R. J. Rhodes Transit, Inc.
Application for Employment [Bus Driver]

Fields marked (*) are required

Name:*

Email:*

Main Phone:*
(xxx-xxx-xxxx)

Cell Phone:
(xxx-xxx-xxxx)

Are you at least 18 years of age?:*
Yes
No

Address:*


City:*

State:*

Zip:*

Number of years at this address:*

Violent or drug related criminal violations will disqualify an applicant from legal employment as a school bus driver, do you have any such violations?:*
Yes
No

Have you had any traffic citations in the last 35 months?:*
Yes
No

Do you have any physical or medical limitations that would prevent you from passing a school bus physical, or performing the duties of the position for which you are applying?:*
Yes
No

Please explain:

Please list any training or experience which would help you in the work you are applying for:

How were you referred to us?:*

Employment History
(All employers for the past 3 years must be supplied to be considered for employment)
Please list most recent or current employer first.
Company 1
Company Name:*

From:*

(MM/YYYY)
To:* (MM/YYYY)
Address:*
City, State, Zip:*
Contact Person:*
Phone:*
Position Held:*
Salary/Wage:*
Reason for Leaving:*
Were you subject to FMCSR with this employer?:* Yes
No
Drug and alcohol testing?:* Yes
No

 

Company 2
Company Name:*

From:*

(MM/YYYY)
To:* (MM/YYYY)
Address:*
City, State, Zip:*
Contact Person:*
Phone:*
Position Held:*
Salary/Wage:*
Reason for Leaving:*
Were you subject to FMCSR with this employer?:* Yes
No
Drug and alcohol testing?:* Yes
No

 

Company 3
Company Name:*

From:*

(MM/YYYY)
To:* (MM/YYYY)
Address:*
City, State, Zip:*
Contact Person:*
Phone:*
Position Held:*
Salary/Wage:*
Reason for Leaving:*
Were you subject to FMCSR with this employer?:* Yes
No
Drug and alcohol testing?:* Yes
No

By checking this box, I agree that this applications was completed by me, and that all entries on it and information in it is complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, financial or medical and other related matters as may be necessary in arriving at an employment decision. I undestand that my safety performance history will be investigated, and that I have a right to due process. In the event of employment, I understand that false or misleading information given in my application may result in discharge. I understand also, that I am required to abide by all rules and regulations of R. J. Rhodes Transit, Inc.

R. J. Rhodes Transit, Inc. may also at time of interview or correspondence ask for the applicant's Social Security Number and Driver's License information.