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The Company complies with federal and state laws prohibiting discrimination on the basis of race, color, religion, sex, national origin, disability, veteran status, age, or any other protected characteristic.  \nName   Phone ( )   \nLAST FIRST MIDDLE  \nAddress    \nSTREET CITY STATE ZIP CODE  \nPosition applied for   Social Security \\#  – –  Shift preferred ■ 1 ■ 2 ■ 3 ■ Any Expected pay    \nWould you accept full-time work? ■ Yes ■ No Would you accept part-time work? ■ Yes ■ No  \nOn what date would you be available for work?    \nHave you ever been employed here? ■ Yes ■ No If yes, please give dates   If you are under 18 years old, can you provide a work permit if required? ■ Yes ■ No  \nAre you legally eligible for employment in the United States? (If yes, proof is required if hired.) ■ Yes ■ No  \nAre you able to perform the essential functions of the job for which you are applying (with or without reasonable accommodation)?  \nThis question is not designed to elicit information about an applicant’s disability. Please do not provide information about the existence of a disability, particular accommodation, or whether accommodation is necessary. These issues may be addressed at a later stage, to the extent permitted by law. ■ Yes ■ No ■ Need more information about the job’s essential functions to respond.  \nHave you entered into an agreement with any former employer or other party (such as a noncompetition agreement) that might, in any way, restrict your ability to work for our Company? ■ Yes ■ No If yes, please explain:    \n_________________________________________________________________________________________________________________  \nExplain any gaps in your employment, other than those due to personal illness, injury or disability.    \n_________________________________________________________________________________________________________________  \nHave you ever been fired or asked to resign from a job? ■ Yes ■ No  \nIf yes, please explain    \n_________________________________________________________________________________________________________________  \nAnswering “yes” to the following question does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account. You are not required to furnish information about:  \n• a first conviction for any of the following misdemeanors: drunkenness, simple assault, speeding, minor traffic violations, affray or disturbance of the peace,  \n• an arrest, detention or disposition when there was no conviction,  \n• a misdemeanor conviction when the date of such conviction or the completion of any period of incarceration resulting from such conviction, whichever is later, was five or more years before the date of this application and you have not been convicted of any offense in  \nthe past five years. If you have been so convicted, you must report all convictions that occurred before and during the five-year period, or • a “sealed record”(see below for more information on “sealed records”) .  \nHave you ever pleaded “guilty” or “no contest” to, or been convicted of, a crime? ■ Yes ■ No If yes, please provide date(s) and details:  \n_________________________________________________________________________________________________________________  \nSealed Records: Disclosure of information relating to such records.  \nAn applicant for employment with a sealed record on file with the Commissioner of Probation may answer “no record” with respect to an inquiry herein relative to previous arrests, criminal court appearances or convictions. In addition, any applicant for employment may answer“no record” with respect to any inquiry relative to previous arrests, court appearances and adjudications in","cbCaismWCRxm3WHT","https://ap.wps.com/l/cbCaismWCRxm3WHT","pdf",307960,"English","# Applicant Information\n# Employment Eligibility and Availability\n# Employment Restrictions and Gaps\n# Criminal History and Sealed Records\n# Special Training or Skills\n# Employment Experience\n# Education Background","[{\"question\":\"What information is requested in the Massachusetts employment application long form?\",\"answer\":\"It requests applicant identity and contact details, the position and shift preferences, availability date and work type (full-time/part-time), expected pay, work eligibility in the United States, and ability to perform essential job functions.\"},{\"question\":\"How does the form handle employment history and gaps?\",\"answer\":\"It asks whether the applicant has ever been employed here and requests explanation of employment gaps other than illness, injury, or disability. 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