Job Application

UPPER BLACKSTONE CLEAN WATER 
50 ROUTE 20
MILLBURY, MA 01527 
PHONE 508-755-1286
 
EMPLOYMENT APPLICATION 
 
Upper Blackstone Clean Water is an equal opportunity employer in compliance with the laws prohibiting discrimination on the basis of race, color, sex, age, religion, national origin, disability or any other legally protected status. 
Applicant Data
Additional Information
Files must be less than 800 KB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx ppt pptx xls xlsx.
Files must be less than 800 KB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx ppt pptx xls xlsx.
Certification
Upper Blackstone is authorized to verify any or all of the information contained on the application form. A false answer to any question(s) in this application may be grounds for non-selection or for termination after you begin work. All statements are subject to investigation, including a check of your training and experience statements. All information you give will be considered in reviewing your application and is subject to public inspection in accordance with the Massachusetts Public Records Law. I hereby certify that all statements made in this application are true and I agree and understand that any misstatement, misrepresentation, falsification or omission of facts shall cause forfeiture of all rights to employment with Upper Blackstone. If accepted for employment I agree to abide by and comply with all rules, regulations, policies and procedures of Upper Blackstone. I further understand and agree that my employer has the right to terminate my employment during my initial probationary period. I understand that no representative of the employer has any authority to enter into any agreement with me contrary to the rules, regulations, policies and procedures of Upper Blackstone. I freely and voluntarily agree to submit to a drug/alcohol test as part of my application for and as a condition of employment. I understand that either my refusal to submit to the drug/alcohol test or my failure to qualify according to the minimum standards established by Upper Blackstone for this examination will disqualify me for further consideration for employment.