Form Center

Thank you for your submission. Your Form Has Been Submitted Successfully
By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
  1. Town Seal
  2. Town of Chelmsford Employment Application
    50 Billerica Rd, Chelmsford, MA 01824

    An Equal Opportunity / Affirmative Action Employer

    The Town of Chelmsford is an equal opportunity employer and does not discriminate against any applicant because of race, color,religion, sex, marital status, national origin, age, disability, sexual orientation or any other class protected by federal, state or local law. Any person who needs assistance in fully participating in the application process should contact the Town of Chelmsford Personnel Department.
  4. Licenses (Please state all licenses you possess that are required for the position you seek). A valid license is a condition of employment, where required
  5. Do you have a valid driver’s license (Class D Auto)?
  6. Do you have a valid CDL license (Class A or B)?
  7. Do you have a valid Hydraulic license?
  8. Office Skills (If applicable). Check the column that you feel best describes your knowledge:
  9. Knowledge of Word Processing
  10. Knowledge of Spreadsheets
  11. Knowledge of Databases
  12. Automated Accounting System Knowledge
  13. Bookkeeping Knowledge
  14. Transcription Ability
  15. Shorthand/Speedwriting Ability
  16. Special Skills.
  17. Employment History. {please do not write “see resume”}
    Please account for the last 4 positions you have held. Start with your present or last employer. You may include military service and any verifiable work performed as an intern or volunteer
  18. May we contact your present employer?
  19. Business References: {a minimum of 3 references is required.}

  20. Criminal History

    Note: DO NOT answer "YES" if (i) you have a felony or misdemeanor conviction that has been sealed under Massachusetts Law; or (ii) you have a juvenile delinquency or child in need of services complaints which were not transferred to the Superior Court for prosecution.

    The Town of Chelmsford requires a Criminal Offense Record Inquiry (CORI check) on all prospective employees for certain positions. Where required, this check will be performed regardless of criminal history information provided below.
    A conviction will not necessarily be a bar to employment.

  21. Have you ever been convicted of a felony?
  22. Within the last five years have you been convicted or, or released from incarceration for a misdemeanor which was not a first offense for drunkenness, simple assault, speeding, a minor traffic violation, an affray, or disturbing the peace?
  23. Employment of Minors.

    The Town of Chelmsford is subject to certain child labor provisions regarding the employment of persons under the age of 18.
    Further, an Employment Permit or Educational Certificate may be required, depending on your age.
  24. Sign:*
  25. Leave This Blank:

  26. This field is not part of the form submission.