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1. Personal Information This section is complete This section is incomplete
2. Position Information This section is complete This section is incomplete
3. Education And/Or Military Training This section is complete This section is incomplete
4. Employment Experience This section is complete This section is incomplete
5. References This section is complete This section is incomplete
6. Special Skills and Qualifications This section is complete This section is incomplete
7. Certification and Release This section is complete This section is incomplete

Personal Information

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.
First Name*
Last Name*
Address1
Apartment, Suite, Floor
City*
State*
Zip*
Phone Number
Email Address
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Education And/Or Military Training

School Name & Address
Number of Years Completed
Major/Field
Diploma/Degree
Degree Type or No Degree
School Name & Address
Number of Years Completed
Major/Field
Diploma/Degree
Degree Type or No Degree
School Name & Address
Number of Years Completed
Major/Field
Diploma/Degree
Degree Type or No Degree
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Employment Experience

Start with your current or last employment. You may include verified work such as military service assignments or volunteer activities. Please fill out the last ten (10) years of employment/volunteer only.
Employer
Dates Employed
Job Title
Address
Supervisor Name & Telephone
Type of Work Performed
Reason for Departure
Employer
Dates Employed
Job Title
Address
Supervisor Name & Telephone
Type of Work Performed
Reason for Departure
Employer
Dates Employed
Job Title
Address
Supervisor Name & Telephone
Type of Work Performed
Reason for Departure
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References

Provide information for three work related references (mandatory).
Full Name*
(First and Last Name)
Official Position *
Official Title of Referring Person (Supervisor, Manager, CEO, President, etc.)
Organization/Company*
Name, City & State
Phone Number*
Full Name*
Official Position *
Official Title of Referring Person (Supervisor, Manager, CEO, President, etc.)
Organization/Company*
Name, City & State
Phone Number*
Full Name*
Official Position *
Official Title of Referring Person (Supervisor, Manager, CEO, President, etc.)
Organization/Company*
Name, City & State
Phone Number*
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Special Skills and Qualifications

List languages you speak, read, and write and the proficiency (Basic, Intermediate, Proficient)
Briefly describe the type of work for which you are best qualified. Note any details about your qualifications which should be considered. Include special skills, machines operated, licenses (including driving), certifications, professional affiliations, honors and awards, publications, patents, etc.
List professional, trade or business organizations of which you are a member. You may omit those which indicate race, color, religion, sex, national origin, or any other legally protected status.
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Certification and Release

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 liability.
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.
Applicant Signature

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Employment Application

Steps

Personal Information

Position Information

Education And/Or Military Training

Employment Experience

References

Special Skills and Qualifications

Certification and Release

Lawrence City Hall

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