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COMMONWEALTH OF MASSACHUSETTS  

HUMAN RESOURCES DIVISION

MODEL HIRING PLAN

 

INTRODUCTION

 

The Human Resources Division (HRD) presents a Model Hiring Plan detailing the various steps and documents involved in an agency’s internal hiring process and standardizing those steps and documents (such as application forms, letters, etc.) as much as possible.  HRD is making the Model Hiring Plan available to agencies in an effort to make the hiring process fair and consistent throughout the state. The Model Hiring Plan contains the following sections:

 

Contents Page

 

Introd u ction               1

I.    Job De s c ription               3

Prepare the Job Des c rip t io n               3

Classify th e Job               4

II.   Vacancy A nno u ncement               5

Obtain Initi a l Approval to Post               5

Prepare and Po s t the Vacancy Announc e ment               5

III.   R e cr u itment Plan               6

IV.   Sc r een i n g P r o c e ss (including required Employment
Application form and Sunshine Policy)               7

Develop Screening Criteria               7

Screen Cover L e tters and Resumes               7              

Request Employment Applica t ion Fo r m               8

Ex e cutive Order 4 4 4               8

V.     Struc t ured I nte r view               10

Guidelines f or Structured I nterviews               10

Convene and Interview P a nel               11

Prepare Interview Quest i o ns               11

Sample Que s tions               12

Develop the R a tin g Process               14

Conduc t Fir s t R o und of I n terviews               15

Conduct Second Roun d of Interviews               17

VI.    Fi n al S elec t ion               18

Check Re f er e nces               18

Recommend a Ca n didat e for Hire               18

VII.  Approval P r o cess               19

Final Approval for Non-Management and M anager I through IV Hires               19

Final Approval for M a nager V th r ough XII H ires               20

Manager s V through VIII               20

Manage r s IX thr o ugh X II               20


Appendices: Model an d R equired Forms for Use i n Hiri n g               21

3-1    Model Checklist for t he Hiri n g Manager               22

3-2    Model Screen i n g Form               23

3-3    Model Ackno w le d g e ment of Receipt Letter               24

3-4    Model Applicant N on-Selecti o n Letter               25

3-5    Model Inte r v i ew Le t ter               26

3-6    Required Co m mo n wealth of Massachusetts
Application for E m ploy m ent
              27

3-7    Model Individu a l R a ting Form               41

3-8    Model Interview S u m m ary Form               42

3-9    MCAD Pre-Employ m ent Inqui r ies Fact Sheet               43

3-10  Model Teleph o ne R e f erence Check               52

3-11  Model Request f o r Written R eferences               53

3-12  Model Civil R i ghts Officer A ction Report               54

3-13  Model Offer of E mp l o y ment Letter               56

3-14  Model Candidate Non-S e le c t i on Letter               57

3-15  Model Conditional Offer of Employment (M V- XII)               58

3-16  Model C o nfirmation of Ac c eptance Letter               61

 

The Plan provides recommended timeframes within which certain activities should be undertaken to enable agencies to make their final candidate selections in a timely manner,.  For example, it is highly recommended that resumes be screened during the 14-day posting period, so that interviews can be completed within the two weeks following the close of the posting period.   The Model Hiring Plan will further help agencies reduce the time it takes to complete the hiring process by providing a list of questions, sample and standard forms, and sample letters.  The text delineates which forms/letters are models for agencies to modify, and which ones are required to be used without modification.

 

A model checklist for the hiring manager to follow is contained in Appe n d ix 3-1 .

 

The procedures set out in the Model Plan do not apply to the civil service hiring or recall process. They also do not apply to waivers of the posting process, for which separate guidelines have been issued to Human Resource Directors and Civil Rights Officers.  They do apply to provisional hires, provisional promotions and all other actions for which a valid selection process must be used.

 

 


I.   JOB DESCRIPTION

 

 

PREPARE THE JOB DESCRIPTION

 

A critical first step in the hiring process is preparing a comprehensive job description.  The job description should set forth exactly what a job entails to determine the necessary and desired qualifications of the candidate.  Job descriptions are pivotal in developing the screening criteria, preparing the questions for the interview and finally in the selection process. Describe all work the position involves.  Detail is critical.

 

The following information should be contained in a job description:

 

  • job title and grade within the agency;
  • the responsibilities of the job (distinguish between those functions that are essential to the job and those that are marginal);
  • the critical success indicators;
  • the formal reporting relationship;
  • with whom will the person come in contact (external and internal);
  • support, authority, and resources necessary and available to do the job.

 

The job description should contain the minimum entrance requirements (MER), special requirements, and preferred qualifications.  Useful sources available to prepare the job description are the job classification specification, non-management position description or management position questionnaire (MQ), performance evaluation forms (EPRS/MPRS), and vacancy announcements.

 

From the job description, the following information, which will be useful in developing the screening criteria, preparing the questions for the interview and making the final selection, should be extracted:

 

  • Primary Duties/Responsibilities : the key responsibilities and the tasks necessary to fill these responsibilities (these are called “the essential functions of the job” as opposed to marginal functions). 
  • Communication Requirements : persons with whom the candidate will interact; types of written or oral reports or presentations that the candidate will prepare or make.
  • Supervisory Responsibilities : who will report to the individual, what is the nature and scope of the job’s supervisory responsibilities.
  • Work Environment Characteristics : pace of the workplace, daily schedule, is there travel involved.
  • Type of Supervision Received : hands-on day-to-day supervision or minimal supervision.
  • Organizational Values : organizational values needed in this position, eg “focus on customer service”.

 

From all this information contained in or extracted from the job description, make a list of the experience, skills, characteristics, and subject matter knowledge required of a person entering the job. The list could include leadership qualities, management skills, computer expertise, interpersonal skills, ability to work under pressure, amount of supervision needed, and any physical abilities required to perform the essential functions of the job.

 


CLASSIFY THE JOB

 

After preparing the job description and prior to posting, the hiring manager should ensure that the job is properly classified by consulting with human resource staff.  Any changes to the job title must be made prior to posting the vacancy on HRD’s Commonwealth Employment Opportunities website (CEO).

 

 


II.  
VACANCY ANNOUNCEMENT :

 

 

OBTAIN INITIAL APPROVAL TO POST

 

Prior to advertising a vacancy, agencies should ensure that they have obtained any required approvals to post the position, based on the most recent hiring procedures issued by HRD.  Also, exceptions from this prior approval process are generally allowed for certain core public safety and direct care positions.

 

Prior to the posting of a vacancy announcement, agencies should also verify with HRD that there is not an active Civil Service list for the position.  If no list is in existence, then the vacancy must be posted on the Commonwealth Employment Opportunity (CEO) web page for at least 14 days.  The 14-day posting period will not apply to internal vacancies posted under the provisions of collective bargaining agreements, which must first be posted internally for the time period specified in the relevant agreements.  The vacancy announcement itself and the position description used to prepare it must also be provided to the agency Civil Rights Officer for review five days before posting the position (per section 4.1 of the Affirmative Action Plan) .

 

PREPARE AND POST THE VACANCY ANNOUNCEMENT

 

Taking the time to prepare an appealing vacancy announcement that states the specifics of the position duties will be helpful in attracting applicants for the position.  It is important to present the information in an interesting and exciting fashion. 

 

The vacancy announcement should include the following:

 

  • A summary of the position that will spark initial interest, identifying the challenges and rewards of the position, scope of the responsibility, the area to be managed, as well as the reporting relationships.  Use language that is dynamic and inviting.

 

  • A description of the duties and responsibilities that identifies the main tasks (essential functions) to be performed by the incumbent.

 

  • The minimum entrance requirements from the official class specification for the position title which describe the minimum level of education and/or experience and substitutions for such that an applicant must possess in order to be considered for a job (note that CEO automatically enters this information on the vacancy announcement).

 

  • Special requirements from the official class specification for the position title, such as special registration, licensure, certification or educational credentials, bi-lingual skills, etc., that the job requires.

 

  • The preferred qualifications identify the approximate level (amount) and type of experience, education, subject matter knowledge, professional skills and abilities being sought in the successful applicant. 


III.   RECRUITMENT PLAN

 

At the time the vacancy announcement is generated, recruitment sources should be identified. The most inexpensive and most often overlooked method of recruitment is recruitment from within.  Many employers often overlook qualified employees willing and ready to take on new challenges.  The recruitment plan is also the means to address increasing the diversity of the potential pool of candidates.  There are many no-cost ways to recruit a diverse pool of candidates.

 

No-cost recruitment sources:

  • referrals from current employees;
  • word of mouth to friends, neighbors, and professional contacts;
  • professional and personal acquaintances, valued customers and others;
  • agency’s and/or HRD’s recruitment resource list (See section 4 of Affirmative Action Plan, or contact State Office of Affirmative Action for the statewide Recruitment Resource list, which is contained in an Access database);
  • bulletin boards and job placement offices at technical schools, high schools, colleges, universities and other educational institutions, and their alumni associations.
  • bulletin boards at community centers and libraries;
  • local professional organizations such as the chamber of commerce, women’s groups, trade organizations, and diversity, multicultural and disability organizations; 
  • public employment services such as the local Career Centers; and
  • customers, vendors, and businesses that are downsizing.

 

In some instances paid advertisement should be employed.  HRD centrally advertises the availability of the Commonwealth Employment Opportunity (CEO) website through direct mailings to organizations.  Agencies should use paid advertisements only for cases in which the CEO may not be effective, such as poor labor market conditions or hard to find skills.  If agencies feel it is more cost-effective to pool their resources and have HRD handle their advertising centrally, HRD is available to do this.   In all cases, the following paid sources can be used, and their use should be coordinated through the agency’s Human Resources Director and Civil Rights Officer:

 

  • newspapers;
  • professional journals; and 
  • online recruiting sites.

 

The advertisements should include a brief job description of the main duties to be performed, the MER, special requirements, and preferred qualifications.  Additional information should “sell” applicants on responding.  Put a positive spin on the ad by pointing out good things about the agency and the state’s excellent benefits.

 

 


IV.           SCREENING PROCESS

 

 

 

DEVELOP SCREENING CRITERIA

 

 

 

From the job description, develop screening criteria that will be used to review cover letters and resumes to select the candidate to be interviewed. The purpose of the screening criteria is to ensure that all candidates to be interviewed meet a specified competency level. All applicants must be screened using the same criteria. During the screening process, keep in mind the Commonwealth’s commitment to establish a highly talented workforce that reflects diversity.

 

Establish screening criteria based on the minimum entrance requirements, special requirements, and the essential skills and subject matter knowledge that an individual must possess in order to do the job.  The screening criteria should be based on competencies that generally would/should/could be listed on the resume. Critically review the resumes and cover letters to determine if the candidate meets the established screening criteria. Ensure that all screeners are reviewing resume for the same set of skills.  Use a screening form such as the model in Appendix 3 -2 to record the results of the screening process; this will also ensure consistency of screening.  Letters in Appendices 3 - 3 through 3- 5 may be used to notify applicants of their initial status in the selection process.

 

SCREEN COVER LETTERS AND RESUMES

 

Look for personalized cover letters with the correct titles, address, and specifics of the position, such as the CEO number assigned to the posting.  If communication skills are essential to the position, the cover letter will provide a means of assessing the applicant’s writing skills. The cover letter should be reviewed for the following:

 

  • is it personalized
  • is it free of typos and incorrect grammar
  • is it in correct letter format
  • is it one page, 3-4 paragraphs
  • does it contain an introductory paragraph that explains why the applicant is applying for the position
  • does it contain one or two middle paragraphs highlighting accomplishments and experiences
  • does it contain a closing paragraph stating what action the applicant will take

 

Various types of resumes exist, from chronological to functional.  Whatever format the applicant chooses to use, when screening resumes look for the following:

 

  • communicates interest in the offered position
  • summarizes skills, accomplishments, education, and work experience
  • do the applicant’s skills and background meet the screening criteria established
  • supports ability to perform job
  • does the applicant’s job history demonstrate progress, i.e., increased responsibility
  • does the work history reflect job stability (but consider market conditions that may cause instability for certain types of jobs)
  • is no more that 2 pages
  • does not contain typographical errors.

 

It is strongly recommended that more than one person screen cover letters and resumes, preferably human resource and civil rights staff members.  When complete, the screeners can cross reference their results, review their results with the agency’s Civil Rights Officer and make the final decisions regarding who to invite for an interview. The screening criteria also enable screeners to limit the number of candidates interviewed to a reasonable number. A good target in terms of the number of candidates is from three to seven (or 20% for large applicant pools): this will allow a good basis for comparison without requiring an unreasonable time commitment to conduct the interview process. Agencies should make every effort to interview all qualified internal applicants that apply. If the screening process results in fewer than three candidates possessing the essential competencies, consider reposting the position for another 14 days.

 

REQUEST EMPLOYMENT APPLICATION FORM

 

It is recommended that all candidates selected to be interviewed be requested to complete the standard Commonwealth Employment Application form prior to the interview.  At minimum, all candidates in the final selection pool (as determined by the Agency Head) are required to complete this form.  The information on the application will supplement the information contained in the resume and gathered during the interview.  The Commonwealth of Massachusetts Application for Employment is provided in Ap p e ndix 3-6 .  This is a standard form that must be used for hiring by all Executive Branch agencies.  Agencies may edit the application form by adding pages to it, but no pages may be removed with the exception of those marked “insert”.

 

Executive Order 444: It should be noted that Executive Order 444, issued on January 9, 2003 by Governor Mitt Romney and implemented by HRD on February 3, 2003, necessitates that job candidates disclose the names, titles and state agencies of immediate family members and those related to them by marriage who are employed with the state (see definitions used on the form itself). Agency heads are required to provide this information, taken from the employee’s or job candidate’s employment application, if requested to do so by a member of the public. This "sunshine disclosure" is intended to ensure that the citizens of our Commonwealth have full confidence in their government and its hiring process. The disclosure will not be used to exclude any qualified applicant seeking a position within the Executive Branch from receiving full consideration based on the merits of his/her credentials and the requirements of the job.  The following describes the main elements of the policy, although agencies should consult the most recent version of the policy displayed on HRD’s Intranet site for details.

 

Definitions

 

  • For the purposes of this business process immediate family is defined as a spouse, child, parent, and sibling; and those related to the immediate family by marriage.

 

  • The definition of those “employed by the Commonwealth” is “an employee or elected official of any branch of state government” (judicial, legislative, executive, including higher education and state authorities); both regular employees and contract employees are included.

 

Responsibility of Department Heads

 

  • The responsibility for compliance with Executive Order 444 will reside with Department Heads, who are considered the legal hiring authorities for their departments.  In the case of large agencies, the Department Head may choose to delegate this to their HR Directors.  The Department Head will be responsible for the following:

 

  • Establishing internal controls that ensure close review of all steps in the hiring process, validation that the candidate selected was the most qualified, and determination that there was no undue influence exerted by the named family members in the process;

 

  • Ensuring that no employee is supervised, directly or indirectly, by an immediate family member;

 

  • Ensuring that employees excuse themselves from participation in any part of the hiring process for individuals who are members of their immediate family; and

 

  • Providing information disclosing immediate family members of new hires to members of the general public, upon request.

 

Potential Conflicts

 

  • If a potential new hire or contract employee has the appearance of a conflict with the language or intent of this policy, the Department Head should discuss this issue with HRD before proceeding with the hiring process.

 

Scope of the Policy

 

  • The information that must be gathered and provided to the public will be required of all those Executive Branch candidates who are hired on or after January 9, 2003 (the effective date of the Executive Order).  All candidates who are under consideration for positions from that date forward must complete the new standard application form.  The policy describes some exceptions for current state employees who are promoted, demoted or transferred to other state positions on or after that date, although all such employees are still bound by the provisions of this policy that forbid the supervision by or of family members and involvement in the selection process of family members, as well as other provisions of the State Ethics Commission statutes that apply to state employees.  The public disclosure provision applies equally to regular and contract employees. 

 

 


V.   STRUCTURED INTERVIEW

 

 

GUIDELINES FOR STRUCTURED INTERVIEWS

 

Selecting a qualified candidate for the job is the #1 priority of the selection process.  The employment interview is conducted to learn more about the suitability of the candidate under consideration for a particular job. Simply put, the interview is a formal, in-depth conversation conducted to evaluate an applicant’s compatibility for the job opening. 

 

There are clear limitations to the utility of interviews due to the very human nature of the process.  So, whereas it may be difficult to change or modify the behavior of individual interviewers (although extensive training of interviewers will help), the process itself may be improved.  To this end, it is strongly recommended that agencies utilize a structured interview, which will make the interviewing process more systematic.

 

A structured interview is the standardizing of the development, administration, scoring, and interpretation of an applicant’s score.  The intent of a structured interview is to have all applicants be treated the same way when applying for a position. A structured interview requires all applicants applying for the same job to be asked the same job-related questions.  A structured interview provides more objectivity to the interview process through interview panels, prepared questions based on the job description, and rating forms.   A structured interview entails:

 

  • Panel Interviews: The validity of interviews is improved through the use of panel interviews, in which three to five persons meet together with each applicant.  The process of creating a group consensus reduces the likelihood of individual biases influencing the final decision, and is therefore likely to produce a better decision.  Consideration should be given to the makeup of the panel relative to diversity.

 

  • Job-related Questions: During the interview, applicants are asked identical, pre-determined questions, and their responses are written down.  Job descriptions help interviewers focus their attention on relevant, job-related information and to confine their interview questions to the essential functions of the job.  Job descriptions should be perused before the interview begins.  By using job descriptions, the interviewers can assess the relative weight or importance of each component of the job.  The job descriptions also provide a useful frame of reference for developing structured interview questions.  The same set of questions must be used for the same types of jobs.

 

  • Rating Forms: Interviewers can use job-related information most effectively when their questions and assessments are guided by a rating form.  In other words, the job’s major qualifications should be listed separately on a rating form, and each of these should be covered by a set of appropriate questions.  The rating form thus prompts each interviewer to rate the applicants on all critical job behaviors as identified in the job description. The rating process can be further improved by anchoring questions to specific behaviors.  At this stage, the interviewers develop a scoring system for each question.  The scoring process involves developing examples of excellent, acceptable and marginal answers to questions or generally determining what kind of response is wanted.  Next, numerical weights are pre-assigned to particular responses (e.g. Excellent=5, Acceptable=3, and Poor=1).  Individual questions may be weighted in terms of the overall importance of the particular skill being assessed to the job as a whole, to obtain a weighted score.

 

Using interview panels, predetermined questions, and rating forms may appear to make interviews impersonal.  However, at the same time, they become more job-related.  Spontaneity is sacrificed for the consistent treatment of applicants and to prevent raters from making snap judgements. Highly structured interviews predict job success more accurately than informal approaches.

 

CONVENE AN INTERVIEW PANEL

 

Use of an interview team, i.e. more than one interviewer, is the preferred approach for conducting interviews.  Ideally, a team of three to five interviewers should be able to provide ample perspective, and having a team that consists of culturally diverse members will increase the richness of the perspective that the team can provide.   Larger teams can overwhelm an applicant, hampering performance during the interview.  In addition, the presence of more interviewers can easily overburden the process, resulting in an interview that feels more like an interrogation.  Note that the same team should be used for all interviews for a given position, and all team members should be present for each interview.  Preferably the team members should be at the same or higher organizational level and representatives from the specified profession should be included. About half the panel members should be in a supervisory capacity.  Some collective bargaining contracts may require that only supervisors, and not peers, be used as interviewers.  A representative from the agency’s Civil Rights Office should be invited to participate.

 

The team should meet during the 14-day posting period.  The objectives of that initial meeting are:

  • review the vacancy announcement and job requirements
  • discuss the scheduling of interviews
  • determine the length of the interview
  • review and gain agreement regarding the interview questions and format of the interview, such as whether or not questions will be redirected
  • review and gain agreement on the scoring instructions and the process for selecting the candidate who will receive a second interview
  • assign questions to team members
  • practice the interview
  • review the resumes

 

One member of the team should be identified as the team leader.  The team leader will be responsible for conducting the flow of the interview, including introductions, explanations of the entire interview and selection process, additional information about the position, initial questioning, control of the interview, follow up questions and conclusion of the process.  After the interview process is complete, the leader will prepare summary results of the applicants interviewed.

 

PREPARE INTERVIEW QUESTIONS

 

The purpose of the interview questions is to learn about the candidate’s work experience, his/her knowledge, skill, and abilities, his/her management style and his/her career and professional goals from a variety of angles.  Additionally, the interview questions should give the interviewers an idea of the candidate’s motivation to perform and experience working with a diverse workforce.   An excellent predictor of future job performance is past job performance.

 

Who develops the questions?  The questions can be developed by HR personnel, the hiring manager, the interview team or some combination thereof.  Regardless of who develops them, the interview questions should focus on job related qualifications.  The questions to be used and the group of individuals to be interviewed should be reviewed by the agency’s Civil Rights Officer prior to conducting the interviews.  

 

What are some general procedures to develop the interview questions?  A well-prepared job description is critical in developing interview questions.  Using the list of  experiences, skills, characteristics, and subject matter knowledge, developed from the job description, draft a series of questions. 

 

Questions should: 

  • measure knowledge, skills and ability needed to do the job.
  • assess only prerequisites for performing important aspects of the job.
  • not be based on knowledge, skills and abilities to be learned on the job.
  • not focus on specific agency rules, regulations, and policies, the applicants are not expected to know such information.
  • be open-ended requiring more than a yes or no response. 
  • not be predictable or telegraph the response that is being sought.
  • allow the interviewers to explore the candidate’s current and previous positions and  search for the highlights of these experiences.
  • allow the interviewers to uncover the candidate’s preferences and work behaviors.
  • focus on the candidate’s professional skills and knowledge. 
  • allow the candidate to recall and describe specific events to give the interviewer an opportunity to determine whether the candidate has desired skills based on the candidate’s behavior in the situation.
  • seek information about the candidate’s management style, as well as his/her preferences regarding management style of the supervising manager. 
  • focus on the candidate’s past and future goals.
  • allow the candidate the opportunity to summarize strengths and identify potential areas of development and explain his/her approach to professional development.

 

Keep in mind that it is better to have five or six good questions than 10 or more vague questions.  The information obtained from a single question may allow the interviewer to assess multiple areas being explored in the interview.  Below is an extensive list of interview questions.  Choose a combination of questions that will allow the interviewers to make an assessment of whether the individual has the work experience, skills, characteristics, and the subject matter knowledge required to do the job.  Remember these can include leadership qualities, management style, ability to work under pressure, etc. 

 

SAMPLE QUESTIONS

 

Work History:

  • Describe projects or duties that you found most/least interesting.
  • Describe aspects of your last position that were most/least enjoyable.
  • Describe your most significant contribution.
  • Describe the types of interactions with professional peers, fellow employees, and other people that you have dealt with as part of your job.
  • Describe the diversity present in your organization, and the benefits and challenges you experienced as a result of this diversity.
  • Describe a problem that you encountered in your current position and the approach you used to resolve the problem.
  • Describe your ability in meeting deadlines for projects in your current position.
  • What has been the accomplishment of which you are most proud?
  • What job have you liked the most/the least?  Why? 
  • What factors are most important to you in terms of job satisfaction? 
  • What are your key responsibilities or objectives in your current position? Which of these objectives have you performed particularly well?  Why?  Which of these have you performed least well?  Why?
  • What effect have your accomplishments had on your current organization? 
  • Describe your experiences in working independently on projects. 
  • Of the various environments in which you have worked, which did you enjoy least?
  • Of the various environments in which you have worked, which did you enjoy most?

 

Professional Skills:

  • Tell me about a specific situation in which you prevented a problem before it occurred. 
  • In general, how qualified do you feel to perform this position?  Why?
  • With which aspects of the position do you feel most comfortable? 
  • With which aspects of the position do your feel least comfortable? 
  • Describe an innovative change you implemented in your last job. 
  • Describe the most significant written document you have completed.
  • Describe your most successful presentation. 
  • Describe a conflict you mediated between two individuals.  What steps did you take to mediate and resolve the conflict? 
  • How would your colleagues describe your strengths? Your subordinates? 
  • What skills would you bring to our agency that other candidates may not have? 
  • If we talked to your former supervisor how would he/she describe your performance?
  • Will you need additional training to perform the duties of the current position?

 

Management Style:

  • What would you do if you encountered irreconcilable differences with your immediate supervisor?
  • How do you motivate subordinates? 
  • What do you consider to be your greatest strength as a manager?
  • What do you consider your greatest shortcoming as a manager? 
  • Tell me about a rewarding supervisory experience you have had? 
  • Tell me about a supervisory experience that didn’t turn out well and why?
  • Describe how you conduct supervision currently.  Do you meet with your subordinates as a group, or on an individual basis?  How often do you meet? 
  • Describe specific examples of how you have facilitated the development of one of your employees. 
  • How would your staff describe your management style? 
  • How do you communicate information to your staff?
  • Have you ever had hire/fire responsibility?  Describe a case of each.
  • What did you do in your last job to promote a team environment? 
  • What sort of manager do you prefer working for?  What sort of manager do you have the most difficulty working with? 
  • How would you describe your current supervisor’s management style: What aspects do you like the most? The least? 
  • Describe the amount of structure, direction, and feedback that are optimal for you. 
  • What are the criteria you would use to evaluate someone’s management style? 

 

Career Goals or Professional Development:

  • What goals have you set for the next 6 months in your current position?
  • How have you progressed up through the ranks to get where you are?
  • What about this position makes it the right step in your career path? 
  • What are your career goals?
  • What improvement needs have been identified in recent reviews? 
  • What areas do you need to develop to round out your professional strengths? 
  • What professional development activities have you participated in? 
  • What books/ publications have you read that relate directly to your profession or job?
  • What steps have you taken to enhance your professional development?
  • What books are on your professional reading list for this coming year? 
  • What are you looking for in your next position?
  • Where do you hope to be five years from now?
  • What did you do assist in your professional development in your last position?
  • For which part or parts of this position would you need training?
  • What are your short-term career objectives?  Why?
  • What are your long-term career objectives?   Why? 
  • To what extent is this position relevant to your career objectives? 

 

Miscellaneous:

  • Is there anything else you feel is important for me to know about you? 
  • Describe your ideal job? 
  • What kind of work are you interested in? 
  • If you could do the last 5 years over, what would you do differently? 
  • Do you have any geographical preferences?
  • What do you know about our agency products and service? 
  • Why do you want to work for our agency? 
  • Why are you the best applicant for this position? 
  • Why do you wish to leave your current position?  What factors have led to this decision? 
  • What might your present agency/department do to become more successful? 
  • If you could describe yourself in three words, what would they be?

 

DEVELOP THE RATING PROCESS

 

The rating form is an individual assessment form used to score candidates.  Additionally, the rating form allows the interviewers to record and summarize their observations.

 

The decisions regarding how the responses will be judged or rated are made prior to interviewing applicants. A simple approach is to score the candidate’s response to each question during an interview. Determine generally what kind of response is wanted and what qualifications are being measured for each question.

 

Determine a point scale .  A 1-5 point scale is recommended wherein 5=Excellent, 3=Acceptable, and 1=Poor. A scoring key is developed to minimize interviewers’ biases.  When applicants are compared to one another, generally the applicant with the highest score is the first choice.  However, the interview team, prior to starting the interview, should determine how they will handle the following: 

-           tie scores

-           large discrepancies in the scores.

 

Using a separate rating form for each candidate, each panel member scores the candidate on each question.  (See model individual rating form in Appen d ix 3-7 .)  Then at the end of the interview process, the team leader prepares a summary interview form (see Ap p endix 3-8 ) that includes the scoring results by each interviewer for each candidates.  The rating sheets will be submitted to the agency’s human resources unit with other required materials at the conclusion of the selection process.  It is important to know that these rating sheets may be used in defense of a hiring decision in the event of a challenge.

 

Each interviewer scores each candidate based on responses to the questions and not on superficial factors such as his/her attire.  Interviewers should not let the response to a single question sway the scores given on the remainder of the questions.  The interviewer should examine any assumptions he/she makes of someone’s nonverbal behavior; remember that such behaviors often have a cultural significance.   Most candidates will be nervous, and their anxiety will be reflected in their behavior during the interview.  The interviewer should focus the evaluation not on the nervous behavior, but on the responses to the questions.

 

Comments can include descriptions of the candidate’s behavior during the interview, for example:   Candidate spoke in a monotone.  Notes regarding content presented by the candidate are also appropriate: received with a national award; demonstrated clear understanding of managing diversity in the workplace .  Notes regarding inferences drawn by the interviewer about a candidate are not appropriate Candidate appears lazy and unmotivated.   Interviewers should also take care not to record irrelevant information on scoring sheets, nor to doodle on them, as this information could also come into question in the event of a challenge.

 

 

 

 

 

 

 

 

 

 

CONDUCT FIRST ROUND OF INTERVIEWS

 

The interview is critical to a successful hire.  Common mistakes are that the interviewers talk too much and fail to get adequate information from the candidates.  Additionally, interviewers fail to manage the flow of the interview or are just not prepared.

 

Consideration should be given to where the interview will be held.  The location should be accessible, private, comfortable, and free of distractions.

 

  • Accessibility   Choose a location that the candidates can easily find and that is accessible to individuals with disabilities; provide clear directions to candidates on how to find the location.
  • Privacy Ideally the interview should take place behind closed doors.
  • Comfort   Select a pleasant and comfortable environment.  The seating arrangement should be conducive to discussion; chairs placed around a table are optimal.
  • Minimum Distraction   Eliminate interruptions, including phone calls that might prevent full concentration on the interview.

 

All the supplies needed for the interview should be readily available.  Have available: rating forms, pens, paper, resumes, and position descriptions for members of the interview team.  For the candidate, have relevant job-related information such as: an organization chart, an agency newsletter, benefit information, and the interviewer’s  business card.

 

It is important to create a comfortable and relaxed atmosphere for the candidates. If the candidate is relaxed, the interviewers will get more and better quality information.  Furthermore, it will be giving a good impression of the agency that may increase the “acceptance rate” of talented candidates. 

 

Greet the candidate by name.  The interviewer introduces himself/herself, giving his/her name, title and, if necessary, a brief sentence or two about where he/she fits in the organization. The tone of the greeting should be warm and pleasant.  Once in the interview room, introduce the candidate to the other panel members.  Finally, thank the candidate for coming to the interview.

 

The interview provides the interviewers with a brief opportunity to gain much information.  To do this, a well-planned guide for structuring the interview is needed.  The model presented here includes 3 main sections: the introduction, the questions, and the closing.

 

Introduction : includes the initial greetings, introductions and small talk designed to put the candidate at ease.  Present an overview statement describing the interview process. Outline the position’s duties and responsibilities as clearly as possible, and ask the candidate if he or she is able to perform the essential functions of the job. This provides the candidate with information about what will be covered in the interview, and serves to demonstrate to the candidate that the interviewer will control the interview structure.  Inform the candidate that panel members will be taking notes.

 

Questions : Many approaches exist for interviewing candidates.  Research points to the advantages of a structured job interview that focuses on a candidate’s work history and experience. The interviewers’ job is to explore the candidate’s work history from a variety of angles, enabling them to learn about the candidate’s specific skills, conditions that motivate the candidate to excel, management style, and experience working with a diverse workforce.  Time in the interview is limited, so narrow the list of questions to be asked. 

 

When selecting questions for the interview, remember that there will most likely be at least one follow-up interview for the finalists.  Determine which questions are more appropriate for the initial interview, and which questions are more appropriate for a second interview.  After asking the questions, provide the candidate with an opportunity to present any other information that he/she feels is particularly relevant.

 

Appendix 3- 9 should be consulted to ensure that questions used for the interview are non-discriminatory.

 

Closing :  The interviewers have the opportunity to explore the candidate’s level of interest in the job. Provide the candidate with an opportunity to ask questions. This is an opportunity to address any concerns the candidate might have, as well as a chance to “sell” the benefits of the position.  

 

Next, “market” the agency as a rewarding place to work by providing some information about the agency including brochures or pamphlets that describe the agency and the work it does.  Provide any articles highlighting the success of the agency and other attractive information. 

 

Next, inform the candidate of next steps, as well as tentative timelines for the decision process.  Have the applicant sign a release of information authorization on the reference check forms, and ask the applicant what he/she believes will be said about him/her from the references.  This provides an opportunity for the candidate to explain any negative feedback that the interviewer might receive, and the interviewer to hear the candidate’s side of the story.

 

Immediately after each interview has concluded and the applicant has been escorted out, each panel member should combine the scores for each question for a total score.   Each panel member’s total score for the applicant is then listed on the summary rating form. 

 

At the conclusion of the first round of interviews, the scores listed on the summary rating form for each applicant are totaled.  The applicants are ranked according to total score.  

 

CONDUCT SECOND ROUND OF INTERVIEWS

 

A second interview should be initiated for the top two or three candidates based on information gathered from the resume, application, and first interview. 

 

The second interview could be used as an opportunity for the supervising manager to evaluate the candidate.  It provides a valuable means to cross check information and to obtain additional details on the candidates.  

 

As part of the second interview, candidates should have an opportunity to meet individuals with whom they may be working, tour the facilities, review agency philosophy, and ask additional questions. The applicant will find a second interview very valuable.  This establishes a good starting point to build a future employment relationship.

 

The second round of interviews should be conducted in the same manner as the first round of interviews. 

 

 


VI.  
FINAL SELECTION

 

 

CHECK REFERENCES

 

The hiring manager or human resources unit should conduct reference checks.   Reference checks can be completed over the phone or in writing.  Employment references are useful primarily as confirmation of prior employment, dates and salary.   It is recommended that the reference check be started by attaining factual information verifying employment.  From there proceed to more detailed information regarding the applicant’s communication skills, satisfaction of co-workers, supervisor’s satisfaction with performance, ability to meet demands of the job and most importantly, the agency’s willingness to rehire. Reference checks may unveil potential problems in applicants, especially when there are conflicting statements between the applicant and the reference.  Model reference check forms are provided in Appendices 3-10 and 3-11.  Telephone references are preferable; if a request in writing is made for references, it is strongly suggested that telephone contact also be made to verify that the person providing the written reference is, for example, employed in the function he/she lists on the form.

 

Reference checks may be difficult because many companies avoid providing detailed information regarding the applicant. Applicants not hired may sue their current or prior employer for giving a defaming reference. 

 

Consider all the information gathered from all the references.  Do not be overly swayed by one negative reference.  One negative reference may be the result of a strained interpersonal relationship.

 

RECOMMEND A CANDIDATE FOR HIRE

 

Based on the outcome of the scores from the second interview and the information gathered from the reference check, the final candidate should be selected and recommended for hire.

 

 


VII.   
APPROVAL PROCESS

 

 

Internal Approval Process

 

The hiring manager, upon receiving the necessary approval from his/her supervising manager, compiles a hiring package that includes a cover memorandum signed by the hiring manager explaining why the candidate is being recommended and describing the process followed.  Attached to the hiring manager’s memorandum is the resume, application, and reference checks of the candidate recommended for hire.  The hiring manager’s memorandum should indicate whether the candidate was internal or external.  In addition the package must include the Civil Rights Officer’s Action Report (see Ap p endix 3-12 for a model of this report; at minimum, the report must cover all of the items contained in the State Office of Affirmative Action’s most recent Model Affirmative Action Plan, section 4.3), copies of all the resumes received, and the rating sheets for the interviews.  The hiring package must be reviewed and approved by the agency Civil Rights Officer. 

 

The Civil Rights Officer (CRO) reviews hiring paperwork to determine whether or not the requirements contained in the agency’s Affirmative Action Plan have been met.  If the CRO finds that the affirmative action plan requirements have been met, he/she approves the hiring package and forwards it to human resources unit.

 

If the CRO has concerns about whether the process was in compliance with affirmative action plan requirements, the CRO must contact the hiring manager for clarification.  If the CRO’s concerns are not allayed by the hiring manager, there should be a meeting with the CRO, the hiring manager, and the human resource director to reach an agreement.  If agreement cannot be reached  at this level, the issue should be addressed first by the Agency Head, then by the Secretariat and finally by the State Office of Affirmative Action/HRD.

 

Upon receiving a hiring package that the CRO has approved, the agency’s human resources unit, with input from the hiring manager if necessary, will determine the salary in accordance with HRD guidelines; the salary selected may require prior approval by HRD before a formal offer can ultimately be made.  

 

Final Approval for Non-Management AND MANAGER i THROUGH IV Hires

 

For non-management positions, and management positions I through IV, the hiring package approved by the agency Civil Rights Officer, as described in the previous section and including the salary information, is forwarded to the agency head, or his/her designee, for approval.   This internal approval process may also require completion of an acceptable background check before a formal offer can be made (C.O.R.I, police, etc).   Upon receipt of internal approval, the human resources unit or hiring manager sends an offer letter to the selected candidate (see model letter in Ap p endix 3-13 ).  Once the candidate has started in the position, the human resources unit or the hiring manager notifies all candidates of non-selection (see model letter in Appendix 3-14 ).

 


Final Approval for ManageR V THROUGH XII Hires

 

For management positions V through XII, the agency human resources unit prepares a hiring package that is forwarded to the agency head or his/her designee for his/her approval.  At the agency level, the appointment should be approved by the Civil Rights Officer (CRO), the Human Resource Director, and the Agency Head.  At the secretariat level, if applicable, the appointment should be approved by the secretariat Human Resource Manager, secretariat CRO and the Cabinet Secretary.

 

When all the applicable approvals are obtained, the agency Human Resources Director must take steps to obtain external approval to hire the candidate, based upon whatever approval procedures are in place at the time (for example, approval by HRD and/or the Governor’s Office). HRD’s website should be consulted to determine the most current external approval process, which may involve use of an automated process such as the Notice of Intent to Hire (NIH) system.

 

Managers V through VIII

 

Upon receiving external approvals, the agency may choose to make a conditional offer of employment which is contingent upon completion of a “post-hire” tax and background checks for Managers V through VIII.  The conditional offer letter contains an Employee Acknowledgement Form for the candidate to sign, indicating that to the best of his/her knowledge there is nothing in his/her background that is problematic, and then he/she is provided with the applicable tax and background check forms to complete. If the agency wishes, the candidate can start before the applicable checks are complete, as long as he/she completes a First Day Declaration Form confirming that the tax and background check forms have been submitted as of the first official day of employment.  If tax and background checks are rejected at a later date, the manager must be removed from the position.  The agency also has the option of withholding the final offer of employment until the candidate’s approved tax and background check is received.

 

Model letters for conditional and final offers to, and confirmation of acceptance from, candidates are contained in Appendices 3-13 , 3-15 and 3-16 . The Employee Acknowledgement and First Day Declaration forms are included as part of Appendix 3-15 .

 

Managers IX through XII

 

For managers IX through XII, the candidates must complete tax and background check forms and receive final approval of these forms, and the agency must receive final approval by the Governor’s Office for the hire, before a formal offer of employment can be made. Both the Governor’s Office and HRD must approve appointments for all agency heads and their direct reports.  Agency human resource directors should check with HRD for the most current process for obtaining external approval for managers at these levels.

 

Model letters for conditional and final offers to and confirmation of acceptance from, candidates for M IX through XII are contained in Appendices 3-13 , 3-15 and 3-16 .


COMMONWEALTH OF MASSACHUSETTS

HUMAN RESOURCES DIVISION

MODEL HIRING PLAN

 

VIII.  APPENDICES: MODEL AND REQUIRED FORMS FOR USE IN HIRING

 

 

3-1    Model Checklist for the Hiring Manager

 

3-2    Model Screening Form

 

3-3    Model Acknowledgement of Receipt Letter

 

3-4    Model Applicant Non-Selection Letter

 

3-5    Model Interview Letter

 

3-6    Required Commonwealth of Massachusetts Application for Employment

 

3-7    Model Individual Rating Form

 

3-8    Model Interview Summary Form

 

3-9    MCAD Pre-Employment Inquiries Fact Sheet

 

3-10   Model Telephone Reference Check

 

3-11   Model Request for Written References

3-12   Model Civil Rights Officer Action Report

 

3-13   Model Offer of Employment Letter

 

3-14   Model Candidate Non-Selection Letter

 

3-15   Model Conditional Offer of Employment (M V- XII)

 

3-16   Model Confirmation of Acceptance Letter

 


3-1

COMMONWEALTH OF MASSACHUSETTS  

HUMAN RESOURCES DIVISION

MODEL CHECKLIST FOR THE HIRING MANAGER

 

 

Posting Process

 

____ Create or Update Job Description

____ Resolve Classification Issues, If Applicable

____ Verify whether Civil Service List Exists

____ Obtain Initial Approval to Post

____ Prepare Vacancy Announcement

____ Post Vacancy on CEO for 14 days

____ Develop and Implement Recruitment Plan

 

 

Pre-Selection

____ Screen Applicants to Interview

____ Request Employment Applications

____ Convene Interview Panel

____ Develop Interview Questions and Rating Process

____ Schedule Interviews

____ Conduct First Round of Interviews

____ Conduct Second Round of Interviews

____ Check References

____ Recommend Candidate

 

Selection (Forms to be Submitted to Civil Rights Officer):

 

____ Memo Explaining Selection Reasons and Process Followed

____ Civil Rights Officer Action Report

____ All Resumes

____ Interview Questions/Responses

____ Interview Summary Form

____ Reference Documentation

____ Completed Employment Application Form


3-2

COMMONWEALTH OF MASSACHUSETTS  

HUMAN RESOURCES DIVISION

MODEL SCREENING FORM

 

 

Position Title: ________________________________________________

 

Name of Screener __________________________________________________

To complete form, list all job requirements individually in left column (List Minimum Entrance Requirements first, then Preferred Qualifications); check off each applicant that meets that requirement.  Attach additional forms if needed.

 

Job Requirements Names of Applicants                                  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant Recommended for Interview:

 

 

 

 

 

 

                                    Race-Ethnic Code:

 

 

 

 

 

 

                                                             Sex:

 

 

 

 

 

 

 

 

 


3-3

COMMONWEALTH OF MASSACHUSETTS  

HUMAN RESOURCES DIVISION

MODEL ACKNOWLEDGEMENT OF RECEIPT LETTER

 

 

 

 

[Agency Letterhead]

[Date]

 

Name of Applicant

Address

 

Dear :

 

Thank you for your interest in employment at the [name of agency].

 

We have received your resume/application for the position of:

 

[ Title of position] [Posting Number]

 

You will be contacted if we determine that an interview is appropriate.  If you are not selected for an interview at this time, please consider applying for future positions as they become available.

 

Sincerely,

 

 

[name and title of hiring manager or HR

  personnel]

 


3-4

COMMONWEALTH OF MASSACHUSETTS  

HUMAN RESOURCES DIVISION

MODEL APPLICANT NON-SELECTION LETTER

 

 

[Agency Letterhead]

[Date]

 

Name of Applicant

Address

 

Dear :

 

Thank you for your interest in the position of [position title],  [location or posting number].

 

The [name of agency] received many resumes for the position from people with strong backgrounds in this field.  We regret to inform you that you were not selected by the screening committee for an interview for this position.

 

I would encourage you to keep informed of other opportunities within the [name of agency] by viewing the Commonwealth Employment Opportunities website at http://www.mass.gov/hrd/.

 

Again, thank you for your interest in employment within [name of agency].  I wish you well in your pursuit of a career opportunity.

 

Sincerely,

 

 

[name and title of hiring manager or HR

  personnel]

 


3-5

COMMONWEALTH OF MASSACHUSETTS  

HUMAN RESOURCES DIVISION

MODEL INTERVIEW LETTER

 

 

[Agency Letterhead]

[Date]

 

Name of Applicant

Address

 

Dear :

 

Thank you for your interest in the position of [position title],  [location or posting number].

 

We would like to interview you for the above position.  The interview information is as follows:

 

Date:

Time:

Location:

Name and Phone of Contact:

Directions to Interview Location:

 

[Note: Use this letter to also inform applicants of any other aspects of the interview, eg. that there will be an interview panel, that a writing sample is requested, etc]

 

In addition, please complete the attached Employment Application Form and bring it with you to the interview.

 

Please contact me at [phone] if I may provide you with additional information.

 

Sincerely,

 

 

[name and title of hiring manager or HR

  personnel]

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPENDIX 3-6

 

 

 

 

COMMONWEALTH OF MASSACHUSETTS  

APPLICATION FOR EMPLOYMENT


Commonwealth of Massachusetts  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EXECUTIVE BRANCH

APPLICATION FOR EMPLOYMENT

 

 

Also See job postings at https://jobs.hrd.stat e .ma . us/

 

 

 

 

 

IMPORTANT

 

Instructions for completing the application form.

 

  1. Type or print clearly in black or blue ink.

 

 

  1. Answer every question fully and accurately. If not applicable, please put N/A.

 

 

  1. For an applicant for employment who meets the minimum entrance requirements, the Commonwealth may review, if applicable:
  • Criminal Offender Record Information (C.O.R.I) and;
  • Sex Offender Registry Information (S.O.R.I.) and;
  • The Central Registry of Child Abuse/Neglect reports maintained in accordance with M.G.L. Chapter 119, Section 51 B.

 

 

  1. If an offer of employment is made to you, the Commonwealth agency may declare that the offer is contingent upon the successful results of a medical exam, references, and/or a tax and background check.

 

 

  1. False or materially inaccurate information on the application will be cause for disqualification for employment or dismissal at any time during employment.

 

  1. Read certification and releases carefully before signing.

 

  1. Return completed application.

 

  1. If there is a need for an alternative version of this form, please contact the Agency Diversity Officer.

 

 

This application will be kept on file for one year but applicants are responsible for applying for each vacancy for which there is an interest in being considered .

 


COMMONWEALTH OF MASSACHUSETTS  

APPLICATION FOR EMPLOYMENT

 

 

WE ARE AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER

 

It is the policy of the Commonwealth of Massachusetts to afford equal employment opportunity to all qualified persons regardless of race, color, religion, national origin, age, military status, sexual orientation, disability, or gender, except where age or sex is a bonafide occupational qualification as allowed by the Civil Rights Act of 1964.

 

PERSONAL INFORMATION

Name   (First)                  (Middle)            (Last)            Mr.     Ms.

                                           

Home Telephone Number

Mailing Address   (Street)             (City)             (State)             Zip(Postal) Code 

                                                        

Home Address (if different from mailing address)      

                                                        

Personal Cell Phone

Personal E-Mail Address

Are you authorized to work in the U.S. on an unrestricted basis?  YES      NO   

 

Are you over 18 years or older? YES       NO  

Have you received unemployment benefits in the past 12 months?  (required question for applicants to federal stimulus jobs )

YES       NO  

 

Do you have an application pending for unemployment benefits?

(required question for applicants to federal stimulus jobs )

YES       NO  

 

Who referred you?

Employment Agency     Employee  

Newspaper advertisement

Commonwealth’s Employment Opportunities (CEO) 

Other Internet job site

Unemployment office/One-Stop Career Center

Other :

 

 

EMPLOYMENT DESIRED

Position Applied For:

How soon can you start if a job offer is made?

State Agency Applying:

Have you worked for the Commonwealth before?

NO   YES      Dates:

Starting salary desired

Are you available for full time work? YES      NO    

Are you available for part time work? YES      NO  

Have you reviewed the essential functions of the job as listed on the CEO or job posting? YES      NO  

In addition to your work history, what other experiences, skills or qualifications would qualify you for this work? 

__________________________________________________________________________________________________


EDUCATION

Name of School

Location

City                   State

Main Course of Study

Did you Graduate

Degree

            

             

             

 

 

 

 

List any additional education or training:

__________________________________________________________________________________________________

 

PROFESSIONAL REFERENCES (not personal) :  List 3 people not related to you who can comment on your work performance.

Name

Address

Occupation

Telephone Number

Years Acquainted

1

2

3

 

MILITARY SERVICE INFORMATION

This information is furnished on a voluntary basis.

 

Check all that apply :   Veteran   Disabled Veteran   Vietnam Era Veteran

Dates of Service:    to    Branch? 

If Vietnam Era Veteran, have you been certified by the Office of Diversity and Equal Opportunity? YES      NO  

If yes, what is the Certification #? 

(Please attach Form DD214 or a copy of ODEO certification.)

 

 

IMMEDIATE FAMILY WORKING IN MASSACHUSETTS STATE GOVERNMENT

 

Per Executive Order 444, please disclose any immediate family members, including those related to your immediate family by marriage, who are employed by the Commonwealth of Massachusetts .  You are required to complete the information below.  “Immediate family” is defined as a spouse, child, parent, and sibling; and the spouse’s child, parent and sibling.  Include those employed in all branches of state government: judicial, legislative, executive, higher education and state authorities; and those employed as regular or contract employees, or elected officials.  This "sunshine disclosure" is intended to ensure that the citizens of our Commonwealth have full confidence in their government and its hiring process.  The disclosure will not be used to exclude any qualified applicant seeking a position within the Executive Branch from receiving full consideration based on the merits of his/her credentials and the requirements of the job.  Attach additional pages if needed.

 

Name of Relative

Relationship

Title of Relative’s Job

State Agency

 

IF YOU NEED ADDITIONAL SPACE PLEASE ATTACH A SEPARATE SHEET

EMPLOYMENT HISTORY

Are you employed now?  Yes   No

 

COMPLETE ALL INFORMATION IN FULL . All applicants must complete this page even if they are also submitting a resume.

Begin with your most recent employment, including any present employment.   Your present employer will not be contacted without your permission. You may include any verifiable work performed on a volunteer basis. Any gaps in employment must be briefly explained.

 

Company Name

May we contact?      Yes      No

Street Address                                            Telephone

                                   

Specific Duties

City & State                                               Postal Code

                        

Job Title

Supervisor

 

                                       From              To

Dates Employed:                      

Salary

Reason for Leaving

 

Company Name

May we contact?      Yes      No

Street Address                                            Telephone

                                 

Specific Duties

City & State                                               ZIP (Postal) Code

                                 

Job Title

Supervisor

                                       From              To

Dates Employed:                     

Salary

Reason for Leaving

 

Company Name

May we contact?      Yes      No

Street Address                                            Telephone

                                  

Specific Duties

City & State                                               ZIP (Postal) Code

                                 

Job Title

Supervisor

 

                                       From              To

Dates Employed:                       

Salary

Reason for Leaving

 


ALL APPLICANTS MUST SIGN AND SUBMIT THIS PAGE

 

RELEASE AND CERTIFICATION

PLEASE READ BEFORE SIGNING

 

I understand that the foregoing will be verified in order to expedite my application for employment with the Commonwealth of Massachusetts .  I hereby authorize the Commonwealth to conduct a full investigation into my background.

 

I authorize the Commonwealth to obtain my previous work records, employment records, character references and any other information concerning character, ability and habits and all other necessary information.  Further I grant authority to the keeper of these records to release said records to the Commonwealth of Massachusetts for the purpose of making its hiring decision.  I agree that the Commonwealth shall not be liable in any respect if a job offer is not extended, is withdrawn, or my employment is terminated because of false statement, omissions or answers made by me on this application.  I agree that my previous employers shall not be liable with regard to any information provided by them in connection with this release.

 

I certify under the pains and penalty of perjury that all statements made by me on this application are true and complete to the best of my knowledge and that I have withheld nothing, which, if disclosed, would affect this application unfavorably.  I understand that any false statements, omissions or answers made by me on this application can result in my immediate termination.

 

In compliance with the Immigration and Reform and Control Act of 1986, I understand that I will be required to provide approved documentation that verifies my right to work in the United States on my first day of employment.  I have received the list of approved documents with this application.

 

I understand that unless I attain permanent status pursuant to MGL Chapter 31 or am subject to the terms of a collective bargaining agreement, my employment will be at-will, which means that both the Commonwealth of Massachusetts and I are free to terminate the employment relationship at any time for any non-statutorily prohibited reason or for no reason at all, with or without notice.

 

I hereby acknowledge that I have read in full and understand the above statements and conditions of employment.

 

__________________________________________  ________________________________   

Signature of Applicant Date

 

____________________________________________________

Printed Name

 

 

 

 

“It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment.  An employer who violates this law shall be subject to criminal penalties and civil liability.”

MGL Ch.149, Section 19B


          

 

 

 

 

 

MISCELLANEOUS JOB-RELATED INFORMATION 

 

JOB INTEREST

Shift preferred

1 st (Days) 2 nd (Evenings )   3 rd (approx. 11:00pm –7:00am)

Are you available to work EVERY Saturday and Sunday? YES      NO  

 

Please prioritize your geographical preference(s) by numbering the boxes for locations to work. 

1 means the most desired position; 6 equals the least desired location.

   Boston               Metro Boston               Central             Northeast             Southeastern            Western     

 

 

CERTIFICATIONS AND LICENSES

List any professional licenses, registrations or certifications you possess:

 

License     License Number Date Issued Expiration Date

License     License Number Date Issued Expiration Date               

License     License Number Date Issued Expiration Date

 

ENGLISH LANGUAGE

Describe your proficiency in the English Language

Simple conversation:

YES      NO  

Simple Reading :

YES      NO  

Read and speak fluently

YES      NO  

LANGUAGE CAPABILITIES

List any language(s) other than English in which you are proficient including Sign Language and Braille. *

Language

Conversational

Reading  

Writing

 

HIGH

(Fluent)

MOD

(Good)

LOW

(Fair)

HIGH

(Fluent)

MOD

(Good)

LOW

(Fair)

HIGH

(Fluent)

MOD

(Good)

LOW

(Fair)

 

* If language proficiency is required, the Commonwealth may administer a Bilingual Certification Examination.


 

COMMONWEALTH OF MASSACHUSETTS  

HUMAN RESOURCES DIVISION

AFFIRMATIVE ACTION DATA RECORD

 

THIS IS A CONFIDENTIAL INSERT

APPLICANTS ARE ENCOURAGED BUT NOT REQUIRED TO COMPLETE

 

The Commonwealth of Massachusetts is committed in spirit as well as in action, to abide by all laws dealing with equal employment opportunity.  It is our policy to guarantee equal employment opportunities for all qualified persons without regard to their age, race, creed, color, national origin, ancestry, marital status, gender, military status, sexual orientation, or disability, which can be reasonably accommodated.

 

Further, the Commonwealth will act in good faith, to affirmatively recruit and consider for promotion individuals in protected categories.  Age, race, creed, color, national origin, ancestry, marital status, gender, military status, sexual orientation, or disability are not factors in employment, promotion, transfer, compensation, lay-off, disciplining and termination.

 

In order to effectively monitor the success of our recruitment and employment efforts, it is requested that you provide the following information. Please submit your form directly to [name and address of agency Diversity Officer].

 

The completion of this Data Record is optional.  If you choose to volunteer the requested information please note that all Affirmative Action Data Records are kept in a confidential file and are not a part of your application for employment or your personnel file.  Your cooperation is voluntary.  Inclusion or exclusion of any affirmative action data will not jeopardize or adversely affect any employment decision.

 

(PLEASE PRINT)

Name              

 

Address                                   

 

Telephone Number (s)

 

CHECK ONE                                                       Male                                     Female      

Check one of the following:   (Race )

             White                                     Black                              Hispanic                        Asian/Pacific Islander

              Native American (American Indian or Alaskan Native)  

          (If Native American, please attach documentation of tribal affiliation)

Check if the following is applicable:

Vietnam Era Veteran*

(Ninety (90) days of active duty service, any part of which occurred between August 5, 1964 and May 7, 1975)

 

*In order to qualify for Affirmative Action status as a Vietnam Era Veteran, you must apply for Eligibility Certification which is issued by the Office of Diversity and Equal Opportunity.  Forms are available from the Office of Diversity and Equal Opportunity (617) 727-7441.

 

__________________________________ ________________________

Applicant Signature Date

 


COMMONWEALTH OF MASSACHUSETTS  

HUMAN RESOURCES DIVISION

AFFIRMATIVE ACTION DATA RECORD

 
 
 

 

The Commonwealth of Massachusetts is committed in spirit as well as in action, to abide by all laws dealing with equal employment opportunity.  It is our policy to guarantee equal employment opportunities for all qualified persons without regard to their disability which can be reasonably accommodated.

 

Further, the Commonwealth will act in good faith, to affirmatively recruit and consider for promotion individuals in protected categories.  Disability is not a factor in employment, promotion, transfer, compensation, lay-off, disciplining and termination.

 

In order to effectively monitor the success of our recruitment and employment efforts, it is requested that you provide the following information. Please submit your form directly to [name and address of agency ADA coordinator].

 

The completion of this Data Record is optional.  If you choose to volunteer the requested information please note that all Affirmative Action Data Records are kept in a confidential file and are not a part of your application for employment or your personnel file.  Your cooperation is voluntary.  Inclusion or exclusion of any affirmative action data will not jeopardize or adversely affect any employment decision.

 

(PLEASE PRINT)

Name                     

 

Address                          

 

Telephone Number (s)

 

Check if the following is applicable:

   Person with a disability*

A disability means a physical or mental impairment with substantially limits one or more major life activities; a record of such impairment; or being regarded as having such an impairment.  (“Major Life Activities” includes but is not limited to  functions such as caring for one’s self, performing manual tasks, walking, seeing, hearing, speaking, breathing, learning and working.  Information on disability is maintained by the ADA Coordinator and is not shared with Human Resources.)

 

*If you wish to obtain Affirmative Action status as a Person with a Disability after you have been employed by this agency you may need to submit self-identification and verification of such with the ADA Coordinator if your disability is not obvious.  Appropriate forms are available at this agency’s Diversity Office.

 

__________________________________ ________________________

Applicant Signature Date

 


 

 

 

 

 

 

Criminal Records History Disclosure Form

 

Criminal Offender Record Information (C.O.R.I) and

Sex Offender Registry Information ( S.O.R.I.)

 

Have you been convicted of a felony? YES      NO    

 

Having a conviction may not necessarily automatically disqualify you from consideration.  A criminal background check will only occur, and its results will only be considered, in those instances where a prospective employee shall have been deemed otherwise qualified and the content of a criminal record is relevant to the duties and qualifications of the position in question. Such instances will include, without limitation, those in which a criminal conviction creates a statutory disqualification for the position, or the position requires interaction with vulnerable populations and a criminal background check is necessary to ensure that the applicant does not pose a public safety risk.

 

 

If yes, please explain.* 

 

Have you been convicted of a misdemeanor other than a first misdemeanor conviction for drunkenness, simple assault, speeding, minor traffic violations, affray, or disturbance of the peace within the last 5 years? YES      NO     (Conviction will not necessarily disqualify an applicant from employment.)    If yes, please explain.* 

 

*  “An applicant for employment with a sealed record on file with the Commissioner of Probation may answer ‘no record’ with respect to an inquiry herein relative to prior arrests, criminal court appearances or convictions. In addition, any applicant for employment may answer ‘no record’ with respect to any inquiry relative to prior arrests, court appearances and adjudications in all cases of delinquency or as a child in need of services which did not result in a complaint transferred to the superior court for criminal prosecution.”

 

MGL Ch. 276, Section 100A.

 


 

 

 

 

 

 

 

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.), 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.

 

 

____________________________________________________ _______________________________  

Signature of Applicant Date

 

____________________________________________________

Printed Name

 

 


 

 

 

 

 

 

 

PRE-EMPLOYMENT PHYSICAL & DRUG SCREENING NOTICE

 

PLEASE READ BEFORE SIGNING

 

 

 

If an offer of employment is made to you, the Commonwealth may specify that it is contingent upon the results of a medical exam.  I freely and voluntarily agree to submit to a pre-employment physical and/or drug screen, as it relates to the requirements of a specific job, as part of my pre-employment application to the Commonwealth.  I understand that either refusal to submit to such screening, or failure to qualify according to the minimum standards established by the Commonwealth for this screening may disqualify me from further consideration for employment.  Further, I understand that any positive drug test results will be communicated in a confidential manner.

 

I hereby acknowledge that I have read in full and understand the above statements.

 

 

 

 

 

______________                                 _____________________________   

Signature of Applicant Date

 

____________________________________________________

Printed Name

 

 

 

 

 

 

 

IMMIGRATION REFORM AND CONTROL ACT REQUIREMENT

In compliance with the Immigration and Reform and Control Act of 1986, you will be required to provide approved documentation that verifies your right to work in the United States prior to beginning work.  Please be prepared to provide any of the following documentation if you are offered and accept a position: 

( This Verification Process Is Required For All Employees (Both Citizen And Non-Citizen) Hired After November 6, 1986.)  The list below is effective April 3, 2009.

 

List A :  Any one of the following:  (These establish both identity and employment authorization)

  1. U.S. Passport or U.S. Passport Card
  2. Permanent Resident Card or Alien Registration Receipt Card (Form I-551)
  3. Foreign passport that contains a temporary I-551 stamp or temporary I-551 printed notation on a machine-readable immigrant visa.
  4. Employment Authorization Document containing a photo (Form I-766)
  5. In the case of a non-immigrant alien authorized to work for a specific employer incident to status a foreign passport with Form I-94 or Form I-94A bearing the same as the passport and containing an endorsement of the alien’s nonimmigrant status.
  6. Passport from the Federated States of Micronesia (FSM) or the Republic of the Marshall Islands (RMI) with Form I-94 or Form I-94A indicating non-immigrant admission under the Compact of Free Association between the United States and the FSM or RMI.

 

OR one from List B and one from List C:

LIST B

These establish identity:

 

  1. State Driver’s license or similar state I.D. card with photo or other approved identifying information
  2. ID card issued by federal, state, or local government agency containing photo and required identifying information
  3. School ID card with photograph
  4. Voter's registration card
  5. US military card or a draft card
  6. Military dependent's ID card
  7. US Coast Guard Merchant Mariner Card
  8. Native American tribal document
  9. Driver's license issued by a Canadian governmental authority

 

For those under 18 years of age:

  1. School record or report card
  2. Clinic, doctor or hospital record
  3. Day-care or nursery school record

 

 

 

LIST C

These establish employment authorization:

 

  1. Social Security Account Number card other than one that specifies on the face that the issuance of the card does not authorize employment in the United States .
  2. Certification of Birth Abroad issued by the Department of State (Form FS-545)
  3. Certification of Report of Birth issued by the Department of State (Form DS-1350)
  4. Original or certified U.S. birth certificate bearing an official seal
  5. Native American tribal document
  6. U.S. Citizen ID Card (Form I-197)
  7. ID Card for Use of Resident Citizen in the United States (Form I-179)
  8. Employment authorization document issued by Department of Homeland Security

 

 


 

3-7

COMMONWEALTH OF MASSACHUSETTS  

HUMAN RESOURCES DIVISION

MODEL INDIVIDUAL RATING FORM

 

 

Position Title _________________________________________________

 

Candidate Name ______________________________________________

 

Interviewer Name _____________________________________________ Date __________

 

Question

Criterion

Comments

Rating

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sample Rating Categories:  Excellent = 5 points; Acceptable = 3 points; Poor = 1 point

 

Comments:


3-8

 

 

 

 

COMMONWEALTH OF MASSACHUSETTS  

HUMAN RESOURCES DIVISION

MODEL INTERVIEW SUMMARY FORM

 

 

Position Title: ________________________________________________

 

Scores of Interviewers                                  

Names of Candidates

Initials:

Initials:

Initials:

Initials:

Total Score

Ranking

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Candidate Recommended for Hire: _______________________________________

 

Comments:


 

 

 

 

 

 

 

 

Appendix 3-9

 

 

 

PRE-EMPLOYMENT INQUIRIES FACT SHEET

FROM THE MASSACHUSETTS COMMISSION AGAINST DISCRIMINATION


 

 

 

 

Massachusetts Commission Against Discrimination

PRE-EMPLOYMENT INQUIRIES FACT SHEET

 

 

Massachusetts law guarantees that no person shall be denied the right to work because of his or her race, color, religion, national origin, sex, sexual orientation, age (over 40), criminal record, or mental or physical handicap/disability.  In order to comply with this law, an employer should generally not ask on a job application or during an interview any question that:

 

       Identifies a person a being within a protected category

       Results in the screening of out members in a protected category

       Is not a valid basis for predicting successful job performance

 

EMPLOYERS WITH FEWER THAN SIX EMPLOYEES AND NON-PROFIT CLUBS,ASSOCIATIONS, OR CORPORATIONS WHICH ARE EXCLUSIVELY SOCIAL ARE NOT SUBJECT TO THIS LAW

 

As a general rule, an employer may seek information that is directly related to the applicant’s ability to perform the job for which he or she is applying.  As a convenience, the following chart has been developed to serve as a quick reference guide when determining what are and are not appropriate questions to ask on an application or during an interview.  Of course, there are other questions that will not be included within this quick reference guide that could be construed as attempting to elicit information for the purpose of discrimination on the basis of a protected category.  If you require further information about the legality of certain pre-employment inquiries, refer to M.G.L c. 151B sec. 4, 804 C.M.R. 3.01 et seq ., MCAD Handicap Guidelines, or contact the MCAD at (617) 727-3990.

 

 

 

 

 

 

 

 

 

 

 

 

 

 


AGE

 


Employer May Ask

 

       Are you under 18?

 

       Questions about age may be allowed if necessary to satisfy provisions of a state or federal law (i.e. certain public safety positions have age limits for hiring and retiring).

 

 

Employer May Not Ask

 

    When were you born?

 

    How old are you?

 

    Are you over 40?

 

    What is your date of birth?

 

 


________________________________________________________________________

 

NATIONAL ORIGIN/ANCESTRY

 


Employer May Ask

 

       Are you legally authorized to work in the United States ?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer May Not Ask

 

      Where were you born?

 

       What is your primary language?

 

       What is your ancestry or ethnicity?

 

       What is your national origin?

 

       What is the origin of your name?

 

       Where are your parents/spouse from?

 

       What is the language of your parents/spouse?

 

       What is the national origin of your parents/spouse?

 

       What is the ancestry or ethnicity of your parents/spouse?


HANDICAP/DISABILITY

 


Employer May Ask

 

       Can you perform any or all of these specific job functions?

 

       Please describe or demonstrate how you would perform a specific task.  (This request should be asked to all applicants unless there is an obvious disability or voluntarily disclosed hidden disability related to a job function.  The employer may need to provide reasonable accommodation for the demonstration.)

 

       Can you meet the attendance requirements?

 

       What was your attendance record at your prior place of employment?

 

       Invite applicants to voluntarily disclose their disability for purposes of assisting the employer in its affirmative action efforts.  Make it clear that information will be used solely in connection with its affirmative actions efforts, will be kept confidential, and that non-disclosure will not subject the applicant to adverse treatment.

 

 

 

 

 

 

 

Employer May Not Ask

 

      Do you have a handicap/disability?

 

       Do you have any job-related handicaps/limitations that would prevent you from doing the job?

 

       Have you ever received Workers’ Compensation?

 

       Have you ever been addicted to illegal drugs or treated for drug abuse/alcoholism?

 

       Have you ever been absent from work due to illness?

 

       Do you have AIDS?

 

       Questions or requests for information regarding the admission of an applicant, on one or more occasions, voluntarily or involuntarily, to any public or private facility for the care and treatment of mentally ill persons, provided that such applicant has been discharged from such a public or private facility or facilities and is no longer under treatment directly related to such admission.

 

       Questions regarding the nature, severity, treatment, or prognosis of an obvious disability or of a hidden disability voluntarily disclosed by the applicant


RACE/COLOR

 


Employer May Ask

 

     Questions for affirmative action purposes.  (See section on disability)

 

 
 

 

 

 

Employer May Not Ask

 

       What is your race?

 

       What is your color?

 

       Request applicant to send a photograph to accompany application.

 


________________________________________________________________________


RELIGIOUS CREED

 


Employer May Ask

 

     NO QUESTIONS ALLOWED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer May Not Ask

 

     To what religious denomination, church or synagogue, or any related organizations do you belong?

 

     What are your religious obligations?

 

     What religious holidays do you observe?

 

     Do you go to church/temple/etc. regularly?


 

 

 

 

 

 

 

 

 

 


SEX (GENDER)

 


Employer May Ask

 

     Questions relating to a legitimate requirement for a particular position (i.e. sex of an applicant for an acting role of a female character, or a prison guard who performs strip searches).

 

 

 

Employer May Not Ask

 

     What is your maiden name?

 

     Do you have/plan to have children?

 

     Do you have child care arrangements?

 

     Questions of only one sex


______________________________________________________________________________

 

SEXUAL ORIENTATION

 


Employer May Ask

 

     NO QUESTIONS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer May Not Ask

 

     Are you gay/lesbian/bisexual/

heterosexual?

 

     Why aren’t you married?

 

     Are you engaged?

 

     Do you plan on getting married?

 

     Questions about relationships or living arrangements.

 

 

 

 

 

 

 

 


CRIMINAL RECORD


 


Employer May Ask

 

     Have you ever been convicted of a felony?

 

     Have you been convicted of a misdemeanor within the past five years other than a first conviction for any of the following misdemeanors: drunkenness, simple assault, speeding, minor traffic violations, affray or disturbance of the peace?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer May Not Ask

 

     Questions regarding an arrest, detention, or disposition regarding any violation of law in which no conviction resulted.

 

     Questions about first convictions of drunkenness, simple assault, speeding, minor traffic violations, affray or disturbance of the peace.

 

     Questions regarding a conviction of a misdemeanor where the date of the conviction or the completion of any period of incarceration resulting therefrom, whichever date is later, occurred 5 or more years prior to the date of inquiry, unless such person has been convicted of any offense within 5 years immediately preceding the date of the inquiry.

 

     An applicant to be held under any provision of law to be guilty of perjury or otherwise giving a false statement by reason of his/her failure to recite or acknowledge such information as s/he has a right to withhold by 804 C.M.R. 3.02.

 

 

 

 

 

 

 

 

 

 


EDUCATION/EXPERIENCE/REFERENCES/MEMBERSHIPS

 


Employer May Ask

 

     What school, college or vocational program did you attend?

 

     Did you graduate?

 

     What is your work experience?

 

     Do you have any references?

 

     Questions about work experience shall also contain a statement that the applicant may include in such history any verified work performed on a volunteer basis.

 

 

 

 

 

Employer May Not Ask

 

     Questions about education or work experience designed to determine an applicant’s age.

 

     About the organizations which the applicant for employment is a member, the nature, name or character of which would likely disclose the applicant’s protected class status.

 

 

 

 

 

 

 

 

 

 


 

______________________________________________________________________________

 

 

MILITARY EXPERIENCE

 


Employer May Ask

 

     Are you a U.S. Veteran?

 

     What is your U.S. military service history?

 

 

 

Employer May Not Ask

 

     Are you receiving a service-connected disability pension?

 

     What is your foreign military service history?

 

     What was the nature of your discharge?


 

 

 

 

 


MEDICAL EXAMINATIONS

 


Employer May Ask

 

Once an offer of employment has been made , an employer may condition that offer on the results of a medical examination conducted solely for the purpose of determining whether the employee, with or without reasonable accommodation, is capable of performing the essential functions of the job.

 

 

 

Employer May Not Ask

 

  Applicant to take a medical examination prior to making an offer of employment to that applicant.

 

 

 

 

 

 

 

 


_______________________________________________________________________

 

LIE DETECTOR TEST

 


Employer May Ask

 

NO QUESTIONS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer May Not Ask

 

It is unlawful to require or administer a lie detector test as a condition of employment or continued employment.


 

3-10

COMMONWEALTH OF MASSACHUSETTS  

HUMAN RESOURCES DIVISION

MODEL TELEPHONE REFERENCE CHECK

 

Name of Candidate:

 

Position Applied for:

 

Name of Reference: Phone:

Title of Reference: Company:

 

Type of Reference: Employer ___ Professional ___ Personal ____

 

Dates of Employment: Salary:

 

What was your relationship with the candidate?

 

How long did you supervise/know this person?

 

What were candidate’s job title and duties?

 

How would you compare this candidate with others doing the same work?

 

What were his/her strong points?

 

What were areas needing improvement?

 

Rate the candidate as Excellent/Acceptable/Poor on the following abilities:

 

Learn new tasks _______ Meet deadlines _________

Accept responsibility ____ Interpersonal skills ______

Follow directions_______ Supervisory ability ______

Flexibility ____________ Attendance/Punctuality ___

Reliability ____________ Creativity ______________

[The above are examples only; add or delete skills as applicable to the job]

 

Why did he/she leave?

 

Would you rehire this person?

 

Additional comments?

 

Name of Reference Checker: Date:


3-11

COMMONWEALTH OF MASSACHUSETTS  

HUMAN RESOURCES DIVISION

MODEL REQUEST FOR WRITTEN REFERENCES

 

 

[Agency Letterhead]

[Date]

 

Name of Reference

Address

 

Re:  [Name, address of candidate]

 

Dear :

 

The individual indicated above has applied for the position of [position title] in [name of agency], and has given us permission to contact you for an employment reference.  Please provide the information as follows:

 

Period of employment with your organization:

 

Job title and type of work performed:

 

Would you rehire this person?  Why or why not?

 

Please rate the following on a scale of: Excellent/Acceptable/Poor:

Dependability: ___________________

Job Performance: ___________________

Attendance: ___________________

Cooperation: ___________________

[The above are examples only; add or delete criteria as applicable to the individual job]

 

Our agency provides the following types of services: [describe the mission of agency].  Any information that you can give us would be appreciated and would assist us in selecting the best employees to work with our [customers/clients/consumers].

 

We ask for your prompt reply, as employment is contingent upon the receipt of references.  A stamped self-addressed envelope is enclosed for your convenience.  Thank you for your assistance in this matter.

 

Sincerely,

 

[name and title of hiring manager or HR  personnel]


3-12

COMMONWEALTH OF MASSACHUSETTS  

HUMAN RESOURCES DIVISION

MODEL CIVIL RIGHTS OFFICER ACTION REPORT

 

 

This record is maintained in order to meet the requirements of the agency’s Affirmative Action Plan and will be kept confidential.

 

Name of Hiring Manager:

 

Functional Title of Position:

 

Official Payroll Title of Position:

 

Position Number: CEO Posting Number:

 

Is position full-time?_____ Part-time? Indicate number of hours/week:  _____

 

Recommended Candidate: Requested Start Date:

 

Check all that Apply:

 

New Hire  Promotion  Transfer 

Prior Service  Name of Agency: Job Group: Salary:

 

Veteran: _____ VEV Certification #: __________

Male: ______ Female: _____ Race/Ethnic Code _____ (see next page for codes)

 

Recruitment Source: Civil Service List Cert #: ________________________

Vacancy Announcement External Recruitment

Affirmative Action Other (Specify): ________________

 

Requested Salary: CBU: Job Group: Step:

Determined by(Chart or Range):

Reviewed by (Name of HR staff):

 

Number of Applicants (by category):

 

Race Codes:

2

3

4

5

6

7

8

Male

 

 

 

 

 

 

 

Female

 

 

 

 

 

 

 

Person with Disability

 

 

 

 

 

 

 

Vietnam Veteran

 

 

 

 

 

 

 

(continued on next page)

 

Summary of All Applicants for Position

 

Date Rec’d

Applicant Name

CS Status

Race Code

Sex

VEV

Action Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(attach additional pages if needed)

 

Civil Service Status: (1)Not on list/no exam;(2) Took exam/no results; (3) Passed exam; (4) On list

Race Codes: (2) White; (3) Black; (4) Hispanic; (5) Asian; (6) American Indian; (7) Other; (8) Unknown

Action Codes: (1) Does not meet MER’s; (2) Meets MER’s, no interview; (3) Interviewed;

(4) Recommended candidate; (5) Withdrew; (6) Other (explain in attached memo)

 

 

Hiring Manager _______________________________________________ Date __________________

 

Civil Rights Officer ____________________________________________ Date __________________

 

Human Resources Director ______________________________________ Date __________________

 

Appointing Authority/Agency Head _______________________________ Date __________________

 

Submit this form, with all resumes, employment applications, a memorandum describing efforts to recruit protected group members, and all information required by applicable collective bargaining contract, to [name and address of Agency Civil Rights Officer].


3-13

COMMONWEALTH OF MASSACHUSETTS  

HUMAN RESOURCES DIVISION

MODEL OFFER OF EMPLOYMENT LETTER

(for Managers and Non-Managers)

(For Managers V through XII, this letter assumes approval of the appointment, and approval of manager’s Tax and Background Check)

 

[Agency Letterhead]

[Date]

 

Name of Applicant

Address

 

Dear :

 

On behalf of [hiring manager’s name] and the [name of agency], I am pleased to offer you the position of [position title] in our [location].  Should you accept this offer, your bi-weekly salary will be [$ ].

 

As was discussed during the interview process, the Commonwealth provides a program of group life, health and long term disability insurance coverage for state employees.  Employees are eligible to participate in any or all of the available insurance coverages on the first day of the month following 60 days or two calendar months of employment, whichever is less.  Also, all state employees are paid through direct deposit on a bi-weekly basis.  These and all other benefits of state employment will be explained to you in an orientation session during your first week of employment in your new position.

 

I would appreciate your consideration of this offer and your prompt reply by [date].  We will be unable to hold the offer of this position open after that date.

 

Thank you for your interest in employment with our agency.  We look forward to hearing from you shortly.  In the interim, if you have any questions about this offer, please contact [name of contact] at [phone].

 

Sincerely,

 

 

[name and title of hiring manager or HR  Director]


 


3-14

COMMONWEALTH OF MASSACHUSETTS  

HUMAN RESOURCES DIVISION

MODEL CANDIDATE NON-SELECTION LETTER

 

 

[Agency Letterhead]

[Date]

 

Name of Applicant

Address

 

Dear :

 

Thank you for taking the time to interview for the position of [position title],  [location or posting number].

 

The selection of a final candidate was a difficult task given the many applications we received from people with strong backgrounds in this field.  [*] We regret to inform you that the position was offered to another candidate.[**]

 

Again, thank you for your application for this position and interest in employment within [name of agency].  I wish you well in your pursuit of a career opportunity.

 

Sincerely,

 

 

[name and title of hiring manager or HR

  personnel]

 

[* Use this section to comment on skills of applicant, e.g., for those who were finalists: “Although you demonstrated a high level of skill for this position, we regret…”  If the person’s resume will be kept on file for future openings, mention that in the close of the letter.]

 

[**Note:  if an internal candidate is selected, some collective bargaining contracts require that the name of the person selected be provided to all internal applicants]


3-15

COMMONWEALTH OF MASSACHUSETTS  

HUMAN RESOURCES DIVISION

MODEL CONDITIONAL OFFER OF EMPLOYMENT LETTER

(MANAGEMENT POSITIONS V-XII, PRIOR TO APPROVAL TO HIRE)

[Agency Letterhead]

[Date]

 

Name of Applicant

Address

 

Dear :

 

On behalf of [hiring manager’s name] and the [name of agency], I am pleased to extend a conditional offer to you for the position of [position title] in our [location].  Should you accept this conditional offer, your bi-weekly salary will be [$ ]. 

 

This employment offer is contingent upon your completion of a successful Tax and Background check.  Every effort will be made to expedite this process.

 

As was discussed during the interview process, the Commonwealth provides a program of group life, health and long term disability insurance coverage for state employees.  Employees are eligible to participate in any or all of the available insurance coverages on the first day of the month following 60 days or two calendar months of employment, whichever is less.  Also, all state employees are paid through direct deposit on a bi-weekly basis.  These and all other benefits of state employment will be explained to you in an orientation session during your first week of employment in your new position.

 

Please let me know by phone as soon as possible if you accept this conditional offer, so that we may forward to you the necessary forms to complete in order to obtain approval of your appointment. [for M V – VIII, use attached Employee Acknowledgement Form and First Day Declaration Form if choosing to use post-hire tax and background checks].

 

I would appreciate your consideration of this offer and your prompt reply by [date].  We will be unable to hold the offer of this position open after that date.

 

Thank you for your interest in employment with our agency.  We look forward to hearing from you shortly.  In the interim, if you have any questions about this offer, please contact [name of contact] at [phone].

 

Sincerely,

(Name and title of hiring manager or HR Director)


Employee Acknowledgement Form

 

I acknowledge that in connection with my application for employment, promotion, transfer, or reallocation, I am required to submit the required tax and background check documents to the Governor’s Personnel Office for review within five days of executing this acknowledgement or before my first date of employment, whichever is sooner.  Any misleading or incorrect statements, omissions or failure to disclose information may result in termination.

 

I agree that the Commonwealth has the right to conduct a complete tax and background check, and I agree to cooperate with said tax and background check.  Further, I release all persons and organizations supplying information of any and all liability.

 

This acknowledgement is not a contract for employment.  I acknowledge that if hired my employment with the Commonwealth is strictly "at will."  Any oral or written statements made to the contrary are hereby expressly disavowed and should not be relied upon.  I further acknowledge that any offer of employment is contingent upon the successful completion of the tax and background checks.  Following the completion of the tax and background checks, any offer of employment may be withdrawn.

 

I acknowledge that a facsimile or photographic copy of this acknowledgement will be valid as the original.

 

I acknowledge that I have never been convicted of a felony and I have not been convicted of a misdemeanor within the last five (5) years.

 

I acknowledge that I have not been convicted of a domestic violence crime within the past five (5) years.

 

I acknowledge that I have never been dismissed from an institute of higher learning due to alleged or actual misconduct.

 

I acknowledge that I have never been dismissed from a place of employment for alleged or actual misconduct.

 

I acknowledge that I have never resigned from a place of employment in order to avoid dismissal due to alleged or actual misconduct.

 

I acknowledge that no disciplinary action has been filed against me in regard to any licenses, registration or membership in professional or trade associations.

 

I acknowledge that my Federal and Massachusetts income taxes have been filed in a timely fashion over the last seven (7) years.

 

I acknowledge that I do not have any tax and/or child support liabilities.

 

I acknowledge that no proceedings have been instituted against me by the State Ethics Commission or similar body in another state.

 

I acknowledge that no lawsuits are pending against me or a business that I own (if more than 1%).

 

I acknowledge that I have no business, hearings, complaints, claims or any other matters pending before any state agency, board, commission, authority, or any other unit of government.

 

I acknowledge that I am unaware of any potential conflicts with my employment with the Commonwealth.

 

I acknowledge and agree that I will receive all salary payments through direct deposit.

 

 

                                               

Name of Employee Date


Employee First Day Declaration Form

 

 

I,      Name of Employee                , in connection with my application for

employment, acknowledge that I have completed and submitted the required tax and background check documents to the Governor’s Personnel Office for review.

 

I,      Name of Employee                , further acknowledge that the

     ( Name of Agency)                employment offer may be withdrawn upon the

completion of the tax and background checks.

 

 

 

                                               

Signature of Employee Date

 

 

 


 

3-16

COMMONWEALTH OF MASSACHUSETTS  

HUMAN RESOURCES DIVISION

MODEL CONFIRMATION OF ACCEPTANCE LETTER

 

[Agency Letterhead]

[Date]

 

Name of Applicant

Address

 

Dear :

 

Thank you for your acceptance of our offer of employment on [date].

 

The following confirms information about your position:

 

Position and Payroll Title:

Job Group:

Bi-Weekly Salary:

Start Date:

Type of Employment: [eg union, permanent, full-time, part-time, etc]

Name of Supervisor:

Hours of work:

Work Address:

Type of payroll system: Bi-Weekly Direct Deposit

 

Please plan to report to [name] at [time] on [start date].  Your continued employment after three business days of your start date is dependent upon your providing us with appropriate documentation establishing your identity and completing a Form I-9.  Attached are that form and a documentation checklist [see Employment Application Form].

 

Please bring the Form I-9 and original documentation to the Human Resource Department either prior to your start date or on your first day of work.  In addition, please return this letter with your social security number and signature as soon as possible.

 

[For management positions MV and above, include reference to background check forms and/or employee acknowledgement form if not already completed].

 

Thank you for your attention in this matter, and we look forward to your employment with our agency.

 

Sincerely,

 

[name and title of hiring manager or HR

  personnel]

 

Social Security Number ___________________

Signature of Candidate ____________________