Registration: Suburban Transportation Group

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PERSONAL INFORMATION
 

Additional Information
Position Desired
Part Time
Full Time
If driving is a requirement of the job for which you are applying, do you have a current, valid NYS driver¯s license?
 Yes  No
NYS Drivers License ID#:
License Class:
License Endorsements:
License Restrictions:
Are you able to perform the essential functions of the position with or without accommodations?
 Yes  No
Are You 18 Years of Age or Older?
 Yes
If Under 18, Please State Your Age
Date Available for Employment
Min Salary Requirements $
In case of emergency, contact:
Emergency Contact Phone Number

Employment Experience
Your present or most recent employer:
Company Name
Phone #
Employed (Date) From
to (Date)
Ending Salary/Rate
Supervisor
Work Performed
Reason for Leaving
Previous Employer
Company Name
Phone #
Employed (Date) From
to (Date)
Ending Salary/Rate
Supervisor
Work Performed
Reason for Leaving
Past Employer
Company Name
Phone #
Employed (Date) From
To (Date)
Ending Salary/Rate
Supervisor
Work Performed
Reason for Leaving

Education
High School
Major/Degree
Univ./College
Military, Business Trade, Other
Major/Degree 2

Special Skills, Certifications or Professional Licenses
Summarize special job-related skills and qualifications from employment or other experience as well as any certificates or professional licenses that you hold.

PLEASE READ THE FOLLOWING STATEMENTS
The facts set forth in my application are true and complete. I authorize Suburban Transportation Group to investigate all statements contained in this application and hereby authorize my former employers to furnish all information pertaining to my work record. I hereby release my former employer from all liability on account of furnishing such information to Suburban Transportation Group. I understand that if employed, false statements, omissions or misleading statements on this application could lead to dismissal and agree that Suburban Transportation Group shall not be held liable in any respect if my employment is terminated because of such omissions or false or misleading statements. Suburban Transportation Group is hereby authorized to investigate my employment history, including the contacting of the employers on the previous page. I understand that the filling of this application with the Suburban Transportation Group a preliminary step to employment. It does not obligate the company to offer employment, or the applicant to accept employment. An offer of employment, if made, is contingent upon receiving satisfactory background and reference checks as authorized by this statement and any other attachments. I understand that if I receive a contingent offer of employment and I accept the position, I may be required to complete additional information necessary for record keeping requirements. I agree to abide by all Company policies and procedures as outlined within Suburban Transportation Group policies, memos, and other documents. For those who are required to drive, our insurance carrier and/or the DMV may require us to submit employees to a physical exam; the results must be satisfactory for employment to continue. If hired, I understand that as an employee of Suburban Transportation Group, my driving record will be continually reviewed and if at any time I am found to have traffic convictions (including, but not limited to DUI, DWI, excessive points on my license, etc.) my employment may be terminated.
 Yes

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Thank you for your interest!
 
 

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