Criminal Records Notification Form.doc
DOC document 26 KB Posted
- Solicitation number
- BD-18-1067-MCD01-MCD01-26742
- Issued by
- Massachusetts
About this file
The document provided is a Criminal Records Notification Form for employment consideration by the Commonwealth of Massachusetts. The form indicates that if employed, the applicant agrees to abide by all rules and regulations of the Commonwealth, and if convicted of a felony, to notify their supervisor immediately. The Commonwealth will review the applicant's Criminal Offender Record Information (C.O.R.I.), Sex Offender Registry Information (S.O.R.I.), and Central Registry of Child Abuse/Neglect reports as part of the employment process.
The related state and local contract opportunity is for the provision of American Sign Language (ASL) Interpreters and Transliterators for the Deaf and Hard of Hearing, issued by the Massachusetts Commission for the Deaf and Hard of Hearing (MCDHH). The contract, with the MBPO number PO-18-1067-MCD01-MCD01-13286, is open to interested parties in the jurisdictions of Suffolk County and the City of Boston. Bid packages are due by mail to MCDHH within two weeks of being downloaded from the provided site.
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Text version
Criminal Records Notification Form
If employed, I agree to abide by all rules and regulations of the Commonwealth. 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 Commonwealth to employ me. I acknowledge that the Commonwealth will, if applicable, review the Criminal Offender Record Information (C.O.R.I.) (M.G.L., Chapter 151B, section 4(9), Sex Offender Registry Information (S.O.R.I.) and the Central Registry of Child Abuse/Neglect reports in accordance with M.G.L., Chapter 119, Section 51B.
I hereby acknowledge that I have read in full and understand the above statement.
Applicant’s Signature
Date
Applicant’s Printed Name
Do not complete this page unless a hiring state agency requests this information.
File details come from the government source that posted it. Updated .