MassHire Referral Form for Refugees and Immigrants

Seeking Employment or Training

Please complete the form below to the best of your ability. This information will be used to help MassHire staff share your information with employers who may have job opportunities that you are qualified for, and that may be of interest to you, or to help you in your search for training that will lead you to a particular career path and job opportunities. By submitting this form, you give us your permission to share your information with employers and/or training providers in the area. A MassHire counselor will be in touch with you to offer support and inform you of which employers or training providers your information will be shared with. We hope that this effort brings you one step closer to gainful employment.

Best of luck.

Name
Please enter your email, so we can follow up with you.
Address
Do you have a Social Security number?
Are you legally authorized to work in the United States of America and currently have your work authorization documentation?
At what level of proficiency are you in the English language?
Are you seeking employment or are you seeking training?
What industries are you interested in for work or training?
Please provide as much detail as possible.
Please provide as much detail as possible.
Are you currently employed and looking for another job or additional training?
Are you looking for fulltime or part-time work now or when you finish training?
Are you looking for a particular work shift?
If so, please explain with as much detail as possible. If not, simply input "N/A" or "none".
Please provide as much detail as possible.
If so, please explain with as much detail as possible. If not, simply input "N/A" or "none".
Are you working with a resettlement or supportive service agency? If so, which ones are serving you from the options below?
What employment supports are you seeking? Choose all that apply.
Drag & Drop Files, Choose Files to Upload
Please only upload Word Document formats unless PDF format is all that is available. A WordDoc format will be requested to provide suggestions for edits that can be made in a more timely and convenient manner.
By submitting this form, you give your full consent for MassHire to share your information with and request information from any agency you disclosed you are receiving services from above. The purpose of sharing information is to improve similar services you may be receiving by both MassHire and other support agencies, as well as to track training and employment outcomes. Shared information may include if and when you secure employment and the details of your hiring, such as your start date, employer and rate of pay, as well as other personal information related to your employment status.