Community Systems, Inc. :: Massachusetts Employment

DE Employment Application

Thank you for your interest in employment with Community Systems Inc.! We appreciate your taking the time to submit a resume and complete an application. For your convenience, the following information is provided regarding the hiring process here at Community Systems Inc.

Community Systems, Inc. is an equal opportunity employer, supporting workplace diversity. All applicants will be assessed without consideration of race, color, creed, religion, national origin, marital status, child status, disability, gender, veteran status, age, sexual orientation or other legally protected status. Please complete the Voluntary Survey page if you are willing, so that we may continue to track our success in achieving workplace diversity. This information is kept separate from the completed applications and goes only to the Human Resources Director. Your name need not be included.
If you require an accommodation so that you may apply for a position with our organization, please make this known to organization personnel.
We keep all applications on file for 1 year.
We receive many applications and resumes each week. Only those individuals whose qualifications and availability match our needs will be considered for an interview. You will be contacted within two weeks of receiving your application of the status of your application.
Our minimum criteria for an entry level position are a high school diploma/GED, valid MA driver’s license in good standing, and a criminal history report acceptable to the organization.

*Required Field - Please fill out the application completely to be considered for employment.

General Information

Position Applied For:

How did you learn about Community Systems, Inc?

Please specify:

Applicant Information

First Name: *

Middle Name:

Last Name: *

Address: *

Address 2:

City: *

State: *

Zip Code: *

Home Phone: *

Cell Phone: *

Email: *

All of our direct care positions require lifting. Can you lift up to 50 pounds on a regular basis? *

You must have a valid Delaware driver's license with a record that is acceptable to CSI's insurance carrier.

Criminal History

Have you ever had an allegation of caregiver abuse, neglect, or mistreatment substantiated against you? *

Have you ever been convicted of a felony? *

Conviction will not necessarily disqualify an applicant from employment.

Note: An applicant for employment with a sealed record on file with the Commissioner of Probation may answer “no record” with respect to an inquiry herein relative to prior arrests, criminal court appearances or convictions. In addition, any applicant for employment may answer “no record” with respect to any inquiry relative to prior arrests, court appearances and adjudications in all cases of delinquency or as a child in need of services which did not result in a complaint transferred to the Superior Court for criminal prosecution.

Education

High School

School Name: *

School Location: *

Grade Level Completed (9, 10, etc.): *

Certificate of Completion: *

Note: Proof of high school diploma or equivalent will be required.

College/University

College Name:

College Location:

Years Completed (1, 2, etc.):

Degree:

Comments:

Other Education

Describe the name and location of other educational institutions you have attended, plus any certifications received. Please be specific.

Specialized Training

Describe any specialized training, apprenticeship, or skills that you possess:

Describe any honors you have received:

List professional, trade, business or civic activities and offices you have had or do hold. You may exclude membership which would reveal sex, race, religion, national origin, age, ancestry, handicap or other protected status if you wish:

If you have ever had any job-related military training in the United States Military, please describe it below:

Availability

On what date are you available to start work?

Are you available to work (check all that apply):

Full Time
Part Time
Relief/Per Diem

Days & Times Available:

Weekends
Evenings (3PM-11PM)
Overnights (11PM-9AM)
Sleep Overnight

The precise times of shifts may vary from home to home. These times are approximate.

Employment & History

Have you ever filed an application with us before? *

Have you ever been employed with us before? *

Are you currently employed? *

May we contact your present employer? *

Are you legally eligible for employment in the United States? *

As required by law, proof of citizenship or immigration status will be required upon employment.

Start with your present/most recent job. You may include any job-related military service assignments and work perofrmed on a volunteer basis. Please list all past employers and account for any periods without employment.

Employer 1

Company Name: *

Company Address: *

Company Phone: *

From (Month/Year): *

To (Month/Year): *

Job Title: *

Supervisor: *

Hourly Rate/Salary: *

Work Performed: *

Reason for Leaving: *

Check this box if you DO NOT want us to contact this employer:

Employer 2

Company Name: *

Company Address: *

Company Phone: *

From (Month/Year): *

To (Month/Year): *

Job Title: *

Supervisor: *

Hourly Rate/Salary: *

Work Performed: *

Reason for Leaving: *

Check this box if you DO NOT want us to contact this employer:

Employer 3

Company Name: *

Company Address:*

Company Phone:*

From (Month/Year):*

To (Month/Year): *

Job Title: *

Supervisor: *

Hourly Rate/Salary: *

Work Performed: *

Check this box if you DO NOT want us to contact this employer:

Please attach a copy of your resume. We accept Microsoft Word documents and Adobe PDFs: