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Position Applying For:

Application for Employment
Please advise us in advance if you need any type of special accommodation to complete this Application for Employment form or to take any pre-employment test.
Qualified applicants are considered for all positions without regard to age, sex, race, color, religion, national origin, sexual orientation, disability, marital, or veteran status. As a matter of policy, The Wave Transit System consistently checks reference information, both educational and employment, of all final candidates. For this reason, it is essential that all information requested on the applicant and supplied by the applicant be accurate and complete.
Instructions:
Be sure to answer all questions. If any question does not apply to you, answer with “No” or “Not Applicable” or (N/A).
Position Applied for:*
Minimum Salary Requirment
Who Referred you to our Company?
1. Mail In
2. Employment Agency
3. State Agency
1. Walk In
2. Employee Referral
1. Advertisement
2. Intra Company Referral
1. College Recruiting
2. Other
Have you worked for this company before?*
1. Yes
2. No
Where?
When?
Have you ever applied with this company before?*
1. Yes
2. No
Where?
When?
Start Date? *
Would you accept employment in another city?
1. Yes
2. No
Preference
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Step Two

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Personal Information

General Information
Last Name*
Middle Name*
First Name*
SSN (Leave Blank)
Address*
City*
State*
Zip Code*
How Long at current address?
Phone Number*
Email Address*
Name of Person to be Notified in Case of Emergency
Area Code and Phone Number
List address for previous 7 years if different from above.
City
State
Zip Code
How long?
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Step Four

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Eligibility To Work

Are you prevented from becoming lawfully employed in the U.S. because of your visa or immigration status? *
1. Yes
2. No
Have you ever been fired or asked to resign by an employer?*
1. Yes
2. No
If Yes, Explain.
Have you ever pled no contest or been convicted of a felony, misdemeanor, or other crime?*
1. Yes
2. No
If Yes, Explain.
Note: A drug-screening test is required for employment. Government regulations require that we verify your identity and employment authorization (Form I-9) within three (3) working days of your date of hire. Please be prepared to submit proper documentation.
An Equal Opportunity Employer That Values Diversity
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Step Six

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Educational Background

Elementary School and Junior High
Name and Location of School
Select Highest Grade/Year (Drop Down)
High School and/or G.E.D.
Name and Location of School
Select Highest Grade/Year (Drop Down)
Did you Graduate?
1. Yes
2. No
Grade Average
College
Name and Location of School College
Select Highest Grade/Year (Drop Down)
Grade Average
Did you Graduate?
1. Yes
2. No
Degree/Major
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Step Eight

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Advanc Schooling and Trades

Graduate School
Name and Location of School or College
How Long?
Grade Average
Did you Graduate?
1. Yes
2. No
Degree/Major
Trade, Business, or Correspondence School
Name and Location of School or College
How Long?
Grade Average
Did you Graduate?
1. Yes
2. No
Degree/Major
List and other training or educational programs you have attended.
List and other extracurricular activities, offices held while in school.
List and academic honors or other special recognition you have received
*Exclude those that indicate race, color, sex, age, national origin, disability, religious preference, or marital status.
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Step Ten

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License Qualifications

LICENSE QUALIFICATIONS
Driver License
State*
Type*
Expiration Date*
License # (Leave Blank) Official Use Only
A. Have you ever been denied a license, permit or privilege to operate a motor vehicle?*
1. Yes
1. No
B. Has any license, permit or privilege ever been suspended or revoked?*
1. Yes
1. No
C: Have you ever been disqualified subject to section 391 of the Federal Motor Carrier Safety Regulation?*
1. Yes
1. No
D: Have you in the past Two (2) years failed or refused a DOT-mandated Pre-Employment Test(s)?*
1. Yes
1. No
IF THE ANSWER TO A, B, C OR D IS YES, ATTACH STATEMENT GIVING DETAILS.
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Driver Experience

DRIVER EXPERIENCE
Straight Truck / Class Of Equipment
Type of Equipment (Van, Tank, Etc.)
Dates
Dates Start Date
—
Dates End Date
Approximate Number of Miles (Total)
Bus/Class of Equipment
Type of Equipment (Van, Tank, Etc.)
Dates
Dates Start Date
—
Dates End Date
Approximate Number of Miles (Total)
List States Operated in for the Last Seven (7) Years:
List Special Courses or Training That Will Help You As A Driver:
Which Safe Driving Award(s) Do You Fold And From Whom?
What Experience Have You Had Working With or Supervising Children? Explain.
Have You Ever Driven A Bus?
1. Yes
2. No
If Yes, Company Or School District?
Salary
Dates
Dates Start Date
—
Dates End Date
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Accident Review

Accident Review For the Past 3 Years
Last Accident
Date
Date
Nature Of Accident (Head-on, Rear End, Upset, Etc.)
Fatalities
1. Yes
1. No
Injuries
1. Yes
1. No
Previous Accident
Date
Date
Nature Of Accident(Head-On,Rear-End, Upset, Etc.)
Fatalities
1. Yes
1. No
Injuries
1. Yes
1. No
TRAFFICE CONVICTIONS AND FOREITURES FOR THE PAST 3 YEARS (Other than parking violations)
Location
Date
Date
Charge
Penalty
Location
Date
Date
Charge
Penalty
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Clerical Applicants Only

CLERICAL APPLICATIONS ONLY (What Specific experience have you had in the following?)
Accounting (Length of Time) (Type)
Word Processing (Length of Time) (Type) WPM
Billing (Length of Time) (Type)
Shorthand (Length of Time) (Type)
Claims (Length of Time) (Type)
Typing (Length of Time) WPM
COMPUTER EXPERIENCE
Software Packages(s)
Skill Level (Low, Med, High)
Platforms (Pc or Mac)
Years Experience
Software Packages(s)
Skill Level(Low,Med,High)
Platforms (Pc or Mac)
Years Experience
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Shop Applicants

SHOP APPLICANTS ONLY (What Mechanical experience have you had in the following?)
Engine Tune-Up-Diesel (Years, Months)
Engine Tune-Up-GAS (Years, Months)
Automotive Electrical (Years, Months)
Clutch/Transmission (Years, Months)
Brakes/Steering (Years, Months)
Lubrication (Years, Months)
Tire Repair (Years, Months)
Other (Years, Months)
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Employment History

EMPLOYMENT HISTORY
Employer Name
Date
Date Start Date
—
Date End Date
Salary (Starting/ Leaving)
Address
Supervisor's Name/ Title / Phone Number
Position(s) Held-Briefly explain your duties, responsibilities and number of people supervised
Reason for Leaving
May we contact?
1. Yes
1. No
Employer Name
Dates Employed
Dates Employed Start Date
—
Dates Employed End Date
Salary (Starting-Leaving)
Address
Supervisor's Name/Title/Phone Number
Position(s) Held-Briefly explain your duties, responsibilities and number of people supervised.
Reason For Leaving
May we contact?
1. Yes
1. No
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Employment History

Employer Name
Dates Employed
Dates Employed Start Date
—
Dates Employed End Date
Salary (Starting-Leaving)
Address
Supervisor's Name/Title/Phone Number
Position(s) Held-Briefly explain your duties, responsibilities and Number of people supervised.
Reason For Leaving
May we contact?
1. Yes
1. No
Employer Name
Dates Employed
Dates Employed Start Date
—
Dates Employed End Date
Salary (Starting-Leaving)
Address
Supervisor's Name/Title/Phone Number
Position(s) Held-Briefly explain your duties, responsibilities and Number of People Supervised.
Reason For Leaving
May we contact?
1. Yes
1. No
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Activites

ACTIVITIES
List Current membership in civic, professional, social or other organizations.*
List past memebership in civic, professional, social or other organizations.*
List sports, hobbies, or other interests.*
SUMMARY OF QUALIFICATIONS. This space is provided for you to briefly summarize any additional qualigications ou beleive are important in considering your application for Employment.
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Step Nineteen

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Applicant's Statement

APPLICANT'S STATEMENT
I certify that all statements made on this Application for Employment and in any subsequently executed medical questionnaire or any other employment documents are true and correct. I understand that any false information that I give may result in termination of my candidacy or any subsequent employment. Misrepresentations as to pre-existing physical or mental conditions may void your worker’s compensation benefits. If an employee relationship is established, I understand that such employment is terminable at will, by either myself or The Wave Transit System and/or its subsidiaries or affiliates (the Company), at any time, for any reason, with or without cause, and with or without notice. I also understand that any period of employment is not for a specific duration. In addition, I understand that no one is authorized to make oral exceptions to this policy, and written exceptions are permitted only when they are signed by the General Manager of The Wave Transit System. I understand that the Fair Credit Reporting Act, Public Law 91-508, requires that I be advised that routine inquiry may be made during the Company’s initial or subsequent processing which will provide applicable information concerning character and general reputation. I also understand that upon written request, additional information as to the nature and scope of the inquiry, if one is made, will be provided to me. I also understand that I am entitled to a free copy of the written report generated by the inquiry, if one is made. I authorize the Company and its representatives to inquire of all former employers or others who know me or know of me. It is agreed and understood that the Company and its agents may conduct background evaluations including, but not limited to, criminal history checks from Federal, State or local authorities to ascertain any and all information of concern, whether same is of record or not, and I hereby expressly authorize such inquiries and release all employers and persons named herein from all liability for any damages on account of their furnishing such information. I authorize the Company and its representatives to inquire of all former employers or others who know me or know of me. It is agreed and understood that the Company and its agents may obtain information including, but not limited to, Department of Transportation (DOT) mandated Pre-employment, refusals to test, alcohol tests of >.04, other violations of the DOT alcohol and drug rules, and return to duty and follow-up testing compliance, as applicable, and I hereby expressly authorize such inquiries and release all employers and persons named herein from all liability for any damages on account of their furnishing such information. I acknowledge that any offer of employment is conditioned upon my taking a drug screen and the Company’s receipt of satisfactory results of such a test and, if necessary to determine ability to perform essential duties of the position offered, the results of a physical examination.
Electronic Signature Agreement*
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I AGREE
Electronic Signature*
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Step Twenty One

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For Human Resources

Form Information Notice
The following information is for the Human Resource Department Only and will not be shared with other other departments at The Wave Transit.
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Step Twenty Three

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Equal Opportunity Information

EQUAL OPPORTUNITY INFORMATION
The Equal Employment Office of Federal Transportation Administration (FTA) has asked all transit authorities to gather information on job applicants. You can assist FTA EEO Office by supplying the information requested below.
COMPLETION OF THESE QUESTIONS IS COMPLETELY VOLUNTARY AND IN NO WAY AFFECTS YOUR APPLICATION FOR EMPLOYMENT.
Please check the appropriate box below and fill in the information requested.
A. Ethnic Origin
1. White
2. Black
1. Hispanic
2. Asian
1. American Indian
2. Other
B. Sex
1. Male
2. Female
C. Position Applied For:
D: Date Submitting Application
D: Date Submitting Application
E.
1. I choose Not to provide this information
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Step Twenty Five

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Step Twenty Six

INVITATION TO SELF-IDENTIFY INDIVIDUALS WITH DISABILITIES AND VETERANS
Date of Application/Resume
Date of Application/Resume
Position Applied:
Location of Position for which Application/Resume was Made:
Name (First, Middle,Last, Maiden, if any):
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Step Twenty Seven

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Step Twenty Eight

Check Applicable Boxes:
I am an individual with a disability – An individual with a disability is any person who (1) has a physical or mental impairment which substantially limits one or more of such person’s major life activities; (2) has a record of such impairment; or (3) is regarded as having such an impairment.
1. APPLIES
I am a special disabled veteran – A veteran who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Department of Veterans Affairs for a disability: (1) rated at 30% or more; or (2) rated at 10% or 20% in the case of a veteran who has been determined under 38 USC 3106 to have a serious employment handicap; or (3) a veteran who was discharged or released from active duty because of service-connected disability
1. APPLIES
I am a qualified special disabled veteran – A special disabled veteran who satisfies the requisite skill, experience, education and other job-related requirements of the employment position such veteran holds or desires, and who , with or without reasonable accommodation, can perform the essential functions of such position.
1. APPLIES
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Step Twenty Nine

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Check Applicable Boxes

Check Applicable Boxes:
I am a Vietnam era veteran – a person who (1) served on active duty for a period of more than 180 days, and was discharged or released there from with other than a dishonorable discharge, if any part of such active duty occurred; (a) in the Republic of Vietnam between February 28, 1961 and May 7, 1975; or (b) between August 5, 1964 and May 7, 1975, in all other cases; or (2) was discharged or released from active duty for a service-connected disability in any part of such active duty was performed (a) in the Republic of Vietnam between February 28, 1961 and May 7, 1975; or (b) between August 5, 1964 and May 7, 1975 in all other cases.
1. APPLIES
I am an “other” protected veteran – Veterans who served on active duty in the U.S. military ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the U.S. Department of Defense. For those with Internet access, the information required to make this determination is available at:
1. APPLIES
http:ww.opm.gov/veterans/html/vgmedao2.htm.
A copy of this list may also be obtained by calling (301) 306-6752 and requesting a copy of the list be mailed to you.
I am a newly separated veteran – any veteran during the one-year period beginning on the date of such veteran’s discharge or release from active duty.
1. APPLIES
I am a recently separated veteran – any veteran during the three-year period beginning on the date of such veteran’s discharge or release from active duty in the U.S. military, ground, naval or air service.
1. APPLIES
I am a disabled veteran – (1) a veteran of the U.S. military ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs, or (2) a person who was discharged or released from active duty because of a service-connected disability.
1. APPLES
I am a Armed Forces service medal veteran – any veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces services medal was awarded pursuant to Executive Order 12985 (61 FR 1209).
1. APPLIES
None of the above mentioned references apply to me.
1. APPLIES

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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Official Wave Transit Job Application

Steps

Position Applying For:

Step Two

Personal Information

Step Four

Eligibility To Work

Step Six

Educational Background

Step Eight

Advanc Schooling and Trades

Step Ten

License Qualifications

Driver Experience

Accident Review

Clerical Applicants Only

Shop Applicants

Employment History

Employment History

Activites

Step Nineteen

Applicant's Statement

Step Twenty One

For Human Resources

Step Twenty Three

Equal Opportunity Information

Step Twenty Five

Step Twenty Six

Step Twenty Seven

Step Twenty Eight

Step Twenty Nine

Check Applicable Boxes

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