Professional Vehicle Operator Application For Employment Page 4

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Paratransit operates every day of the year. Our service day begins as early as 5:30 a.m. and ends at 1:30
a.m. the next day. Vehicle Operators bid for shifts, in seniority order, during the general bids for
assignments effective December 1
st
, April 1
st
and August 1
st
. Your work assignment may change based on
the results of each general bid. Please indicate which days you are available to work. Mark all that apply:
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Our customers provide less than one day’s notice when making their reservations. Frequently they
change their reservations on the day of the ride, with very little notice. Further, we encounter unexpected
events daily that cause some driver’s work schedules to change (co-workers call in sick, vehicles break
down, traffic is heavy, passengers aren’t ready on time, etc.). These events could cause a work schedule
to be lengthened or shortened. Indicate how many hours you want to work each week:
Least 20 
at least 37½ 
more than 37½ 
Are you willing and able to work regularly six days a week?
yes 
no 
Are you willing and able to work overtime with little notice?
yes 
no 
What is the earliest time you are willing and able to work?
What is the latest time you are willing and able to work?
I agree and understand that any misrepresentation of information or omission of facts I have provided in this Application
for Employment are grounds for immediate discharge.
I agree and understand that representatives of Paratransit, Inc., may investigate my background to ascertain and obtain any
and all information of concern to my 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.” I understand and agree that I have a right to receive a copy of public record
information directly obtained by Paratransit, Inc. I understand and agree that I will not receive a copy of such public
record information if I check the box below waiving my right to such information. I release Paratransit, Inc., its
employees and all persons from any liability for furnishing such information.
Yes
No
I waive my right to a copy of public record information obtained by Paratransit, Inc.
(Please initial appropriate box)
I agree and understand that this Application for Employment in no way obligates Paratransit, Inc., to employ me.
Offers of employment for the position of Vehicle Operator are conditional and contingent on the successful
completion of a pre-employment drug test, post job offer physical, fingerprint clearance, and background
investigation. The Vehicle Operator is a safety-sensitive position subject to Paratransit, Inc.’s , Drug and Alcohol
Testing Program.
I certify that this Application for Employment was completed by me, and that all entries on it and information in it and
any attachments signed by me are true and correct to the best of my knowledge.
________________________________________________
____________________________
Signature
Date

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