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Please list all paid or volunteer positions held during the last (10) years.
I understand that the foregoing will be verified in order to expedite my application for employment with the
City of Northampton. I hereby authorize the City to conduct a full investigation into my background..
I authorize the City to obtain my previous work records, employment records, character references and any
other information concerning character, ability and habits and all other necessary information. Further I grant
authority to the keeper of these records to release said records to the City of Northampton for the purpose of
making its hiring decision. I agree that the City shall not be liable in any respect if a job offer is not extended,
is withdrawn, or my employment is terminated because of false statement, omissions or answers made by me
on this application. I agree that my previous employers shall not be liable with regard to any information
provided by them in connection with this release..
If employed, I agree to abide by all rules and regulations of the City of Northampton and/or Northampton
Public Schools. I understand if convicted of a felony, I will notify my supervisor immediately. I agree to
furnish such additional information and complete such examination as may be required to complete an
employment process and understand that this application for employment in no way obligates the City to
employ me. I acknowledge that the City will, if applicable, review the Criminal Offender Record Information
(C.O.R.I.) and the Sex Offender Registry Information (S.O.R.I.). I understand that I will be informed if there
may be an adverse employment decision based on the C.O.R.I. information and that I will provided with a
copy of the C.O.R.I. policy outlining my rights and the City's obligation in making an employment decision
based on the information received..
I certify under the pains and penalty of perjury that all statements made by me on this application are true and
complete to the best of my knowledge and that I have withheld nothing, which, if disclosed, would affect this
application unfavorably. I understand that any false statements, omissions or answers made by me on this
application can result in my immediate termination..
In compliance with the Immigration and Reform and Control Act of 1986, I understand that I will be required
to provide approved documentation that verifies my right to work in the United States on my first day of
employment. I have received the list of approved documents with this application..
I understand that unless I am subject to the terms of a collective bargaining agreement, my employment will
be at-will, which means that both the City of Northampton and I are free to terminate the employment
relationship at any time for any non-statutorily prohibited reason or for no reason at all, with or without notice.
I hereby acknowledge that I have read in full and understand the above statements and conditions of
employment.Your electronic signature below indicates your agreement with the following statements: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information.
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