Employment Application (Indeed.com) Employment Applications (Indeed.com) Step 1 of 5 20% SSTAR LocationsSSTAR location you are applying to* SSTAR, Inc. (386 Stanley St., Fall River, MA) SOUTHEND SERVICES / LIFELINE (1010 South Main St., Fall River, MA) SSTARBIRTH (80 East St, Cranston, RI) SSTAR of RI (1950 Tower Hill Rd, North Kingstown, RI) Position/Department desired*About YouName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Cell PhoneEmail* Are you at least 18 years old?*Select belowYesNoCan you furnish a work permit if required?*Select belowYesNoAre past educational or employment records in a different name?*Select belowYesNoPlease list name(s) and dates*As a public health organization SSTAR is moving to a totally smoke free campus and at our MA facilities has a policy of excluding applicants who are smokers. For Massachusetts facilities only: Are you a smoker?*Select belowYesNo EducationAre you presently a student?*Select belowYesNoSchool InformationType (high school,college, etc..)SchoolMajorDegree/Diploma List Any Skills/Certifications Employment InformationAre you legally eligible for employment in this country?*Select belowYesNoHave you been employed by SSTAR before?*Select belowYesNoWhere and when were you employed by SSTAR?Date available for work Date Format: MM slash DD slash YYYY What is your desired salary range?Referral SourceHow did you hear about us NEWSPAPER/OR ONLINE SOURCE JOB FAIR SSTAR WEBSITE WALK-IN SSTAR EMPLOYEE (Enter Name and Department below) Comments / DetailsWE CONSIDER ALL APPLICANTS FOR POSITIONS WITHOUT REGARD TO RACE, COLOR, RELIGION, NATIONAL ORIGIN, CITIZENSHIP, AGE, DISABILITY, VETERAN/RESERVE/NATIONAL GUARD, SEXUAL ORIENTATION, GENDER IDENTITY, GENETICS OR ANY OTHER SIMILARLY PROTECTED STATUS. WE ALSO COMPLY WITH ALL APPLICABLE LAWS GOVERNING EMPLOYMENT PRACTICES AND DO NOT DISCRIMINATE ON THE BASIS OF ANY UNLAWFUL CRITERIA. ExperienceList All Previous Employers*Employer NamePositionEmployment DatesAddressDutiesPay RateMay we contact this employer?Supervisors Name / PhoneReason for leavingList All Previous Employers*Employer NamePositionEmployment DatesAddressDutiesPay RateSupervisors Name / PhoneReason for leavingList All Previous Employers*Employer NamePositionEmployment DatesAddressDutiesPay RateSupervisors Name / PhoneReason for leaving List All Previous Employers*Employer NamePositionEmployment DatesAddressDutiesPay RateSupervisors Name / PhoneReason for leaving List All Previous Employers*Employer NamePositionEmployment DatesAddressDutiesPay RateSupervisors Name / PhoneReason for leaving Applicant Certification & Reference WaiverSSTAR’s Drug Free Work-Place Policy prohibits use or possession of sedative hypnotic or narcotic medication by employees when on duty.Please read carefully before signing:I hereby affirm that the information provided on this application (and any resume submitted) is true and complete. I understand that any false or misleading representations or omissions may disqualify me from further consideration for employment and may result in discharge if discovered at a later date. I certify that I have read and understand SSTAR’s Drug Free Workplace Policy as stated above.I hereby authorize SSTAR, Inc. (Stanley Street Treatment and Resources) to investigate all information pertinent to my application in order to determine my qualifications for employment. I authorize all persons and organizations having information relevant to my application to provide that information to SSTAR and I hereby agree to hold harmless SSTAR and all those providing information to them from any liability arising out of or as a result of the provision or use of such information. I understand that any offer of employment may be rescinded if my references are inadequate or unacceptable to SSTAR. I understand that completion of this application does not assure me of a position with SSTAR. I also understand that neither this application nor any other document constitutes a contract of employment for a specific term and that any employment relationship that may be established will be “at will” and may be terminated at any time, with or without cause by me or SSTAR. I understand that if employment is offered, it is contingent upon: Successful completion of a post-offer medical examination (if applicable); negative drug test results; compliance with the requirements of the Immigration Reform and Control Act; Satisfactory reference checks; and Results of a criminal record check satisfactory to SSTAR.I certify that I have read and fully understand and accept all terms of the Applicant Certification and Reference Waiver:Applicant Name*Date* Date Format: MM slash DD slash YYYY Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Like this:Like Loading...