Office of Boston Residents Job Policy - Applicant Referral Form
*Disclaimer* This application is for referral purposes for Boston Residents People of Color, Women and does not in any way guarantee employment. Your information will be sent to contractors in the trades you checked off. Your information will only be shared with employers and employment-related entities. All Boston Residents must verify address with a valid driver’s license or Mass ID before any employment begins, by electronically submitting this application, you are agreeing to the terms.

If you have any questions, please contact Jobs Bank Coordinator John Dunham at 617-635-0047, or by email:

What is your name? *
Your answer
Address *
Your answer
City (Neighborhood) / State / Zip *
Your answer
Telephone Number *
Your answer
E-mail Address
Your email will be used to provide construction related information.
Your answer
How did you find this application? *
When is your birthday? *
What is your gender? *
Please check all that apply:
Are you a veteran?
Are you a high school graduate?
What is your level of education?
Your answer
Are you currently working? *
If you are currently working, please list the name of your employer.
Your answer
Please list your union and, if applicable, local number.
If you are non-union, please leave this question blank.
Your answer
Did you complete any Occupational Safety and Health Administration (OSHA) training courses?
Please check off all trades that you're experienced in: *
Do you have any other skills you'd like to share with us?
Your answer
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