If you are a human and are seeing this field, please leave it blank. Job Description Driver: Part-time job – 4 hours per day – 180 school days. Shultz Transportation keeps applications on file for 90 days and we often reference old information if we’re looking to fill a need. Thank you for your interest in our company! General Information Fields marked with an * are required First name * Middle name Last name * Current phone no. * Current street address * City * State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia 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 Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / post code * Email * I have lived at this address for 3 or more years List any other name(s) under which you attended school or were employed Previous street address Previous city Previous state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia 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 Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Previous zip / post code I have lived at this previous address for 3 years or more I have applied at Shultz Transportation in the past Previous application date I am currently employed I give permission for you to contact my current employer I have been convicted of, or pled guilty or no contest to a misdemeanor or a felony such as fraud, embezzlement, or misappropriation of funds, or false use of financial instruments, or of any other crime involving honesty. (A "Yes" answer will not necessarily preclude employment.) Date, place, charge, and disposition of charge The following is required but not limited to, for employment: CDL Class B driver’s license with a school bus and passenger endorsement which Shultz provides training for, physical, FBI clearance, Child Abuse clearance, and a clean driving record. I have relatives employed here List the names of any relatives employed here When are you available for work? Where did you learn about us? Advertisement Friend Walk-in Employment agency Relative Other State of driver's license Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia 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 Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming License Number Class Expiration date List moving motor vehicle violations for past 3 years (other than parking) Education Education type High School / GED College Trade School Apprenticeship Military Correspondence Other School name School address Course of study Years completed Diploma/degree Additional information Additional schooling Select High School / GED College Trade School Apprenticeship Military Correspondence Other School name School address Course of study Years completed Diploma/degree Additional information Additional schooling Select High School / GED College Trade School Apprenticeship Military Correspondence Other School name School address Course of study Years completed Diploma/degree Additional information Employment History Name of employer Address Phone Name of supervisor Starting date Starting wage Starting position Last day Ending wage Last position held Please give a brief description of your duties Reason for leaving Additional employer Name of employer Address Phone Name of supervisor Starting date Starting wage Starting position Last day Ending wage Last position held Please give a brief description of your duties Reason for leaving Additional employer Name of employer Address Phone Name of supervisor Starting Date Starting wage Starting Position Last day Ending wage Last position held Please give a brief description of your duties Reason for leaving Additional employer Name of employer Address Phone Name of supervisor Starting date Starting wage Starting position Last day Ending wage Last position held Please give a brief description of your duties Reason for leaving Additional Information Comments (including explanation of any of the questions answered in this application) List professional, trade, business civic activities, and offices held. (You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability, or other protected status.) References Provide up to 5 references. No family members or employers. Submit application Fields marked with an * are required Agree to Terms below: * "I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. ! also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.' Confirm that you are not a bot *
