Proof of citizenship or immigration status will be required within 3 business days of employment.

Authorization to Contact References

I, , hereby give Clarity of Mind Adult Day Program, Inc. permission to contact the references listed below for the purpose of verifying job position and performance. I authorize Clarity of Mind Adult Day Program, Inc. to contact my former employers and authorize my former employers to release information pertaining to my record, my work habits, and my work performance while in their employ.

Please provide the names of three professional references that are relevant to previous employment experiences and you have known for at least one year. A minimum of two references are required to be from recent supervisors.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

I hereby state that the information given by me in this application and attached resume is true in all respects. I understand that if any information in this application or attached resume is found to be false in any respect, Clarity of Mind Adult Day Program, Inc. may withdraw any offer of employment or terminate my employment. l understand that this employment application and any other Clarity of Mind Adult Day Program, Inc. document are not employment contracts and that I may leave or be terminated from Clarity of Mind Adult Day Program, Inc. at any time with or without any reason or notice. Any statements made to the contrary are disavowed and should not be relied upon by any prospective or existing employee. I understand that completing this application creates no rights, express or implied, to employment with Clarity of Mind Adult Day Program, Inc. I further understand that all offers of employment are conditional upon the receipt of references and a Criminal Offender Record Information check deemed acceptable by Clarity of Mind Adult Day Program, Inc., as well as the successful completion of an introductory period which may be extended at larity of Mind Adult Day Program, Inc. discretion.