.

Seven Hills Application for Employment

If you prefer to submit On-Line Resume or On-Line Internal Application click here

Complete form below to submit the Seven Hills On-Line Application

 
DATE: (mm/dd/yy)

Are You Applying for a  Specific

    

Job posted on this Web Site?

 Yes  No 

Enter Job Code Number or  desired Job Title, 

required

if unknown enter a Job Type/Category (ie: Nurse):

  
  
=Search for specific Job / Job Code #
-

PERSONAL

First Name:

Last Name:

E-Mail:

Address line 1:

Address line 2:

City:

State:

Zip:

Years at address:

 

  

Telephone (Home) :

 (ex: 978-224-0000)

Telephone (Work):

 (ex: 978-224-0000)

May we contact work?:

 YES NO

Drivers License State

last four digits of SSN: 

last four digits of drivers License:

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 with Seven Hills Foundation:

 YES NO

If Yes, where / when  

How did you here about Seven Hills 

if Other please describe

 

JOB INTEREST

What type of employment:

  

               Desired Wage  

 

Preferable Work Times:

Specify hours/days you CANNOT work:
Are you able to work Weekends?: YES   NO
Data available to start:

 

EDUCATION

High School or GED
Name of School
Address
Address
City
State
Zip
Graduated YES   NO
GED YES  
Major / Specialty:

 

College or University
Name of School
Address
Address line 2
City
State
Zip
Graduated YES   NO
Major / Specialty:

 

Special Training or Other
Name of School
Address
Address
City
State
Zip
Graduated YES   NO
Major / Specialty:
.

Highest level of Education:

 

EMPLOYMENT REFERENCES (3 Work related)

Reference 1
First Name
Last Name
Address
Address line 2
City
State
Zip
Telephone (ex: 978-224-0000)
Occupation

 

Reference 2
First Name
Last Name
Address
Address line2
City
State
Zip
Telephone (ex: 978-224-0000)
Occupation

 

Reference 3
First Name
Last Name
Address
Address line2
City
State
Zip
Telephone (ex: 978-224-0000)
Occupation

 

RELATED INTEREST / WORK EXPERIENCE
Briefly explain why you are interested in working for Seven Hills Foundation or one of the Seven Hills Affiliates:

   
Do you have relevant experience for the position you are applying for:  Yes   No
   

  If Yes briefly explain:      

   
 

Please note when completing any date field be very specific

you MUST complete using mm/dd/yy (example 10/14/12)

Do not write any words in any date fields. 

Do not write just a year.

 

                          WORK EXPERIENCE (List, in order, your last three work experience)

Employer 1
Name of EMPLOYER
Address
City
State
Zip
Telephone (ex: 978-224-0000)
Job title
Date Started: (mm/dd/yy)
Starting pay: (numbers only) Yr  Hour
Date left:

(if still employed leave blank)

(mm/dd/yy)
Final pay: (numbers only) Yr  Hour
Supervisor's first Name:
Supervisor's last Name:
Supervisor's Title:
Describe your major duties:

       

Full Time  /  Part Time
Number of employees supervised by you:
Reason for leaving

 

Employer 2
Name of EMPLOYER
Address
City
State
Zip
Telephone (ex: 978-224-0000)
Job title
Date Started: (mm/dd/yy)
Starting pay: (numbers only) Yr  Hour
Date left:

(if still employed leave blank)
(mm/dd/yy)
Final pay: (numbers only) Yr  Hour
Supervisor's first Name:
Supervisor's last Name:
Supervisor's Title:
Describe your major duties:

                 

 Full Time  /Part Time
Number of employees supervised by you:
Reason for leaving

 

Employer 3
Name of EMPLOYER
Address
City
State
Zip
Telephone (ex: 978-224-0000)
Job title
Date Started: (mm/dd/yy)
Starting pay: (numbers only) Yr  Hour
Date left:

(if still employed leave blank)
(mm/dd/yy)
Final pay: (numbers only) Yr  Hour
Supervisor's first Name:
Supervisor's last Name:
Supervisor's Title:
Describe your major duties:

       

 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

If Yes, please provide that name:

  
 
List any licenses (including driver's license), certification or registration you have earned.  Please include License Name & Date Issued
Important: When typing this information please type continuously (Do Not  hit your "Return" key or "Enter" key on your keyboard when typing this information). Use "/" or "-" to separate Licenses.

Example: Drivers Licenses MA # R444-55-7777 ex 8-8-2014  /  CPR ex 8-8-2014  / First Aid ex 8-8-2014

 

Areas of Employment Interest - Select all that apply
Administrative Health Care Adult Residential Supports
Day Program Maintenance Children's Residential Supports
Vocational Support MIS (Computer Technology) Social Services
Educational Supports Nursing or CNA Therapy Services
Family Support    

HBTS, PASS, ABA, and Respite

    

 

APPLICANT VERIFICATION of DEGREE and BACKGROUND CHECK
Seven Hills Foundation and its affiliates require verification of academic degree for individuals assuming positions requiring degrees. I understand the Seven Hills Foundation or any of its affiliates 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. I further understand that my driving record will be reviewed prior to my employment.

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 separation 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 all other persons, corporations or organizations for furnishing such information.

 

e-Signature:      Date: (mm/dd/yy)

 

 
 

Click here when you are done:

Please click "Submit" one time

may take up to 10-20 sec. to receive your confirmation