Application for Employment

Application for Employment 2016-10-15T19:43:09+00:00

General Information

Full Name *

Email *

Address *

Address (line 2)

City *

State *

Zip Code *

Country *

Phone Number *

Last 4 of SSN *

If hired, can you furnish proof you are eligible to work in the U.S.? *
YesNo

Are you at least 24 years of age or older? *
YesNo

Have you ever worked for passenger transportation company? *
YesNo

If yes, when & where

Job Interest

Do you have reliable transportation to get you to and from work? *
YesNo

Position applying for *

Referred by *

Salary required *

Check each day you are available to work (please note that most positions require weekend availability) *
MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Type of employment desired (check all that apply) *
Full-timePart-timeTemporarySummer only

Are you willing to work (check all that apply) *
Days (7am-4pm)Evenings (4pm-11pm)Nights (11pm-7am)OvertimeHolidays

Is there any time that you cannot work?

Employment History Information

Work History: USDOT requires that employment for at least 3 years and/or commercial driving experience for the past 10 years be shown.

Company name

Position held

Address

Address (line 2)

City

State

Zip Code

Country

Start date

Date finished

Employer phone

Supervisor name

Describe your duties

Reason for leaving

Were you subject to Federal Motor Carrier Safety Regulations (FMCSR) while employed by this previous employer?
YesNo

Was this previous job position designated as a safety sensitive function in any USDOT regulated mode, subject to alcohol and controlled substance testing requirements as required by 49 CFR Part 40?
YesNo

Next Employer

Company name

Position held

Address

Address (line 2)

City

State

Zip Code

Country

Start date

Date finished

Employer phone

Supervisor name

Describe your duties

Reason for leaving

Were you subject to Federal Motor Carrier Safety Regulations (FMCSR) while employed by this previous employer?
YesNo

Was this previous job position designated as a safety sensitive function in any USDOT regulated mode, subject to alcohol and controlled substance testing requirements as required by 49 CFR Part 40?
YesNo

Next Employer

Company name

Position held

Address

Address (line 2)

City

State

Zip Code

Country

Start date

Date finished

Employer phone

Supervisor name

Describe your duties

Reason for leaving

Were you subject to Federal Motor Carrier Safety Regulations (FMCSR) while employed by this previous employer?
YesNo

Was this previous job position designated as a safety sensitive function in any USDOT regulated mode, subject to alcohol and controlled substance testing requirements as required by 49 CFR Part 40?
YesNo

Drivers License Information

Drivers license number

State issued

Type

Endorsements

Expires

Have you ever been denied a license, permit or privilege to operate a motor vehicle?
YesNo

Has any license, permit or privilege ever been suspended or revoked?
YesNo

Check the vehicles you have experience operating
Motorcoach (Bus)School BusTractor TrailerStraight TruckMini BusLimoPassenger Van (Transportation Company Related)Town Car

Explain any accidents in the past 3 years with dates and nature of the accident

List all traffic convictions for the past 3 years with the date and location

Additional Information

Have you ever been convicted of a felony? *
YesNo

If yes, please give date and explain

Are you now or have you ever been under investigation for a felony?
YesNo

If yes, please give date and explain

Have you ever been employed under a name other than the name used on this application? *
YesNo

If yes, please explain

Education Information

High School

Name & City/State of High School *

Course of Study/ Degree Earned *

Did you graduate? *
YesNoAttending

College or University

Name & City/State of College or University

Course of Study/ Degree Earned

Did you graduate?
YesNoAttending

Other

Name & City/State of Other (specify)

Course of Study/ Degree Earned

Did you graduate?
YesNoAttending

You should hire me because... *

I understand and agree that, if hired my employment is "at will" and is not for a definite period and may, regardless of circumstances, be terminated at any time without prior notice by the Company. I further acknowledge that no contract of employment will be valid against the company unless signed by the Chief Operating Officer of the Company.

I acknowledge that as a condition of my employment, I will be required to agree to be bound by the terms of and sign the Company. Failure to sign this Agreement shall result in revocation of my offer of employment.

Choose ONE: *
I AcceptI Do Not Accept