School Bus Driver Application Form printable pdf download

School Bus Driver Application Form

SOUTH COLONIE CENTRAL SCHOOL DISTRICT

102 Loralee Drive

Albany, New York 12205

(518) 869-3576

SCHOOL BUS DRIVER APPLICATION

Date _______________________

Social Security # ____________________________(Optional)

Name

Address

Home Phone __________________________ Cell Phone__________________________________

Are you a Veteran? ( ) Yes

( ) No

Are you a volunteer Fire Fighter? ( ) Yes ( ) No

Have you previously worked for the South Colonie Central School District? ( ) Yes ( ) No

If yes, please state your name at that time, year(s) worked and position held:

Are you a member of the NYS and Local Employees’ Retirement System? ( ) Yes ( ) No

If yes, please indicate retirement number: _________________________

Have you ever been convicted of a felony or misdemeanor? ( ) Yes ( ) No

If yes, please explain. A conviction will not necessarily be a bar to employment.

1. Available to work on the following basis:

Substitute ______

Part-time ______

Full-time ______

2. Class of Driver’s License: ______________________ Expiration Date: __________________

Motorist Identification Number: ____________________ State of Issuance: _________________

3. How many years have you been driving? ______________________

Have you ever had an accident while driving the past 5 years which resulted in injuries to yourself

or others? ( ) Yes ( ) No If yes, describe extent of accident or accidents: __________________

4. Have you been convicted of a moving traffic violation (reckless driving, etc.) during the past

3 years? ( ) Yes ( ) No If yes, explain:

Charge __________________________________________

Date _______________________

School Bus Driver Application Form