Foothill Transit Applicant Summary
Resume:
Employment Application
Position Applied For Date
Equal access to programs, services, and employment is available to all persons. Those applicants requiring reasonable accommodations in the application and/or interview process should notify the Human Resources Department. Name
Address
City State ZIP
Home Phone Cell Phone
Email Address
How did you become aware of this opening?
Type of employment desired?
Indicate shift availability
Date available for work
Full Time
Day
Part Time
Evening
Temporary/Seasonal
Weekend
Salary desired Hourly Monthly Annually
Have you ever applied or worked for Foothill Transit? Yes No If yes, please provide position and dates From To
Do you have any relatives or friends working at Foothill Transit? Yes No If yes, please list individual's name and relationship to you Can you provide original documentation of your identity & eligibility to work in the United States? Yes No Educational Background
School Name Address/City/State Did you graduate? ** Diploma or
Degree
Yes No
Yes No
Yes No
Yes No
Yes No
**Comments/Status
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Name
Position
Employment History
Please include ten years of employment history, including periods of unemployment. May we contact this employer? Yes No
Employer: Period of Employment Job Title/Position
From Month/Year To Month/Year
Street Address: Duties
City State ZIP
Name/Title of Supervisor Phone Number
Reason for leaving
May we contact this employer? Yes No
Employer: Period of Employment Job Title/Position
From Month/Year To Month/Year
Street Address: Duties
City State ZIP
Name/Title of Supervisor Phone Number
Reason for leaving
May we contact this employer? Yes No
Employer: Period of Employment Job Title/Position
From Month/Year To Month/Year
Street Address: Duties
City State ZIP
Name/Title of Supervisor Phone Number
Reason for leaving
May we contact this employer? Yes No
Employer: Period of Employment Job Title/Position
From Month/Year To Month/Year
Street Address: Duties
City State ZIP
Name/Title of Supervisor Phone Number
Reason for leaving
Page 3 of 4
Name
Position
Please list all previous employment with a contractor, i.e. Veolia, MV, First Transit, Penske, etc., furnishing services directly to Foothill Transit through an operating or administrative contract: Contractor Position Start Date End Date Years/Mos. Total
Skills, Qualifications and Certificates
Summarize any special training, skills, licenses and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying.
I certify that all the information I have provided in order to apply for and secure work with Foothill Transit is true, complete and correct. I further certify that I, the undersigned applicant, have personally completed this application.
I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to cancel further consideration of this application or immediately discharge me from Foothill Transit's service, whenever it is discovered. I hereby release Foothill Transit, its officers, agents, employees and representatives and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigations or disclosures, including, without limitation, seeking and gathering and using such information.
I understand I may be required to satisfactorily take and pass a pre-employment drug and alcohol screening examination before I may be considered for employment. I also understand I may be subject to random, post accident and reasonable suspicion drug and alcohol testing during the course of employment. Testing positive, refusing to test within the designated time period or submitting an adulterated specimen for a random, reasonable suspicion or post accident drug and alcohol screening during my employment will be considered grounds for termination.
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Previous Foothill Transit Experience
Applicant Statement
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Name
Position
Applicant Statement (continued)
If I am applying for a position that requires the operation of a Foothill Transit vehicle, I am required to possess a current and valid driver's license and agree to provide Foothill Transit a certified copy of my driving record. I also understand that any offer of employment is contingent upon my ability to be covered by Foothill Transit's vehicle insurance policy.
I understand that Foothill Transit abides by an employment-at-will policy. Either the company or the employee may terminate the employment relationship at any time, for any reason, with or without notice. Additionally, nothing contained in this employment application or anything conveyed during the interview, or by a representative of Foothill Transit is intended to create an employment contract explicit or implied. I also understand and agree that any future changes in my title, duties, compensation, working conditions, benefits or company policy and procedures will not alter this at- will agreement. I understand that no supervisor or representative of Foothill Transit is authorized to make any assurances contrary to of any of the terms or conditions herein described. Should a search of public records (including records documenting arrest, indictment, conviction, civil judicial action, tax lien, or outstanding judgment) be conducted by internal personnel employed by Foothill Transit, I am entitled to copies of any such records obtained by Foothill Transit unless I mark the check box below. If I am not hired as a result of such information, I am entitled to a copy of any such records even though I have checked the box below.
I waive receipt of a copy of any public record described in the paragraph above. DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement. Signature of Applicant Date
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