Professional Vehicle Operator Application For Employment (Page 2 of 5) in pdf

Professional Vehicle Operator Application For Employment Page 2

Conviction by any court of an offense is not necessarily a bar to employment. Each case is considered

individually based upon job requirements. Please answer the question below.

Have you ever been convicted by any court of any offense? You may omit: 1) any incident that has been

sealed or expunged, or 2) any offense committed which was adjusted in a Juvenile Court or under a youth

offender law.

yes 

no 

If yes, please explain:

NOTE: Paratransit, Inc., may investigate your background to ascertain and obtain any and all information

of concern to your record, whether same is of record or not, including without limitation matters of public

record. “Public records” are defined as “records documenting an arrest, indictment, conviction, civil

judicial action, tax lien, or outstanding judgment.”

During the past two years have you tested positive or refused to test on any pre-employment drug and

alcohol test administered by an employer that they applied to, but did not obtain, safety-sensitive

transportation work covered by DOT drug and alcohol testing rules?

yes 

no 

Circle the highest grade of school completed: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Provide the information listed below about any college or university you have attended and/or of any

business, trade, service, or correspondence school:

Name of Institution

Address

Course of Study

Duration

List any degrees, safe driving awards or certificates of professional or vocational competence you hold:

Please list job-related organizations, clubs, professional societies, or other associations to which you

belong. You may omit those that indicate your race, religious creed, color, national origin, ancestry,

gender, sexual orientation or age:

If you have served in the military or volunteered in the community, list any skills you learned which you

feel are relevant to transportation or providing assistance to people with disabilities or the elderly:

Professional Vehicle Operator Application For Employment Page 2