application for employment

THE FOURS NORWELL
285 WASHINGTON STREET
NORWELL, MA 02061
781.659.4414

Please Answer All Questions. Résumés Are Not A Substitute For A Completed Application.

We are an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed servicemember status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state, or local laws.

THIS COMPANY IS AN AT-WILL EMPLOYER AS ALLOWED BY APPLICABLE STATE LAW. THIS MEANS THAT REGARDLESS OF ANY PROVISION IN THIS APPLICATION, IF HIRED, THE COMPANY OR I MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, FOR ANY REASON, WITH OR WITHOUT CAUSE OR NOTICE.

Name

First Name

Last Name

Telephone Number

Present Address

Email Address

Position Applying For

Select Appropriate Fours Location

Type of Employment Desired

Specify Hours and Availability

Date on which you can start if hired

Provide High School Name and Address

Did you Graduate High School

Yes

Provide College Name and Address

Did you Graduate College?

Yes

Provide Graduate/Professional School Name and Address

Did you Complete Graduate School?

Yes

Work Experience

Please list the names of your present and/or previous employers in chronological order with present or most recent employer listed first. Provide information for at least the most recent ten (10) year period. If self-employed, supply firm name and business references. You may include any verifiable work performed on a volunteer basis, internships, or military service. YOUR FAILURE TO COMPLETELY RESPOND TO ALL ITEMS LISTED BELOW MAY DISQUALIFY YOU FOR CONSIDERATION. PLEASE INCLUDE THE FOLLOWING INFORMATION: 1. Name, Address and Telephone Number of Employer 2. Start Date and End Date of Employment 3. Job Title 4. Supervisor's Name 5. Starting Wages 6. Final Wages 7. Reason For Leaving

Have you ever been terminated or asked to resign from any job?

Has your employment ever been terminated by mutual agreement?

Have you ever been given the choice to resign rather than be terminated?

If you answered 'Yes' to any of the above three questions, please explain the circumstances of each occasion.

References

Please list the names of any work-related references we may contact. Individuals with no prior work experience may list school or volunteer-related references. PLEASE PROVIDE THE FOLLOWING INFORMATION FOR EACH REFERENCE: 1. Name 2. Postion 3. Company 4. Work Relationship (i.e. Supervisor, Co-worker) 5. Telephone Number

Applicant Signature and Date

I authorize the Company or its agents to confirm all statements contained in this application and/or résumé as it relates to the position I am seeking to the extent permitted by federal, state, or local law. I agree to complete any requisite authorization forms for the background investigation which may be permitted by federal, state and/or local law. If applicable and allowed by law, I will receive separate written notification regarding the Company's intent to obtain "consumer reports." I authorize and consent to, without reservation, any party or agency contacted by this employer to furnish the above-mentioned information. I hereby release, discharge, and hold harmless, to the extent permitted by federal, state, and local law, any party delivering information to the Company or its duly authorized representative pursuant to this authorization from any liability, claims, charges, or causes of action which I may have as a result of the delivery or disclosure of the above requested information. I hereby release from liability the Company and its representative for seeking such information and all other persons, corporations, or organizations furnishing such information. Further, if hired, I authorize the company to provide truthful information concerning my employment to future employers and hold the company harmless for providing such information. If hired by this Company, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to be legally employed in the United States by this Company. I also understand this Company employs only individuals who are legally eligible to work in the United States. THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR A MAXIMUM OF SIXTY (60) DAYS. IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY. I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE, ACCURATE, AND COMPLETE. DO NOT SIGN UNTIL YOU HAVE READ ALL OF THE INFORMATION CONTAINED IN THE APPLICATION.

application for employment

LOCATIONS

285 Washington Street
Norwell, MA 02061
781.659.4414

15 Cottage Avenue
Quincy, MA 02169
617.471.4447

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application for employment

LOCATIONS

285 Washington StreetNorwell, MA 02061781.659.4414

15 Cottage AvenueQuincy, MA 02169617.471.4447

Join our email list to receive news, updates and promotions straight to your inbox.

285 Washington Street
Norwell, MA 02061
781.659.4414

15 Cottage Avenue
Quincy, MA 02169
617.471.4447