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The City of Lawrence is an equal opportunity employer. We are committed to a policy of nondiscrimination in our programs, activities and employment practices. Applicants are considered for all
position without regard to race, color, religion, sex, sexual orientation, national origin, age, marital or
veteran status, disability (ies) or any other legally protected status. Criminal backgrounds check (CORI)
and drug screen will be conducted on applicants who have received a conditional offer of employment. A
CORI will not be submitted on an applicant until a job offer has been made and continued employment
with the agency is contingent upon a favorable CORI check result.
Name of person that is referring you, other than Human Resources Department staff.
Proof of citizenship or immigration status will be required upon employment. (Note: The City of Lawrence is an E-verify employer).
Degree Type or No Degree
(First and Last Name)
Official Title of Referring Person (Supervisor, Manager, CEO, President, etc.)
Name, City & State
I certify that answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as may be
necessary in arriving at an employment decision
In the event of employment, I understand that false or misleading information given in my application or
interview(s) may result in discharge. I understand also that I am required by all rules and regulations of
the City of Lawrence.
Additionally, in the event of employment, I understand that the first six months of service constitutes a
probationary period, unless specified otherwise in Massachusetts General Laws Chapter 31, Section 61.
I further understand that during the probationary period, if my performance is judged unsatisfactory, I may
be separated from my position without the right of appeal or hearing.
I authorize investigation by the City of all statements contained in this application and hereby release
individuals and corporations who are parties thereto from any and all liability and damage resulting from
arising out of such investigation. I consent to taking an employment physical examination and drug
screen and such future physical examinations as may be required by the City. I authorize the City of
Lawrence to conduct a CORI check if I have received a conditional offer of employment and furthermore
understand that my continued employment is contingent upon a favorable CORI check result.
I understand that any misrepresentation or omission of essential facts in this application is cause for
cancellation of the application or if employed, for immediate separation from the City’s service. 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 prosecution or
I understand that, unless indicated otherwise by contractual agreement, all employment in the City of
Lawrence is an at-will-employment.
I understand that all data supplied (except those protected by laws) on this application is a matter of
public record and will be disclosed upon request.
This field is not part of the form submission.
* indicates a required field