Criminal Records Notification Form.doc

DOC document 26 KB Posted

Attached to
MCD06 ASL Interpreters and Transliterators for the Deaf and Hard of Hearing
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.

View the file

Other files

File Type Posted
MCD06 Sunshine Policy.docx DOCX document
EFT_FORM~1.docx DOCX document
Terp Data Sheet 2016 Version.docx DOCX document
MCD06 Affirmations and Approvals.docx DOCX document
MCD06 Contracting Forms Checklist.docx DOCX document
comm-termsconditions.docx DOCX document
Criminal Records History Disclosure Form.doc DOC document
newmass-w9.docx DOCX document
mcd06 forms.zip ZIP file
COA_form~1.docx DOCX document
MCD06 RFR Contract.docx DOCX document
COMMBUYS Registration Affirmation~1.docx DOCX document
prompt-pay-frm~1.docx DOCX document
2016 Version EHS DCS CORI Form 07 2015~1.pdf PDF
CON_form~1.docx DOCX document
RID Membership Affirmation.docx DOCX document
MCD06 New Standard Contract Form.docx DOCX document
MCD06 Rates Effective July 1 2018.xlsx XLSX spreadsheet
Show all 18

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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 .