Application for Employment

The Center of Hope Foundation Application for Employment

  • The policy of Center of Hope Foundation Inc. is to provide employment opportunities without regard to race, color, sex, religion, sexual orientation, marital status, veteran status, national origin, or age.
  • General

  • References

  • Give name, address and telephone number of minimum three references. Two references should be professional references (past employers, supervisors), and a third (and optional fourth) should be a personal reference (someone that has known you for a long time, such as a longtime family friend). Please do not include any relatives in your references.
  • Reference 1

  • Reference 2

  • Reference 3

  • Reference 4

  • Employment Experience

  • Employer 1

  • Employer 2

  • Employer 3

  • Education

  • Additional - Following information is voluntary

  • 101 CMR 15.03; 15.06, 15.07, 15.08, 15.09, 15.10, 15.12, 15.15 Criminal History Information shall be required and considered only after a conditional offer of employment has been offered; applicants and employees seeking positions where a criminal background is relevant; potential for unsupervised contact with Center of Hope Foundation (CoHF) program clients; current employees; or others for whom a CORI is necessary to comply with other legal requirements, or have a potential for contact with a CoHF client when no other CORI cleared employee is present. The Hiring Authority will inform the provisional candidate that his or her CORI may be utilized by qualified mental health professionals, conducting themselves in accordance with CMR 15.09 and by EOHHS, & EOHHS Agencies, or vendor program personnel.
  • In accordance with Executive Order #227, the Governor’s Code of Fair Practice and Executive Order #246 Affirmative Action Program for the Handicapped, each employee and applicant is invited to indicate whether he/she is handicapped, for the purpose of receiving affirmative action benefits of protected status. This information is intended for use solely in connection with the Commonwealth’s Affirmative Action efforts. It is being requested in a voluntary basis, and refusal to provide it will not subject you to any adverse treatment. The information will be kept confidential and used only in accordance with the State Office of Affirmative Action Guidelines and any Federal regulations.
  • If you would like to declare a disability as stated above, indicate so here and complete the Self Identification Form.
  • The Center of Hope Foundation is an affirmative action/equal opportunity employer. In order to meet State and Federal requirements, it is necessary to collect information concerning applicants. All responses are completely voluntary and refusal to respond will not result in the adverse treatment of any applicant. This information will not in any way be used for employment decisions and will not be seen by those making hiring decisions. Although completion of this information is optional, your reply is greatly appreciated.
  • Resume & Cover Letter

  • Agreement

  • It is my understanding that this employment application, or the granting of a verbal interview, does not represent a contract of employment or a promise of future benefits by this organization. I understand and agree that if hired, my employment will be “at will” in nature, and may be terminated with or without cause at any time, by either my-self, or my employer. I also understand that this written statement supersedes any and all verbal representations made by agents or representatives of this agency or organization. I certify that the information on this application is true, complete and correct. I authorize NESS/NORESS Corporation to investigate my past employment, education and activities and I release from all liability all persons, companies and corporations supplying such information. I understand that false answers, statements or significant omissions made by me on this form shall be sufficient cause for denial of employment or discharge.
 

Verification