Fillable Commonwealth of Massachusetts Appeals Court Law Clerk Application for Employment

Fill Online, Printable, Fillable, Blank Commonwealth of Massachusetts Appeals Court Law Clerk Application for Employment Form

Use Fill to complete blank online COMMONWEALTH OF MASSACHUSETTS (MA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Commonwealth of Massachusetts Appeals Court Law Clerk Application for Employment

On average this form takes 27 minutes to complete

The Commonwealth of Massachusetts Appeals Court Law Clerk Application for Employment form is 5 pages long and contains:

  • 1 signature
  • 16 check-boxes
  • 98 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Commonwealth of Massachusetts

BROWSE COMMONWEALTH OF MASSACHUSETTS (MA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Are you 18 yrs of age or older?
COMMONWEALTH OF MASSACHUSETTS
APPEALS COURT
Law Clerk Application for Employment
Page 1 of 5
F2
REV. 6/16
INSTRUCTIONS:
ALL SECTIONS OF THIS APPLICATION MUST BE COMPLETED (except where optional is indicated) in order
for you to be considered an applicant for the law clerk position.
Type or print clearly. Answer every question fully and accurately. A resume may be attached, but does not substitute for
answering all the required sections. Use page 3 of this application to provide additional information to complete an answer to
any question.
Applicants will be notified of the status of their application by email. Be sure to provide an email address that is checked
regularly.
An offer of employment is contingent upon a criminal background check and other pre-employment requirements.
Any applicant requiring further assistance in completing this application should email LCApplications@appct.state.ma.us.
Position Desired
Email Address
Note: Applicants will be notified of the status of their application by email.
Name
(Last) (First) (Middle)
Home Address Primary Telephone Number
(No.) (Street) (City) (State) (Zip Code)
Do you now hold or are you presently a candidate for any Federal, State, County or Municipal elective office?
If YES, explain:
N.B.: Appeals Court Policies may require a court employee who becomes a candidate for, or holds elective office to request a leave of absence.
Are you now, or have you ever been, employed by the Commonwealth of Massachusetts?
If YES, please give name of Agency(s), position title(s) and dates of employment:
Have you ever been fired by an employer? If yes, please explain:
How were you referred to the court?
Appeals Court Website
Newspaper Current Employee
Employment Service School Job Posting within Courthouse Other: please specify:
OPTIONAL
Providing the following information is optional. The information will be used for internal fair employment purposes only.
Please check all that apply:
1. Race: Black Hispanic Asian/Pacific Islander Cape Verdean American Indian/Alaskan Native White
2. Sex: Male Female
3. Are you a Veteran of United States Armed Forces?
Date of Discharge
(Rev 5/12)
YES NO
YES NO
YES NO
YES NO
Page 2 of 5
EMPLOYMENT RECORD (MUST BE COMPLETED): List the most recent position first. Account for all periods of time. You
may include below any verified work performed on a volunteer basis; use page 3 of this application, or attach paper, if additional
space is needed.
Name of Employer Address
(Street) (City)
(State)
Telephone Number Dates Employed Position Salary
Describe your duties:
Reason for leaving: May we contact this employer?
Supervisor:
Title:
Name of Employer Address
(Street) (City) (State)
Telephone Number Dates Employed Position Salary
Describe your duties:
Reason for leaving:
May we contact this employer?
Supervisor:
Title:
Name of Employer Address
(Street) (City) (State)
Telephone Number Dates Employed Position Salary
Describe your duties:
Reason for leaving: May we contact this employer?
Supervisor:
Title:
EDUCATION
High School/Vocational School
Name of School Address of School
Course of Study Did you graduate from High School or receive a GED?
Yes No
College/Undergraduate Education
Name of School Address of School
Course of Study Did you graduate? If yes, specify degree obtained:
Page 3 of 5
EDUCATION (continued)
Graduate School/Additional Education
Name of School Address of School
Did you graduate? If yes, specify degree obtained: Course of Study
Additional training or skills (languages, computer skills, licenses, certifications, etc.)
OPTIONAL
Use the space below to complete any answers to a question asked above and to include any additional information you feel might
favorably affect consideration of your application.
Page 4 of 5
Applicant Name: ___________________________________________________________________________
You are required to complete the information below. Per Chapter 93 of the Acts of 2011, you are required to disclose any
immediate family members, including those related to your immediate family by marriage, who are employed by the
Commonwealth of Massachusetts. "Immediate family" is defined as a spouse, child, parent and sibling, or spouse of candidate's
parent, child or sibling. Include those employed in all branches of state government: judicial, legislative, executive, higher
education and state authorities; and those employed as regular or contract employees, or elected officials.
Name of Relative Relationship Title of Relative's Job State Agency
PROFESSIONAL REFERENCES: List 3 people not related to you who can comment on your work performance or education.
Name Occupation
Email Address Telephone Number
Name Occupation
Email Address Telephone Number
Name Occupation
Email Address Telephone Number
Pursuant to G.L. c. 66, sec. 3A, inserted by St. 2011, c. 93, sec. 1, recommendations for employment submitted in support of
candidates applying for employment by the Commonwealth, or any political subdivision of the Commonwealth, shall not be
considered by a hiring authority until the applicant has met all other qualifications and requirements for the position to be filled;
provided, however, that a hiring authority may, in accordance with said agency's regular practice for conducting reference
checks, contact and speak with a reference provided to it by a candidate for employment, or contact and speak with any person
who has submitted a written recommendation on behalf of a candidate for employment with said agency. Pursuant to statute, all
recommendations submitted in support of candidates who are hired are considered public records.
Pursuant to G.L. c. 478, sec. 328 of the Acts of 1978, no person who is not a resident of the Commonwealth shall
serve as an officer in or an employee of the Judicial Branch; provided, however, that this provision shall not
apply to those persons serving as officers in or employees of the Judicial Branch prior to the effective date of
c. 248, sec. 328.
The policy of the Appeals Court prohibits discrimination on the basis of age, race, religion, color, national origin,
sex, gender identity, sexual orientation, marital status, Vietnam Era veteran status, or disability. The Appeals
Court is also committed to employment practices which comply with the Americans with Disabilities Act.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or
continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Page 5 of 5
ALL APPLICANTS MUST SIGN THIS PAGE TO BE CONSIDERED FOR A POSITION
PLEASE READ BEFORE SIGNING
I understand that any misrepresentation on this application may be reason for immediate dismissal, and that
permanent employment depends on satisfactory replies from references, a favorable report on my medical
examination where required, a criminal background check, passing a written examination if applicable, and
successful completion of a probationary period of employment.
I also understand that any offer of employment or appointment and any conditions thereto are contingent and
become final only upon written approval of the Chief Justice for the Massachusetts Appeals Court.
I also understand that I might be subject to transfer in accordance with the provisions of the General Laws or an
applicable union contract.
I further understand that pursuant to the provisions of the Immigration Reform and Control Act of 1986, after an
offer of employment is made, I will be required to complete an Employment Eligibility Verification Form (I-9)
and submit specific document(s) that establish my identity and verify my right to work in the United States.
Date Signature
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Commonwealth of Massachusetts Appeals Court Law Clerk Application for Employment

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 16 May 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document