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Van Pool Transportation Employment Application

This document is an application for employment with Van Pool Transportation LLC. It requests personal information such as name, address, contact details, driver's license information, and availability. It also asks for work history including employer details and reasons for leaving. Additional questions inquire about any accidents, traffic violations, failed drug/alcohol tests, ability to park a vehicle, and availability for morning and afternoon routes starting at 6am and ending at 6pm. The applicant is asked to certify that all information provided is true and complete.

Uploaded by

Baal Sach
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© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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76 views2 pages

Van Pool Transportation Employment Application

This document is an application for employment with Van Pool Transportation LLC. It requests personal information such as name, address, contact details, driver's license information, and availability. It also asks for work history including employer details and reasons for leaving. Additional questions inquire about any accidents, traffic violations, failed drug/alcohol tests, ability to park a vehicle, and availability for morning and afternoon routes starting at 6am and ending at 6pm. The applicant is asked to certify that all information provided is true and complete.

Uploaded by

Baal Sach
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

VAN POOL TRANSPORTATION LLC

P.O. Box 1105


Wilbraham, MA 01095
Telephone: 413-599-1616 / Fax 413-596-9292
www.vanpooltransportation.com
An Equal Opportunity Employer
Please provide the following information to be considered for employment with our company.

Personal Data
Name

E-Mail____________________________

Street Address_______________________________________ ___________________


City ______________________________ State_________________ Zip Code_______
Home Phone

Cell Phone________________________

Referred By ___________________________________________________________
Do you have a valid drivers license? Yes No
How many years have you been driving?

License # ______ ____________


Step Rating ___ ____________

Note: Your STEP Rating can be obtained by contacting your auto insurance company
Do you have a Massachusetts 7-D license? Yes No

If Yes, Expiration

Do you have any physical impairment that could interfere with the safe transport of children?
Yes No

If yes, explain______________________________________________

_____________________________________________________________________

Work Experience
Please provide up to 10 years of work experience including periods of unemployment in the
space provided. List the most recent employer first.
Position:
Employer:
Reason for Leaving:

From:

Position:
Employer:
Reason for Leaving:

From:

Position:
Employer:
Reason for Leaving:

From:

To:

To:

To:

Phone #:

/
Phone #:

/
Phone #:

Background Information
List any accidents or traffic violations you have had in the last five (5) years
_____________________________________________________________________
_____________________________________________________________________
In the past three years, have you failed an employers alcohol or drug test? Yes No
If yes, explain__________________________________________________________
_____________________________________________________________________
Do you have a safe place to park a vehicle?

Yes

No

Can you be available on short notice?

Yes

No

Are you available for both morning and afternoon routes?

Yes

No

Are you available as early as 6:00 a.m.?

Yes

No

Are you available as late as 6:00 p.m.?

Yes

No

Do you have a limit on the number of hours you can work?

Yes

No

Are you able to make a firm commitment to this job?

Yes

No

Is there anything else you would like to share with us as we consider your application?
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________

Verification
I hereby certify that all information on this application is true and complete to the best of my knowledge.
I understand that erroneous information or any deliberate falsifications, misrepresentations, or omissions of fact may result in the removal of my name for consideration for employment, or may result in
termination from subsequent employment.

Signature

Date

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