Seven Hills Foundation Online Application

Introduction

Welcome to the Seven Hills Foundation Online Application. Before we begin, please understand that this Application will take Approx. 45 + minutes to complete, provided you fill in all the required fields (Red Asterisk) to the best of your ability. There is no save functionality so you will be required to finish in a single session. You may now proceed with the application process.
Are You Applying for a Specific Job Opening found on this Web Site? Yes No
If the answer was yes, please enter your job code number below. If your answer was no, you may then input the name / title of the position for which you are applying.
Job Code # / Job Position *

If You do not have a Job Code #, Please name the position you are looking to fill.
Personal
Name * First Last
Address
Street Address

City

State / Province / Region

Postal / Zip Code
Years At Address *
Email *
Home Telephone * - (###) - ### ####
Work Telephone - (###) - ### ####
Work Extension

Please Input your Work Telephone Extension if needed.
May we contact Work? * Yes No
Drivers License State *
SSN (Last Four Digits Only) *

Please Input the Last Four Digits of Your Social Security Number.
RMV Number (Last Four Digits Only)
Are You Over 21? * Yes No
Are you prevented from lawfully becoming employed due to a Visa or Immigration status? * Yes No
General
Have you ever applied for employment with Seven Hills Foundation? * Yes No
If Yes,
How did you hear about Seven Hills? Newspaper Employee Billboard Website Internet Search Job Fair DET or CC Job Fox.com Walk-In Other Internet Other
If other please describe
Job Interest
What type of employment are you looking for? *
Desired Wage *
Preferable Work Times *
Specify hours and days you CANNOT work *
Are you willing to work EVERY Saturday and Sunday? * Yes No
Date Available to Start * / MM / DD YYYY
Education
High School or GED
Name of School
Address
Street Address

City

State / Province / Region

Postal / Zip Code
Graduated Yes No
GED Yes No
Major / Specialty
College or University
Name of School
Address
Street Address

City

State / Province / Region

Postal / Zip Code
Graduated Yes No
Major / Specialty
Special Training or Other
Name of School
Address
Street Address

City

State / Province / Region

Postal / Zip Code
Graduated Yes No
Major / Specialty
Last year of Education completed
Employment References ( 3 Work Related)
Reference #1
Name First Last
Address
Street Address

City

State / Province / Region

Postal / Zip Code
Telephone - (###) - ### ####
Occupation
Reference # 2
Name First Last
Address
Street Address

City

State / Province / Region

Postal / Zip Code
Telephone - (###) - ### ####
Occupation
Reference # 3
Name First Last
Address
Street Address

City

State / Province / Region

Postal / Zip Code
Telephone - (###) - ### ####
Occupation
Do you have any experience related to the position you are applying for? * Yes No
Please briefly explain why you are interested in working for Seven Hills Foundation or one of the Seven Hills Affiliates
Work Experience ( List, in order, your last three work experiences)
Employer #1
Name of Employer First Last
Address
Street Address

City

State / Province / Region

Postal / Zip Code
Telephone - (###) - ### ####
Job Title
Date Started / MM / DD YYYY
Starting Pay $ . Dollars Cents
Payment By Hour Year
Date Left / MM / DD YYYY
Final Pay $ . Dollars Cents
Payment By Hour Year
Supervisor's Name First Last
Supervisor's Title
Describe your Major Duties:
Employment Type Full Time Part Time
Number of Employees Supervised by you
Reason for Leaving
Employer #2
Name of Employer First Last
Address
Street Address

City

State / Province / Region

Postal / Zip Code
Telephone - (###) - ### ####
Job Title
Date Started / MM / DD YYYY
Starting Pay $ . Dollars Cents
Payment By Hour Year
Date Left / MM / DD YYYY
Final Pay $ . Dollars Cents
Payment By Hour Year
Supervisor's Name First Last
Supervisor's Title
Describe your majorduties
Employment Type Full Time Part Time
Number of employees supervised by you
Reason for Leaving
Employer #3
Name of Employer First Last
Address
Street Address

City

State / Province / Region

Postal / Zip Code
Telephone - (###) - ### ####
Job Title
Date Started / MM / DD YYYY
Starting Pay $ . Dollars Cents
Payments By Hour Year
Date Left / MM / DD YYYY
Final Pay $ . Dollars Cents
Payments By Hour Year
Supervisor's Name First Last
Supervisor's Title
Describe Your Major Duties
Employment Type Full Time Part Time
Number of employees supervised by you:
Reason for Leaving
Are your Education or Employment records under any other name? * Yes No
List any Liceses (Including Driver's License), Certification or Registration you possess:

Please list in this order: License Type, License Number, Date Issued, and Expiration Date. Use Commas (,) to seperate items, as well as semi-colons (;) to seperate lines.
Applicant Verification of Degree
Seven Hills Foundation and its subsidiaries require verification of academic degree for individuals assuming positions requiring degrees. Iunderstand the Seven Hills Foundation or any of its subsidiaries cannot offer me a position without proper verification of my academic degree(s) when I apply for any position under the conditions described in the policy.
E-Signature *
Date * / MM / DD YYYY
Other Experience
Please describe any relevant personal or professional experience which you would consider of value and which may assist us in considering your application for employment. Verified work performed on a volunteer basis may be included.
E-Signature *
Date * / MM / DD YYYY
Please check all Job Categories that interest you and that you believe best fit your qualifications. Administrative Health Care Residential Adult Supports Day Program Maintenance Residential Children's Support Direct Support MIS (Computer Technology) Social Services Educational Supports Nursing or CNA Therapy Services Family Support
BACKGROUND CHECK REQUEST FORM
All applicants shall complete an application form that contains a section requiring the applicant to disclose whether or not he or she has a criminal record and what crimes, if any, he or she has been convicted of, consistent with the requirements of M.G.L. c. 151B,§4 (9). No application for employment shall be considered complete unless the applicant completes a successful CRIMINAL OFFENDER RECORD CHECK. Seven Hills Foundation hasbeen certified by the Criminal History System Board for access to conviction and pending criminal case data. As an applicant/employee for Seven Hills, I understand that a criminal record check will be conducted for conviction and pending criminal case information only and that it will not necessarily disqualify me. The application information I have provided Seven Hills is correct to the best of my knowledge.
A form will be completed when and if an interview is scheduled. * I agree to allow Seven Hills Foundation to conduct a background check. I do NOT agree to allow Seven Hills Foundation to conduct a background check.
Failure to Agree to a background check will result in disqualification of Application.
It is understood and agreed upon that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or seperation from the employer's services if I have been employed. I give the employer the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the employer and its representative for seeking such information and al other persons, corporations or organizations for furnishing shuch information.
E-Signature *
Date * / MM / DD YYYY
Office Use Only : Online Application

Seven Hills Foundation Online Application

Seven Hills Foundation Online Application

Introduction

Personal

General

Job Interest

Education

High School or GED

College or University

Special Training or Other

Employment References ( 3 Work Related)

Reference #1

Reference # 2

Reference # 3

Work Experience ( List, in order, your last three work experiences)

Employer #1

Employer #2

Employer #3

Applicant Verification of Degree

Other Experience

BACKGROUND CHECK REQUEST FORM

Failure to Agree to a background check will result in disqualification of Application.

Office Use Only : Online Application