Employment

Personal Information

• Name:
  

• Address:
  

• • City:
    

  • State:
    

  • Zip Code:
    

• Phone:
  

• Email:
  

• Are you legally eligible for employment in the United States?
  (Proof of U.S. citizenship or immigration status will be required if hired.)
  
  Yes:No:

• Are you less than 18years of age?
  (Note: We comply with State and Federal Child labor regulations)
  
  Yes:No:

• DOB:
  

Employment Desired

• Position(s) applied for:
  

• Type of employment desired:
  Full Time:Part Time:Temporary:

• Will you work overtime if required?:
  Yes:No:

• Ever applied for a position with this company before? If Yes,
  Yes:No:

• Were you referred to our company by an A.M. employee?
  Yes:No:

• If yes, please give the employees name.
  

General Information

• Do you have any physical or mental impairments that would
  interfere with your ability to do the job which you have applied?
  Yes:No:

• If yes, describe in detail:
  

• (Note: Hiring may be subject to assign a physical examination that may include screening for the presence of drugs and/or alcohol.)

• How many days of work have you missed during the last twelve (12) months for any reason?
  (Do not include periods of unemployment.)
  
  

Education Background

• •  

    Name & Location

    No. of Years Completed

    Did you Graduate?

    Degree or Diploma

    Major

  • High School

  • College

  • Other

• Special Skills :
  

Employment History

• Please provide the following information concerning each of your previous employers, starting with your present or most recent positions.

• • Employer:
    

  • Dates Employed:
    

    -

    To:
    

• Address:
  

• • Telephone No.:
    

  • Name of Supervisor:
    

• • Job Titles & Duties:
    

  • Salary:
    

  • (Circle One)
    HourlyWeekly

• Reasons for leaving :
  

• May we contact?
  YesNo

• • Employer:
    

  • Dates Employed:
    

    -

    To:
    

• Address:
  

• • Telephone No.:
    

  • Name of Supervisor:
    

• • Job Titles & Duties:
    

  • Salary:
    

  • (Circle One)
    HourlyWeekly

• Reasons for leaving :
  

• May we contact?
  YesNo

• • Employer:
    

  • Dates Employed:
    

    -

    To:
    

• Address:
  

• • Telephone No.:
    

  • Name of Supervisor:
    

• • Job Titles & Duties:
    

  • Salary:
    

  • (Circle One)
    HourlyWeekly

• Reasons for leaving :
  

• May we contact?
  YesNo

Driving record
TO be completed only if you are applying for a driving position

• • State

    License No.

    Type

    Expiration Date

• Have you have been denied a license, permit or privilege to operate a motor vehlice?
  YesNo

• Have you ever had a license, permit or privilege suspended or revoked?
  YesNo

• • Date

    Nature of Accident

    Fatalities

    Injuries

• • Date  

    Location

    Charge

    Penalty

Note: the company will verify your driving record

References

• • Name

    Relationship

    Years Known

    Telephone No.

I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that any false statements, omissions, or misrepresentations on this application or false statements made during the employment process may be considered sufficient cause for rejection of this application or dismissal if I have been employed, no matter when discovered by the company.

I hereby authorize A.M. Bus Company to thoroughly investigate my background references, employment record, driving record (if applicable) and other matters related to my suitability for employment, and further authorize my former employers and any third party to disclose to the company all reports and other information related to my suitability for employment, personal or otherwise, without giving me prior notice of such disclosure. In addition, I hereby release the 'company, former employers and all references listed above, from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.

I understand that either as a condition of employment, or at any time during the course of my employment, if requested, I must take a urinalysis, blood or other test for the purpose of detecting any drug (including alcohol), which might impair my ability to safely perform my job. I further understand that, should this test indicate the presence of drugs (including alcohol) in my body, it may result in the rejection of my application for employment or in immediate discharge, if detected after hire. I consent to this testing and the request that the results of such testes) be disclosed to the company and I hereby release the company, it's employees and agents, from any and all legal liability flowing from taking such tests(s) or my failure or refusal to take such test(s).

I understand that nothing contained in this application, or conveyed during any interview that may be granted, is intended to create an employment contract. I further agree that if I am hired, my employment is for no definite period and may be terminated at any time, without prior notice, at the option of either the company or myself. I further understand that no representative of the company has the authority to make any assurances to the contrary.

I understand that filling out this form does not indicate there is a position open and does not obligate the company to hire me. If hired, I agree to abide by all company work rules, policies, and procedures relating to work performance and conduct.