call today: 718.927.1410
 
   
 
 
 
Application INFORMATION       Please complete all information fields as applicable
Date of Application: *
*
 
Position Applying for: Operator Dispatcher Dispatcher Liaison Road Supervisor Mechanic Serviceman Manager
How did you hear about our company?  
Upload your Resume:
 
personal INFORMATION
Name: * * Email: * **
Address: City:
State: Zip Code:
Home Phone: * * Cell Phone:
Are you over 21? No Yes    
 
license INFORMATION
Class of License    
Endorsements Restrictions
Marital Status:  
 
DRIVING INFORMATION
Have you ever been arrested for DWI? No Yes  
Have you ever been found guilty of DWI? No Yes  
Have you ever received any tickets for a moving violation? No Yes  
If Yes, please explain:
 
Availability INFORMATION
Please check Current Availability:
Full Time (32-40 hrs per week)
Part Time (8-32 hrs per week)
Per Diem (as available)
Days Nights Overnights
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
 
Experience INFORMATION
Start with your present or most recent employer. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate rate, color, religion, gender, national origin, disabilities, or other protected statuses.
Job # 1
Employer   Dates Employed from: to:
Address   Telephone
Supervisor   May we contact? Yes No
Reason for Leaving   Brief Description of Duties
 
Job # 2
Employer   Dates Employed from: to:
Address   Telephone
Supervisor   May we contact? Yes No
Reason for Leaving   Brief Description of Duties
 
Job # 3
Employer   Dates Employed from: to:
Address   Telephone
Supervisor   May we contact? Yes No
Reason for Leaving   Brief Description of Duties
 
Job # 4
Employer   Dates Employed from: to:
Address   Telephone
Supervisor   May we contact? Yes No
Reason for Leaving   Brief Description of Duties
 
questionnaire
1.    Have you ever filed an application with Premier Paratransit before?
If yes, please give the date:
Yes No
2.    Have you ever been employed by Premier ParaTransit before?
If yes, please give the dates employed:
Yes No
3.    If you are under 18 years of age, can you provide proof or your eligibility to work? Yes No
4.    Are you a United States citizen?
If no ,can you provide proper documentation proving your eligibility to work?
Yes No
 
5.    Have you ever been convicted of a felony?
(Convictions will not necessarily disqualify you from employment)
 If yes, please explain:
Yes No
 
6.    Do you have your own tools and tool box? (Mechanics) Yes No
 
education INFORMATION
Elementary School
Name     Graduate
Address     Yes No
 
High School
Name     Graduate
Address Years Completed Yes No
 
Undergraduate School
Name Major Graduate
Address Years Completed Yes No
 
Graduate Professional
Name Major Graduate
Address Years Completed Yes No
 
Other (Specify)
Name Major Graduate
Address Years Completed Yes No
 
special certifications
Please list any special Certifications/Licenses that you have, their effective date and expiration date.
Tell us about yourself:
Please tell us what would make you an asses to have at Premier Paratransit?
     
Application Signature
I understand that all information filled out on this application must be true and information that is fraudulent and purposely misleading can be grounds for disqualification from employment or termination if found out after being employed.
     
Full Name * Initial to Signature * Date: *
       
     
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