Address Phone Relationship
IX. Criminal History
A. The Town of Braintree requires a Criminal Offense Record Inquiry (CORI check) on all prospective employees for certain
B. A conviction will not necessarily be a bar to employment.
X. Employment of Minors
The Town of Braintree is subject to certain child labor provisions regarding the employment of persons under the age of 18. Further,
an Employment Permit or Educational Certificate may be required, depending on your age.
Are you under age 18? If yes, please indicate your age:
XI. Medical Information
All offers of employment are conditional upon the satisfactory completion of a Pre-Employment Physical. Satisfactory fitness to
perform the essential duties of the position is a condition of employment.
XII. Pre-Employment Drug Testing
All offers of employment are conditional upon the satisfactory completion of a pre-employment drug test, where required.
Satisfactory completion of a required drug or alcohol test is a condition of employment as outlined in the Drug and Alcohol Testing
Policy of the Town of Braintree.
CAREFULLY READ ALL PARTS OF THIS APPLICATION FORM BEFORE SIGNING.
A. I understand that acceptance of this application by the Town of Braintree does not imply that I will be employed. (Exceptions to A
is an employee filling out this application for promotional purposes only.)
B. The information that I have provided is true and complete. I understand that misrepresentation or omission of any fact in my
application, resume, or in any other materials or as provided during interviews, can be justification for refusal of employment or
can be justification for termination from employment, if employed.
C. I understand that any offer of employment that I receive from the Town of Braintree is contingent upon my successful completion
of the pre-employment screening process including but not limited to the Town of Braintree receiving satisfactory references, a
satisfactory criminal history and Criminal Offense Record Inquiry if required, satisfactory verification of driver’s license or
certifications where required and satisfactory completion of any required post-offer pre-employment drug test or physical
D. In processing my application for employment, the Town of Braintree may verify all of the information provided by me concerning,
among other things, my prior employment or military record, education, character, general reputation and personal characteristics.
E. I authorize the Town to take whatever steps deemed necessary to obtain information regarding my qualifications for employment
including contacting my present and former employers, by contacting individuals listed as business, educational or personal
references, and by contacting other individuals to provide or further clarify information about me.
F. I hereby release my present and former employers and all individuals contacted for factual information about me from any and all
liability for damages arising from furnishing the requested information.
G. If employed by the Town of Braintree, I understand that as a condition of employment, I may be required to furnish additional or
updated medical information, that I may be required to undergo a physical examination, that I may be subject to drug and/or
alcohol testing, that the Town may request a Criminal Offense Record Inquiry (CORI check) on me, investigate my driving record
or verify my license(s) or certification(s) as required for employment at any time during my employment. As a condition of
employment an employee may be required to provide additional or updated information especially if this employee has been on
workers comp with another employer and may require both drug testing and an employment physical in order to allow us to have
the necessary information for making a proper decision or reasonable accommodations, if necessary.