Position(s) Applied for * Phone What type of work are you seeking? *
Circle one or both.
Do you have the legal authorization to work in the United States? * Have you evered work for Treasure Valley Transit? * What was your Rate of Pay and Position? * Reason for leaving? * Are you currently employed? * Employer Name * Contact Person * Phone * Did you drive a vehicle requiring a CDL? * Position Held * Salary/Wage * Former Employer Fax Number Reason for Leaving: * Have you been in a car accident within the past three years?
Accident record for the past 3 years or more (attach sheet if more space is needed) If none, write none.
Have you had any traffic convictions and/or forfeitures within the past three years? (not including parking violations)
Traffic convictions and forfeitures for the past 3 years (other than parking violations) If none, write none.
Highest Grade Completed 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th Highest College Grade Completed 1st year 2nd year 3rd year 4th year Driver License State License Number Class & Endorsements Have you ever been denied a license, permit, or privilege to operate a motor vehicle? Has any license, permit, or privilege ever been suspended or revoked? Approximate Number of Miles (Total) Approximate Number of Miles (Total) Approximate Number of Miles (Total) Approximate Number of Miles (Total) Approximate Number of Miles (Total) List states operated in for the last five years: List special courses or training that will help you as a Transit Driver: List any driving or other experience that may help you in your work for this company: List courses and training other than shown elsewhere in this application: List special equipment or technical materials you can work with (other than those already shown): Signature Clear Signature
To Be Read and Signed by Applicant
This certifies that this application was completed by me, and that all entries on it and
information in it are true and complete to the best of my knowledge. I authorize you to make
such investigations and inquiries of my personal, employment, financial, or medical history and
other related matters as may be necessary in arriving at an employment decision. (Generally,
inquiries regarding medical history will be made only if and after a conditional offer of
employment has been extended.) I hereby release employers, schools, health care providers and
other persons from all liability in responding to inquiries and releasing information in
connection with my application. In the event of employment, I understand that false or
misleading information given in my application or interview(s) may result in discharge. I
understand, also, that I am required to abide by all rules and regulations of the Company.