School Bus Driver Application Form Page 2

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5. Active driving experience:
__________ Years
Passenger bus/heavy truck:
__________ Years
Light truck or station wagon:
__________ Years
6. Educational Background:
No. of Years
Graduated
Name and Address of School
Course of Study
Completed
(check one)
High School
1 2 3 4
Yes
No
College
1 2 3 4
Yes
No
Graduate/
Yes
No
Professional
Yes
No
Other (Specify)
Have you ever attended a Bus Driver training course or other such courses? ( ) Yes ( ) No
If yes, give date, place and duration of each kind of course:
7. Employment Record: Please list your current employer, and two previous employers including
the past three years, dates worked and address with telephone numbers.
Current Employer: _____________________________________________________________
Address: ______________________________________ Telephone: _____________________
Previous Employer: ____________________________________________________________
Address: ______________________________________ Telephone: _____________________
Previous Employer: ____________________________________________________________
Address: ______________________________________ Telephone: _____________________
8. References: Please list and attach three references (Note: Persons named cannot be relatives)
1.
2.
3.
I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all
statements contained in this application for employment as may be necessary in arriving at an employment decision. 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 employer.
Signature: _________________________________________ Date: _______________________
South Colonie does not discriminate on the basis of gender, race, color, national origin, handicap or age. Inquiries concerning this
policy of equal opportunity should be made to the Title IX and Section 504 Coordinator, Dr. David J. Perry at the District Office,
102 Loralee Drive, Albany, NY 12205 (518) 869-3576. The selected applicant will be subject to a fingerprinting supported criminal
history background check in accordance with SAVE Legislation effective July 1, 2001. A fee of 102.00 is required for fingerprinting and
after working for 30 days, will be reimbursed at 80%.

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