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Employment Application

Applicant Information

Any offer of employment is conditioned upon completing the Form I-9 and providing the appropriate documents for identity and work authorization.

If hired, can you provide evidence of legal eligibility to work in the U.S.?

Notice: All applicants must submit to a criminal background check, national sex offender public registry check, drug screen Mantoux (TB Skin Test). A motor vehicle check will be conducted on individuals for duties which require driving.

Do you have a prior criminal record, including but not limited to, charge, arrest or conviction of a crime, including sex-related or child abuse offenses?


Have you ever applied for a job at AccessAbilities or worked at AccessAbilities?

Any friends or family currently employed at AccessAbilities?

Are you registered as a convicted sex offender?

Have you ever been convicted of a crime that has not been expunged by a court?

May we contact current employers before you are offered a position?

Work History

Current Employer

Dates of Employment
Start:

End:


Former Employer

Dates of Employment
Start:

End:

Educational History

Highest level of education:

Attach your resume:
.pdf or .doc format, maximum file size 20mb

AccessAbilities is an Equal Opportunity & Affirmative Action employer. AccessAbilities does not discriminate with regard to race, color, religion, gender, age, citizenship, national origin, disability, genetics, medical condition, sexual orientation, marital status, military status or any federal, state or local anti-discrimination laws.

I certify that all of the information provided in this volunteer/internship application is true and complete to the best of my knowledge and I authorize investigation of all statements contained in this application, including a criminal background check, motor vehicle check and drug test, as applicable. I understand that any false or incomplete information may disqualify me from further consideration for employment and may result in my immediate discharge if discovered at a later date.

I understand and acknowledge that unless otherwise defined by applicable law or written agreement with AccessAbilities, any employment relationship with AccessAbilities will be “employment at will.” This means that I may resign at any time and you, the Employer, may discharge me at any time, with or without cause and with or without advance notice.

I authorize the investigation of any or all statements contained in the application and also authorize any person, school, current employer, past employers and other organizations to provide information concerning my previous employment and other relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.

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