As part of the application process, DCR Systems may conduct background checks on applicants.

EQUAL OPPORTUNITY EMPLOYER.  It is our policy to abide by all federal, state and local laws prohibiting employment discrimination solely on the basis of a person’s race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition (including, but not limited to, cancer related or HIV related), marital status, sex, gender (including sex stereotyping), age, sexual orientation, military status, or any other protected status except where a reasonable, bona fide occupational qualification exists.











Full TimePart TimeTemporary






Education & Training
YesNo
YesNo
YesNo
YesNo













YesNo
YesNo

General Information
YesNo
YesNo
YesNo
YesNo

Employment History

List all work experience beginning with the present or most recent job (use back of application, if necessary).













YesNo

FulltimePart-Time




List all work experience beginning with the present or most recent job (use back of application, if necessary).













YesNo

FulltimePart-Time




List all work experience beginning with the present or most recent job (use back of application, if necessary).













YesNo

FulltimePart-Time




List all work experience beginning with the present or most recent job (use back of application, if necessary).













YesNo

FulltimePart-Time




Business References

(List three individuals, in addition to listed employment references, known to you for at least three years.)










ADDITIONAL INFORMATION

Please include any other information you think would be helpful to us in considering you for employment, such as additional work experience, articles/books published, activities, honors received, etc. (You may omit all information that would indicate age, sex, sexual orientation, race, religion, color, national origin, or disability.)


Criminal Record Information

All Applicants: Exclude any records expunged, annulled, sealed, or discharged under first-offender law.

Massachusetts Applicants: 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. The applicant may exclude a first conviction for any of the following misdemeanors: drunkenness, simple assault, speeding, minor traffic violations, affray or disturbance of the peace. The applicant may exclude any convictions of misdemeanors, which are more than five years old.

California Applicants: You may exclude misdemeanor marijuana convictions if such convictions are more than two years old and you may also exclude referrals to and participation in pre and post trial diversion programs.

Hawaii Applicants: Do NOT answer the criminal record questions.

Except as provided above, during the past ten years, have you ever been convicted of, plead guilty to, or received probation, deferred adjudication, or any other type of alternative method of supervision or correction for a misdemeanor, having a penalty of imprisonment or a fine of more than $500, or a felony? (Answering Yes is not an automatic bar to employment but will be considered in relation to specific job requirements.)

YesNo

Are criminal charges now pending against you? CA applicants should only answer this question if you are currently out on bail or out on your own recognizance pending trial.

YesNo


Agreement

(Please read the following statement carefully.)

I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete to be the best of my knowledge. I also agree that falsified information or significant omissions may disqualify me from further consideration for employment and may be considered justification for dismissal if discovered at a later date.

I authorize all persons listed above (and on the accompanying resume, if any) to give DCR Systems any and all information concerning my previous employment and education and any pertinent information they may have, personal or otherwise, and release all parties, such persons and DCR Systems, from liability for any damage that may result from furnishing same to DCR Systems.

I understand that DCR Systems have agreed that DCR Systems will provide workers compensation insurance coverage for its employees. In the event of an injury in the workplace, I agree that my sole remedy lies in coverage under DCR Systems workers compensation insurance policy.

If employed by DCR Systems and its client company, I agree to abide by the policies and procedures of DCR Systems, which include DCR Systems Anti-Harassment Policy. I further understand that my employment can be terminated, with or without cause or notice, at any time, at the discretion of DCR Systems, or myself. I further understand that no manager or representative of DCR Systems other than the president of DCR Systems has any authority to enter into any agreement, oral or written, on behalf of DCR Systems for a term of employment or to make any assurance or promise of continued employment.

I understand that DCR Systems may obtain a consumer and/or investigative consumer report for employment purposes that may include information regarding prior employment, work experience and performance, reasons for employment termination, and information as to character, general reputation, personal characteristics, or mode of living. The report may also contain a records check of driving, criminal, credit, education, degrees, professional licenses and/or certification records depending on the position. By signing this application, I authorize the procurement of a consumer and/or investigative consumer report by DCR Systems as part of the pre-employment background investigation and if hired, at any time during my employment. California Applicants: I further understand that DCR Systems and/or its client company may obtain Public Records about me as part of an internal background investigation and that I may waive my right to receive a copy of such Public Records by checking this box:

UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF Employment, PROSPECTIVE Employment, OR CONTINUED Employment, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.

I understand and agree that I may be to take a drug and alcohol screening test. I hereby give my voluntary consent for a blood and/or urine sample to be collected from me and submitted for testing. I also consent to the release of the test result to DCR Systems for its use. I understand that any positive drug or alcohol result may preclude my employment.