Equipment Service Worker (Service Lane) at Waco Transit System

First Name *

Middle Name *

Last Name *

Have you used another name? *

List all other names by which you have been know:

Position you are applying for: *

Address *

Phone *

Email *

Social Security Number *

Have you ever used another Social Security Number? *

Please list the cities and corresponding state you have lived in during the past 7 years: *

Do you have a valid driver's license? *

If so, what state: *

Driver's License Number *

Have you been a licensed driver for the last 5 years? *

List all moving violations and accidents in the past three years: *

Driver's License Classification: *

Have you ever been convicted for driving under the influence (DUI)? *

If hired, would there be anything preventing you from working as scheduled? *

If hired, can you present evidence of you U.S. citizenship or proof of your legal right to live and work in this country? *

Have you ever been terminated or asked to resign from a job? *

What days and hours are you available for work? *

Select the days you would be available: *

What are the times you would NOT be available to work? *

Would you be available to work overtime, if necessary? *

If hired, on what date can you start work? *

Have you ever applied to or worked for Waco Transit System? *

If yes, when?

Do you have any friends or relatives working for Waco Transit System? *

If yes, state name(s) and relationship(s)

Do you have any commitment to another entity or person that might affect your employment with Waco Transit System? *

If yes, describe fully:

How were you referred to our company? *

List below the name, phone number, and number of years known of three persons not related to you who have knowledge of your work performance within the last three years. If this does not apply to you, then provide three school or personal references that are not related to you. *

High School *

College/University *

Some of our customers/clients may not speak English. do you speak, write, or understand any other languages? *

If yes, which language(s):

Do you have any other experience, training, qualifications, or skills, which you feel may make you especially suited for work at Waco Transit System? If yes, explain:

Name, address, and phone number of your most recent employer: *

Your position and duties: *

Dates of Employment: *

Reason for Leaving: *

Were you ever in the Armed Services? *

If so, what branch?

Dates of Duty:

Have you obtained any special skills or abilities as a result of service in the military? If yes, describe:

Have you in the last 7 years, under your name or another name, been convicted of, plead guilty or nolo contendere to, received deferred adjudication for, or been on any form of diversion for any criminal offense? *

Have you ever, under your name or another name, been convicted of a crime, which resulted with your being in prison and released from prison or paroled? *

If yes, explain each conviction fully, when, where, and of what you were convicted and disposition of the case(s):

Are you currently under arrest, or released on bond or your own recognizance, pending trial for a criminal offense? *

If yes, state the nature of the crime charged, and when and where trial is pending:

Are you able to perform the essential functions of the job for which you are applying with or without reasonable accommodation? *

If no, describe the functions that cannot be performed:

Is there any reason why you would not be able to fully conform to all attendance requirements? *

If yes, describe:

Resume *

See all the jobs at Waco Transit System here: http://wacotx.recruiterbox.com/jobs

Application Form