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A DRUG FREE WORKPLACE
Town of Stoughton
Application For Employment
It is the policy of the Town of Stoughton to afford equal employment opportunity to all qualified persons without regard to race (including natural and protective hair, including hair texture, hair type, hair length, and protective hairstyles), color, religion, gender/sex (including gender identity, sexual orientation, and pregnancy), national origin, ancestry, age (forty or older), disability that can be reasonably accommodated, veteran/military status, genetic information, or any other characteristic or classification afforded protection against discrimination under federal or state law, except as to bona fide occupational qualifications allowed by law.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. Any employer who violates this law shall be subject to criminal penalties and civil liability.
TOWN OF STOUGHTON
APPLICANT DATA RECORD
EEO Voluntary Self Identification Form
The Town of Stoughton is committed in spirit as well as in action to abide by all laws dealing with equal employment opportunity. It is our policy to guarantee equal employment opportunities for all qualified persons without regard to
race (including natural and protective hair, including hair texture, hair type, hair length, and protective hairstyles), color, religion, gender/sex (including gender identity, sexual orientation, and pregnancy), national origin, ancestry, age (forty or older), disability that can be reasonably accommodated, veteran/military status, genetic information, or any other characteristic or classification afforded protection against discrimination under federal or state law, except as to bona fide occupational qualifications allowed by law.
Further, the Town will act in good faith to affirmatively recruit and consider for promotion individuals in protected categories. Age, race, creed, color, national origin, ancestry, marital status, gender, military status, sexual orientation, or disability are not factors in employment, promotion, transfer, compensation, lay-off, disciplining, and termination.
In order to effectively monitor our recruitment and employment efforts, it is requested that you provide the following information.
Completion of this Applicant Data Record is voluntary and will not affect your opportunity for employment or the terms or conditions of your employment. If you choose to volunteer the requested information, please note that all Applicant Data Records are kept in a confidential file and are not a part of your application for employment or your personnel file if hired.
APPLICANT STATEMENT AND CERTIFICATION
PLEASE READ BEFORE SIGNING
I understand that acceptance of this application by the Town of Stoughton does not imply that I will be employed.
The information that I have provided in this application and in any supplemental information provided is true and complete. I understand that misrepresentation or omission of any fact in my application, resume, or in any other materials provided or as provided during interviews or during any other part of the application process, can be justification for refusal of employment or can be justification for termination from employment, if employed.
I understand that any offer of employment that I receive from the Town of Stoughton is contingent upon my successful completion of the pre-employment screening process, including but not limited to the Town of Stoughton receiving satisfactory references, a satisfactory criminal history and Criminal Offense Record Inquiry if required, satisfactory verification of driver’s license or certifications where required, and satisfactory completion of any required post-offer pre-employment drug test or physical examination.
In processing my application for employment, the Town of Stoughton may verify all of the information provided by me concerning, among other things, my prior employment or military record, education, character, general reputation, and personal characteristics.
I authorize the Town to take whatever steps deemed necessary to obtain information regarding my qualifications for employment, including contacting my present and former employers, by contacting individuals listed as business, educational, or personal references, and by contacting other individuals to provide or further clarify information about me.
I hereby release my present and former employers and all individuals contacted for factual information about me from any and all liability for damages arising from furnishing the requested information.
I understand that the Town of Stoughton is an at-will employer. If employed, I understand that my employment may be terminated with or without cause at any time unless there is an applicable bargaining unit contract provision or an individual employment agreement.
My signature certifies that I have read and agree with the above statement and all statements contained in this application for employment.
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