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Home
Job Application
Job Application
Step
1
of
10
10%
Name
(Required)
First
Last
Social Security Number
(Required)
Phone
Current Address – Please list addresses for 3 years
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
How long at this address
Previous Address 1
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
How long at this address 1
Previous Address 2
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
How long at this address 2
Previous Address 3
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
How long at this address 3
Are you a US Citizen?
(Required)
Yes
No
If Not a Citizen, What Type of VISA do you now have?
(Required)
Student
Permanent Entry U.S.A.
Other: Specify below in the Comments Section
Position Applied for
(Required)
Date Available
MM slash DD slash YYYY
Desired Salary
Type of Work Desired
Full Time
Temporary
Summer
Part-Time
Will you consider shift work or weekends?
Yes
No
Are you related to anyone at Tulsa Transit?
(Required)
Yes
No
Who are you related to?
(Required)
First
Last
High School
Grade Completed
(Required)
9
10
11
12
Did you attend Business or Vocational school?
Yes
No
Business or Vocational School name:
College:
Organizations:
Do not list any organizations, clubs, etc. the names of which might indicated race, color, religion, or national origin of its members
Were you in the US military?
Yes
No
Military Service Date Entered:
MM slash DD slash YYYY
Attach DD-214
Max. file size: 100 MB.
Branch
Choose One
Army
Navy
Air Force
Marines
Coast Guard
Discharge Date
MM slash DD slash YYYY
Type of Work Performed
Have you previously worked for this company?
(Required)
Yes
No
Dates employed
Reason for leaving
How were you referred?
Choose One
Employee
Walkin
Internet
Newspaper
Radio
TV Ads
Billboards
Employment Agency
Job Fair
Other
Have you ever been convicted of a felony?
Yes
No
Explain
(Required)
Other information which will assist in your employment (IE: Foreign languages, special skills, etc)
Beginning with last (or present) Employment, List Work of Last 3 years (Last 10 years if applying for Driving Positions)
From:
(Required)
MM slash DD slash YYYY
To:
(Required)
MM slash DD slash YYYY
List
(Required)
Company Name and Phone Number:
Supervisor Name:
May we contact?
Duties
Salary
Reason for Leaving
Add
Remove
A Safety Sensitive Position?
(Required)
Yes
No
Subject to Federal Motor Carrier Safety Regulations?
(Required)
Yes
No
From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
List
Company Name and Phone Number:
Supervisor Name:
May we contact?
Duties
Salary
Reason for Leaving
Add
Remove
A Safety Sensitive Position?
Yes
No
Subject to Federal Motor Carrier Safety Regulations?
Yes
No
From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
List
Company Name and Phone Number:
Supervisor Name:
May we contact?
Duties
Salary
Reason for Leaving
Add
Remove
A Safety Sensitive Position?
Yes
No
Subject to Federal Motor Carrier Safety Regulations?
Yes
No
Provide Job History for 10 Years
Add More Job History
From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
List
Supervisor Name:
May we contact?
Duties
Salary
Reason for Leaving
Add
Remove
A Safety Sensitive Position?
Yes
No
Subject to Federal Motor Carrier Safety Regulations?
Yes
No
From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
List
Company Name and Phone Number:
Supervisor Name:
May we contact?
Duties
Salary
Reason for Leaving
Add
Remove
A Safety Sensitive Position?
Yes
No
Subject to Federal Motor Carrier Safety Regulations?
Yes
No
From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
List
Company Name and Phone Number:
Supervisor Name:
May we contact?
Duties
Salary
Reason for Leaving
Add
Remove
A Safety Sensitive Position?
Yes
No
Subject to Federal Motor Carrier Safety Regulations?
Yes
No
Provide Job History for 10 Years (2)
Add More Job History
From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
List
Company Name and Phone Number:
Supervisor Name:
May we contact?
Duties
Salary
Reason for Leaving
Add
Remove
Subject to Federal Motor Carrier Safety Regulations?
Yes
No
From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
List
Company Name and Phone Number:
Supervisor Name:
May we contact?
Duties
Salary
Reason for Leaving
Add
Remove
A Safety Sensitive Position?
Yes
No
Subject to Federal Motor Carrier Safety Regulations?
Yes
No
From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
List
Company Name and Phone Number:
Supervisor Name:
May we contact?
Duties
Salary
Reason for Leaving
Add
Remove
A Safety Sensitive Position?
Yes
No
Subject to Federal Motor Carrier Safety Regulations?
Yes
No
From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
List
Company Name and Phone Number:
Supervisor Name:
May we contact?
Duties
Salary
Reason for Leaving
Add
Remove
A Safety Sensitive Position?
Yes
No
Subject to Federal Motor Carrier Safety Regulations?
Yes
No
Are you applying to be a driver or will you be using a company vehicle?
(Required)
Yes
No
Drivers License Number:
Expiration Date:
MM slash DD slash YYYY
Issued by which state?
Type of License?
C.D.L.
Operator
Passenger Endorsement
Have you ever been denied a license, permit or privledge to operate a motor vehicle?
(Required)
Yes
No
You answered yes to having an issue with a permit, license, or privledge. Please write a statement giving details.
(Required)
Have you had any convictions or forfeitures involving possession, sale, manufacturing, transportation or use of drugs?
(Required)
Yes
No
List your convictions:
List
City, State
Date
Charge
Penalty
Add
Remove
List your convictions:
List
City, State
Date
Charge
Penalty
Add
Remove
List your convictions:
List
City, State
Date
Charge
Penalty
Add
Remove
I understand that the information on this application will be used and that prior employers will be contact for the purpose of investigation. This is required by CFR Part 383.35 of the federal motor carrier safety regulations.
References (List 3):
List
Name
Address and Phone Number
Years Known
Add
Remove
List personal references – not relatives or former employers
List
Name
Address and Phone Number
Years Known
Add
Remove
List
Name
Address and Phone Number
Years Known
Add
Remove
Upload Resume Here:
Max. file size: 100 MB.
Accepted file types: pdf, doc, docx, Max. file
Statement of Certification and Authority for Release of Information
1. I hereby submit my electronic application for employment and authorize the release of all information relating to my background from current employers, former employers, criminal justice agencies, financial or lending institutions, or individuals to any representative of Tulsa Transit to consider my application for employment. This information may include, but is not limited to: salary, work experience, education, personal history relating to achievements, performance, attendance, or disciplinary actions involving me, any criminal record relating to me (including arrests and convictions), and any credit information. I further release any individual, including records custodians, from all liability for damages that may result to me as a result of compliance or any attempts to comply with this authorization. 2. I certify that the statements in this application are correct and complete to the best of my knowledge. I also understand that any misrepresentation or deliberate omission of a material fact in my application may be justification for denial, or if employed, termination from Tulsa Transit employment. 3. Tulsa Transit reserves the right to rescind any offer of employment. 4. I understand that after a conditional job offer is made, I must successfully complete and pass a D.O.T. physical exam and drug screen administered by Tulsa Transit’s physicians. 5. I understand that this application will be in effect for six months from the date indicated below and if employment is not offered within the six month period, I must reapply to be considered for future employment. 6. I understand that the information on this application will be used and that prior employers will be contacted for the purpose of investigation for employment purposes. This is required by CFR part 383.35 of the Federal Motor Carrier Safety Regulations. 7. I agree to the above statements by entering my name below and submitting this Application for Employment to Tulsa Transit.
Ethinicity-Name
Name
(Required)
Date
(Required)
Ethnicity-SSN
Etnicity-Position
Position Applying for:
Ethnic Classification
Caucasian
African American
Asian
Hispanic/Latino
American Indian/Alaskan Native
Native Hawaiian/Pacific Islander
Sex:
Male
Female
Metropolitan Tulsa Transit Authority is an Equal Opportunity Employer