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Application for Employment
All Applications must be returned to the Human Resources Department located at Chicopee City Hall, 274 Front Street, 4th Floor, Chicopee, MA 01013. Applicants are considered for all positions without regard of race, color, religion, gender orientation, national origin, age, marital or veteran status, or the presence of a non-job-related medical condition or handicap.
(Proof of citizenship or immigration status will be required upon eployment).
List most current position first. Verifiable volunteer work and military service may be included.
Please provide PROFESSIONAL and/or BUSINESS references only.
EQUAL EMPLOYMENT OPPORTUNITY INFORMATION REQUEST
we request your VOLUNTARY
completion of this questionnaire. In no way will the information be used to discriminate against or to
show preference for any applicant in the hiring decision.
The categories below should not be interpreted as scientific or anthropological in nature. They were
developed by the federal government to provide for the collection and use of compatible and
exchangeable ethnic data.
American Indian or Alaskan Native (a person having origins in any of the original people of North
America and who maintains cultural identification through tribal affiliation or community
African American (a person who is not Hispanic in origin but having origins in any of the original
peoples of Central or South Africa.)
Asian or Pacific Islander (a person having origins in any of the original peoples of the Far East,
Southeast Asia, and the Indian sub-continent of the Pacific Isles.)
Hispanic (a person of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish
culture regardless of race.)
White (a person who is not of Hispanic origin but having origins in any of the original peoples of
Europe, North Africa, or the Middle East.)
Any ethnicity not listed; or someone of multiple ethnic backgrounds.
This field is not part of the form submission.
* indicates a required field