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  • Recreational Education Center, LLC

    83 Pine St. Peabody, MA * 10 Mohawk Dr, Londonderry, NH * 248 Mill Rd. Chelmsford, MA

  • Application for Employment

  • Applicant Information

  • Format: (000) 000-0000.
  • Date Available to Start
     / /
  • Are you a citizen of the United States?
  • If no, are you authorized to work in the U.S.?
  • Have you ever worked for this company before?
  • Have you ever been convicted of a felony/crime?
  • Are you currently awaiting trial for any criminal offense?
  • Are you now, or have you ever been, the subject of any inquiry involving allegations against you of child abuse, rape, assault, fraud, breach of trust, theft, misrepresentation, or dishonesty?
  • Have you ever been denied a trade or professional liense, or had a trade or professional license revoked, suspended, or restricted?
  • Have you ever been discharged or permitted to resign from any contract, position or employment because you were accused of wrong-doing?

  • Education

  • Did you graduate
  • Did you graduate
  • Did you graduate

  • References

    Please list three professional references.

  • BCBA/RBT

    Fill in if either credential applies to you
  • MA License #

  • Military Service

  • Dates of Service
    From: To

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  • APPLICANT’S CERTIFICATION AND AGREEMENT PLEASE READ CAREFULLY AND SIGN

    The facts set forth above are true and complete. I understand that if I am employed, falsification of this application (including falsification by omission or supplying misleading information) may result in discharge regardless of when such falsification is discovered.

    I authorize the Recreational Education Center to investigate all information contained in this application. I authorize the prior employers to give you any and all information concerning my previous employment and any pertinent information they may have and release all parties from any and all liability for any damage or injury that may result from furnishing the same to the Recreational Education Center.

    I agree that all claims by the Recreational Education Center or me arising from or related to my application for employment or arising during my employment (if I am offered and accept employment) will be presented to a neutral arbitrator for final and binding decision in accordance with procedures adopted by the Recreational Education Center. I understand that copies of these procedures are available for my review at any time (including, without limitation) before or after an offer of employment is extended.

    I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment

    THIS AGREEMENT IS A WAIVER OF ALL RIGHTS TO CIVIL COURT ACTIONS FOR TERMINATION, UNLAWFUL HARASSMENT, DISCRIMINATION AND/OR DEMOTION. ONLY THE ARBITRATOR, NOT A JUDGE OR JURY, WILL DECIDE THE CLAIM OF DISPUTE.

    My signature below certifies that I agree to the employment-at-will relationship and agree to be bound by the terms and conditions of employment stated in this application, including arbitration of all disputes as set forth above. If I am employed by the Recreational Education Center, I agree to conform to the rules and regulations of the Recreational Education Center. I also understand and agree that, except for employment-at-will status, my wages, hours, working conditions, job assignment(s) and compensation rate(s) are subject to change by the Recreational Education Center. I understand my employment can be terminated, with or without cause and with or without notice, at any time at the option of the Recreational Education Center or myself. This application contains all the understandings and agreements between me and the Recreational Education Center concerning the nature of my employment, if any, by the Recreational Education Center and supersedes all prior and/or contemporaneous practices, oral or written agreements, understandings, statements, representations, and promises, express or implied, between me and the Recreational Education Center.

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