Fillable Commonwealth of Massachusetts Supreme Judicial Court Law Clerk Application for Employment

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Commonwealth of Massachusetts Supreme Judicial Court Law Clerk Application for Employment

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Rev1 6/12 Page 1 of 7
COMMONWEALTH OF MASSACHUSETTS
SUPREME JUDICIAL COURT
Law Clerk Application for Employment
INSTRUCTIONS:
ALL SECTIONS OF THIS APPLICATION MUST BE COMPLETED (except where optional is indicated) in order for
you to be considered an applicant for employment.
Answer every question fully and accurately. Use the additional information section to complete an answer to any question
or to provide any additional information that may be helpful to evaluating your application..
Applicants will be notified of the status of their applications 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.
Name
(Last) (First)
Are you 18 years of age or older?
Yes No
Email Address
Primary telephone number
Home Address:
(Street) (City) (State) (Zip Code)
EDUCATION
Law School (if more than one law school, use the additional information section)
Name of School
Address of School
J.D. received? Yes No
Graduation Date or Anticipated Graduation Date
(mm/yyyy)
Honors:
Does school issue letter grades?
Yes No
If yes, GPA
Class Standing (Optional. e.g., designate 9th in class as 9/300)
Class Rank (if applicable)
Top 5% Top 10% Top 20% Top 25% Top 30% Top 50% Othe
r
Member of journal?
Yes No
If yes, Name of Journal
Position
Student Bar Association or Other Student Organizations
✔
✔
Rev1 6/12 Page 2 of 7
Undergraduate Education (if more than one undergraduate school, use the additional information section on page 4.)
Name of School
Address of School
Course of Study
Did you graduate? If yes, specify degree obtained
Yes No
Does school issue letter grades?
Yes No
If yes, GPA Honors awarded
Graduate School/Additional Education (if more than one graduate degree, use the additional school section on page 5.)
Name of School
Address of School
Course of Study
Did you graduate? If yes, specify degree obtained
Yes No
EMPLOYMENT List the most recent position first. You may include any verified work performed on a volunteer basis. If
additional space is needed, use the additional information section on page 5.
Clerkships and Judicial Internships (Complete if applicable )
Court
Judge
Dates of service
Position
Court
Judge
Dates of service
Position
Law Related Employment
Name of Employer
Address
(Street) (City) (State)
Rev1 6/12 Page 3 of 7
Telephone Number
Dates Employed Position
Supervisor Title of Supervisor
Name of Employer
Address
(Street) (City) (State)
Telephone Number
Dates Employed Position
Supervisor Title of Supervisor
Other Employment
Name of Employer
Address
(Street) (City) (State)
Telephone Number
Dates Employed Position
Supervisor Title of Supervisor
Name of Employer
Address
(Street) (City) (State)
Telephone Number
Dates Employed Position
Supervisor Title of Supervisor
Do you now hold or are you presently a candidate for any Federal, State, County or Municipal elective office?
Yes No
If YES, explain:
NOTE: Supreme Judicial Court Policies may require a court employee who becomes a candidate for, or holds elective office
to request a leave of absence.
✔
Rev1 6/12 Page 4 of 7
Are you now, or have you ever been, employed by the Commonwealth of Massachusetts? Yes No
If YES, please give name of Agency(s), position title(s) and dates of employment:
Have you ever been fired by an employer? Yes No If yes, please explain:
ADDITIONAL INFORMATION Use the space below to complete answers to any of the education or employment
questions above. If more space is needed, use the optional box on page 6.
Additional Law School Information
Name of School
Address of School
J.D. received?
Yes No
Transferred?
Yes No
Honors:
Does school issue letter grades?
Yes No
If yes, GPA
Class Standing (Optional. e.g., designate 9th in class as 9/300)
Class Rank (if applicable)
Top 5% Top 10% Top 20% Top 25% Top 30% Top 50% Othe
r
Member of journal?
Yes No
If yes, Name of Journal
Position
Student Bar Association or Other Student Organizations
Additional Undergraduate Education
Name of School
Address of School
Course of Study
Did you graduate? If yes, specify degree obtained
Yes No
Does school issue letter grades?
Yes No
If yes, GPA Honors awarded
✔
Rev1 6/12 Page 5 of 7
Additional Graduate Education
Name of School
Address of School
Course of Study
Did you graduate? If yes, specify degree obtained
Yes No
Name of School
Address of School
Course of Study
Did you graduate? If yes, specify degree obtained
Yes No
Additional Employment Information
Name of Employer
Address
(Street) (City) (State)
Telephone Number
Dates Employed Position
Supervisor Title of Supervisor
Name of Employer
Address
(Street) (City) (State)
Telephone Number
Dates Employed Position
Supervisor Title of Supervisor
Name of Employer
Address
(Street) (City) (State)
Telephone Number
Dates Employed Position
Supervisor Title of Supervisor
Rev1 6/12 Page 6 of 7
Name of Employer
Address
(Street) (City) (State)
Telephone Number
Dates Employed Position
Supervisor Title of Supervisor
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: American Indian/Alaskan Native Asian/Pacific Islander Black
Cape Verdean Hispanic White Mixed Other
2. Sex: Male Female
3. Are you a Veteran of the United States Armed Forces? YES NO Date of Discharge
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.
Rev1 6/12 Page 7 of 7
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
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
employment depends on satisfactory replies from references and a criminal background check.
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
Pursuant to G.L. c. 478,§ 328 of the Acts of 1978, no person who is not a resident of the Commonwealth shall serve as a
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, § 328.
The policy of the Supreme Judicial 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 Supreme
Judicial 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.
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Commonwealth of Massachusetts Supreme Judicial Court Law Clerk Application for Employment

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Completed 16 May 2020

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