Have you ever used another name in your work and/or education records? 
Yes                No

If yes, other names used

Are you 18 years of age or older? 
Yes                No

Are you currently employed?
Yes                No

Are you related to any One Energy employee?                                 
If yes, who and what is relationship?

Yes                No

How did you hear about us?

Have you ever interviewed with us?                                                                       
If yes, when?

Yes                No

Can you furnish proof of your eligibility to work in the United States                      
Federal law requires that, if hired, you must furnish appropriate documentation establishing identity and employment eligibility,
generally within 72 hours of starting work. Acceptable documentation includes, but is not limited to: a United States passport
or social security card, a certificate of United States citizenship or naturalization or INS Forms 688 or 688A.

Yes                No
Contact Information:

Employment Desired:
Interested in:           Full Time
Part Time
What hours are you available to work  
FT (normal business hours)
Full-time (2nd shift)
Full-time (3rd shift)
Weekend (days)
In what location do you prefer to work:
West Roxbury
Cumberland RI
Warwick, RI
Can you work at locations not accessible by public transportation
Applicant Background
May we contact?            Yes                 No

Employment Dates:


If you need additional space to adequately describe your employment history, please attach additional pages.
Please list 2 REFERENCES we can contact who can verify your work history and performance. 
References should not be relatives and at least two must have directly supervised you at some time in your work history.


School Name/Location Course of Study Highest Level Completed Graduation Date & Degree Received
High School
Trade or Vocational School
Graduate School
Please describe honors received and extracurricular activities. You may exclude organizations, the name or character of which indicate its
members’ race, sex, religion, national origin, age, ancestry, sexual orientation or any other category protected by state or federal law.
Specialized Skills:
Please include computer skills, machine operation skills and written and spoken languages to the extent such information is job-related.

Military Record
Have you ever served in the Armed Forces?                          Yes              No
If yes, please identify your Branch and final rank

Do you have skills and experience pertinent to the position for which you are applying?               Yes          No
Please explain
Legal Information

Massachusetts employees:
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 is subject to criminal penalties and civil liabilities.
I certify that answers given herein are true and complete to the best of my knowledge.  I understand that false or misleading
information in my application or interview(s) may result in rejection of my application or, in the event of employment, discharge. 

I authorize verification of all statements contained in this application for employment as may be necessary in arriving at an
employment decision.  I release One Energy from any and all liability or damage resulting from the verification process. 

I further agree, if requested, to authorize One Energy to conduct a consumer credit check, criminal convictions check and motor
vehicle history inquiry as well as any other background check One Energy may legally require as a condition of my employment.  I
understand that as part of the procedure for my employment application, an investigative consumer report may be made concerning
my character, general reputation, personal characteristics and mode of living.  I understand that consideration of my application for
employment is contingent upon my execution of a separate document authorizing One Energy to obtain such reports.

I understand that this application and any of One Energy’s employment policies or employment handbooks are not intended to be nor
constitute a contract of employment. 

I understand that if I become employed by One Energy, I will be an at-will employee.  Accordingly, the employment relationship may
be terminated, with or without cause, and with or without notice, at any time, at the option of either One Energy or me.  I further
understand that no supervisor, manager or representative of One Energy has any authority to enter into any agreement for employment
for any specified period of time, or to make any agreement contrary to the foregoing.
Applicant Statement
Signature of applicant                          


Hired:     Yes               No                                   Start Date:


Please tell us something about yourself that may be useful for us as we review your application: Response required.
Employment History
Please give accurate, complete employment data.  Start with present or most recent employer.  You may include any verified work performed on a volunteer basis, licensing certifications, and/or specialized training.  If applicable, include military experience.
In addition to answering these questions, please feel free to attach your resume.
Date Available to Start:
Date of Application:
May we contact?            Yes                 No

Employment Dates:

May we contact?            Yes                 No

Employment Dates:

May we contact?            Yes                 No

Employment Dates:

420 Lakeside Avenue, Suite #302
Marlborough, MA  01752
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Employment Application
One Energy (“Company”) is an Equal Opportunity Employer.  One Energy offers equal employment opportunity to all applicants for employment and
all employees regardless of sex, sexual orientation, age, race, color, religion, national origin, ancestry, veteran status, military service, disability,
genetic information, participation in group health insurance plan, receipt of free medical care, or any other status protected by applicable law.  An
applicant who does not meet the minimum qualifications of the position(s) for which the applicant applies will not be considered for employment.
(508) 460-1010