Driver transportation

Location:

Fort Gratiot, MI, 48059

Posted:

July 10, 2024

Contact this candidate

Resume:

COA-** Revised */**; **/**; */**; **/**; */**; */*6; 6/09; 8/17; 4/21

COUNCIL ON AGING INC., SERVING ST. CLAIR COUNTY

*** ***** ***** ****** **** Huron, MI 48060 810-***-**** EMPLOYMENT APPLICATION

INSTRUCTIONS: Answer all questions. Questions may be job-related or required by state or federal law, depending on the position you are applying for. Only the answers relating to the position you are applying for will be considered. The Council on Aging Inc., serving St. Clair County is a RANDOM DRUG TESTING, SMOKE-FREE ENVIRONMENT, AND AT-WILL EMPLOYER. APPLICANT INFORMATION

Last Name: First: M.I. Date:

Street Address: Apartment/Unit#:

City: State: Zip:

Phone: Email:

Date Available: Social Security Number:

Position Applying For: Full Time Part Time Temp. On-Call Do you have a current Michigan driver’s license?

If not, what State?

YES NO DL#: Exp.

Is your license currently valid? YES NO License Type (Operator/Chauffeur/CDL): Are you a citizen of the United States? YES NO If not are you lawfully eligible to work

in the United States?

YES NO

Have you ever been fired from a job before? YES NO Explain: Have you ever been convicted of a crime including

vehicular violations?

YES NO Explain:

Are you able to perform job functions for this position? YES NO Explain: Under Age of 18

Yes No

Ever employed under another name? YES NO What Name? Have you ever been employed by Council on Aging? YES NO Dates/Dept./Explain: Do you have any relatives employed by Council on

Aging?

YES NO Name(s)/Relationship:

EDUCATION

High School: Address:

From: To: Did You Graduate? YES NO Courses Related to Position: College: Address:

From: To: Did You Graduate? YES NO Degree:

Other: Address

Dates Did You Graduate? YES NO Degree/Certificate: MILITARY SERVICE

Branch: Dates:

Rank at Discharge: Type of Discharge:

If other than honorable, explain:

Freer Ratliff Darlene A 6/28/24

4259Gratiot #6

Fort Gratiot MI

810-***-**** ***********@*****.***

Now 378548281

School bus driver

Ratliff

Stevenson Dodge Park

1968 1971 GED,Business

Flint School of Therapy

Massage Therapy

F6631350671062/9/26

E,OB

12/03-5/04

PREVIOUS EMPLOYMENT – BEGIN WITH MOST RECENT JOB FIRST Company: Phone:

Address: Supervisor:

Job Title: Start Date: End Date:

Responsibilities:

Full Time Part Time Hours Worked per Week: Reason for Leaving: May we contact this employer for a reference? YES NO Number of employees you supervised: Company: Phone:

Address: Supervisor:

Job Title: Start Date: End Date:

Responsibilities:

Full Time Part Time Hours Worked per Week: Reason for Leaving: May we contact this employer for a reference? YES NO Number of employees you supervised: Company: Phone:

Address: Supervisor:

Job Title: Start Date: End Date:

Responsibilities:

Full Time Part Time Hours Worked per Week: Reason for Leaving: May we contact this employer for a reference? YES NO Number of employees you supervised: SPECIAL SKILLS/CERTIFICATIONS/LICENSING

INTERESTS/HOBBIES

REFERENCES

Please list three professional references.

Name: Company: Phone:

Address: Relationship:

Name: Company: Phone:

Address: Relationship:

Name: Company: Phone:

Address: Relationship:

DISCLAIMER AND SIGNATURE

APPLICANT CERTIFICATION: READ CAREFULLY AND SIGN YOUR NAME. A false answer to any question on this form may be grounds for not hiring you, or for dismissing you after you are hired. All answers are subject to investigation.

I certify that all statements made on this application for employment are true, complete, and correct to the best of my knowledge and belief. Signature: Date:

First Student

4035 Dove Rd Chad Vick

School Bus Driver 1/16/15 6/22/24

Transporting children safely to, from, school

25 DOT

l, trips, sports

Conroe ISD

Frances Karcher

School Bus Driver 12/14

Transporting children safely to, from school, trips, sports 35 Robbed, Moved to MI

HEB Supermarket

Roxanne Johnson