Employment Application

We consider all applicants for all positions without regard to race, color, religion, sex, sexual orientation, ancestry, national origin, age, marital or veteran status, or disability, or any other legally protected status.

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Personal Information

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Position Information

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High School



Employment History

Start with your most recent experience, and include military positions and volunteer experience if you wish. If you need additional space, please continue on the last page of this form.

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Employer 1

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Dates Employed:

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Add Employer


Please list three personal references who are not relatives or former supervisors.

Reference 1

Reference 2

Reference 3


Please upload a single file in .pdf, .doc or .docx format

I understand that the employer follows an "employment at will" policy, in that I or the employer may terminate my employment at any time, or for any reason consistent with applicable state or federal law. I understand that this application is not a contract of employment. I acknowledge that I am expected to abide by all facility rules, regulations and policies, written or unwritten, but that such rules, regulations and policies do not create a contract between me and the facility.

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 penalties and civil liability.

I authorize the employer to investigate my record, including any information contained in this application and any other material submitted except where my written statement specifically requests that no inquiry be made. I hereby release all individuals and organizations, including but not limited to, the employer and the Diocese of Fall River, from any and all liability arising from the giving or receiving of any information about my employment history, my academic credentials or qualifications, and my suitability for employment.

I certify that all information provided on this application and any other material submitted to the employer is true and accurate. I understand that any false, misrepresented or omission of any material fact in my application or in other material submitted is justification for refusal of employment, or if employed, termination of employment, and that my employment is dependent upon satisfactory completion of a medical examination and a Criminal Offender Record Information (CORI) investigation as required by the employer, consistent with applicable laws.

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