Please indicate the days and hours you are available to work. Schedules cannot be changed once hired for the first six months, and then only if approved by the department Supervisor and the Executive Director.

List most recent employer first

“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I authorize HHCC to conduct and Identity, criminal and driving background checks in Commonwealth of Massachusetts and in any countries, states, and countries in which I may resided during the past 20 years. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.”