers 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 or criminal penalties and civil liability.
I understand that my application must be completed in full (see resume is unacceptable), submitted for a specific position, signed by myself and submitted to Human Resources.
I have read and fully understand the foregoing, and I seek employment under these conditions.