Martin Luther King, Jr. Family Services, Inc.106 Wilbraham Road, Springfield, MA 01109
PLEASE READ THIS STATEMENT CAREFULLY
I hereby affirm that the information given by me on this application for volunteer/community service/internship is complete and accurate. I understand that any falsification or omission will be immediate grounds for dismissal. I authorize a thorough investigation to be made in connection with this application concerning my character, general reputation, employment and education background" and criminal record, whichever may be applicable. I understand that acceptance of an offer to work with MLK in a capacity of volunteer/community service/internship does not create a contractual obligation upon MLK to continue to provide the opportunity to volunteer/community service/internship in the future, nor does it guarantee employment. As a volunteer of the organization I agree to abide by the policies and procedures of MLK. I agree to serve the clients of MLK regardless of race, color, religion, sex, sexual orientation, ancestry, age, disability, handicap, genetic information, service in the military, gender identity, or membership in any other group protected by applicable law. I am aware that at my request, I must be provided the name of any agency(ies) reporting information about me. 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. All applicants will be given equal consideration regardless of race, color, religion, sex, sexual orientation, ancestry, age, disability, handicap, genetic information, service in the military, gender identity, or membership in any other group protected by applicable law.