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Job Application Form
Information
Name
Email
Home Phone
Mobile Phone
Permanent Address
Referral Source
Social Security Number
U.S. Citizen?
Yes
No
Have you ever applied before?
Yes
No
If Yes, when?
Are you legally eligible to work in the US?
Yes
No
Are you 18 years of age or older?
Yes
No
Have you ever been convicted of a crime (other than minor traffic violation)?
Yes
No
If Yes, please explain:
Driver’s License?
Yes
No
If Yes:
Will you pass a CORI check?
Yes
No
Employment Desired
Full-time
Part-time
Date You Can start
Salary Desired
Areas of Experience
Miscellaneous Expertise
Spoken Languages
Proficiency in Computer Applications
Are You Employed Now?
Yes
No
If So, May We Inquire Of Your Present Employer?
Yes
No
List all employment beginning with your most recent employer. If working through an agency, please indicate the company name as well as the agency.
Employment History
Company 1
Company 2
Company 3
References
Name
Address
Phone
Name
Address
Phone
Name
Address
Phone
May we conduct a background check of your qualifications, character and record of employment?
Yes
No
If No, please explain:
If Yes, I release Mass Junk Inc. any former employers, and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.
I certify that the information provided above (and accompanied resume, if any) is true and complete to the best of my knowledge as of the date hereof. I understand that any false statement, omission or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed no matter when discovered by Mass Junk Inc.
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Mass Junk Inc. is An Equal Opportunity Employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, disability or national origin.
Open 7 days/week
Call now
(781) 676-3000
Book Now