APPLICATION FOR EMPLOYMENT – TRANSPORTATION

DATE

PERSONAL

Name

LastFirstMiddle

Present Address

City StateZip

Phone______

Email ______Position desired ______

Have you worked for this district before? If yes, when?_____

In what capacity? Email

Position for which you are applying ______

Drivers License Number Type

EDUCATION/TRAINING

School/Location / Dates / Area of Study / Degree/Diploma/
# Sem. Hours

EMPLOYMENT HISTORY

Employer/Location / Dates / Position / Supervisor/Phone
From
To
From
To
From
To
From
To

Have you ever been dismissed or asked to resign from a position in the past 7 years? If so please explain

Have you ever been convicted of a felony, child abuse, or taking indecent liberties with a minor?______If so, please attach a separate sheet to explain.

Do you have a current First Aid card? Expiration Date

Have you taken a defensive driving course? Date of Completion______

Have you ever been charged and/or convicted of a felony or misdemeanor offense (other than minor traffic offenses)?* ____ If yes, please list them below and attached a description of each crime.

CrimeDateLocation (City, County, State)

Any speeding or other traffic violations in the past three years? (Please list below)

Location / Date / Charged With / Penalty

Please list all accidents starting with the most recent

Date / Nature of Accident / Were you cited? / For what?

REFERENCES(Please include former supervisors not previously listed; no relatives, please)

Name/Title / Address / Phone

IMPORTANT NOTIFICATION

Albany County School District One complies with the Omnibus Transportation Employees Testing Act of 1981, and as a result, applicants must be tested for drugs prior to employment. All persons who drive buses for the District will be subject to random testing for drugs and alcohol after initial employment. Copies of the districts policy are available from the director of transportation or the administration office at 1948 Grand Ave, Laramie, WY82070.

PLEASE READ CAREFULLY

I authorize Albany County School District One to make any investigation of my personal or employment history and authorize former employer, person, firm, corporation, or government agency to give the District any information they may have regarding me. In consideration of the District’s review of this application, I release the District and all providers of information from any liability as a result of furnishing and receiving this information.

I hereby certify that all information contained on this application is correct. I understand that any misleading or incorrect statements may be a cause for termination if I am employed. I also understand that parents, students, and others may participate in interviewing candidates and reviewing application materials.

Date Signature

Please note that in order to keep this application active, you must notify the personnel office after July 1st of each year.

PLEASE COMPLETE THE FOLLOWING:

To: Department of Revenue and Taxation

2200 Carey Ave.

Cheyenne, WY82002

(307) 777-7971

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Please send a copy of the M.V.R. for:

Name

Address

City/State/Zip

Drivers License Number Class

Date Issued Date Expires

Signature

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Thank you. Please send reply to:

Jeff Lewis

Transportation Supervisor

AlbanyCountySchool District One

804 Skyline Drive

Laramie, WY82070

Albany County School District One does not discriminate on the basis of age, race, color, creed, religion, ancestry, national origin, sex, age, or disability in admission or access to, or treatment or employment in, its educational programs or activities. Inquiries concerning Title VI, Title IX, and Section 504 may be referred to Mike Hamel, Coordinator of the Office for Civil Rights, Albany County School District One, 1948 Grand Avenue, Laramie, WY 82070 or telephone (307)-721-4400; or the Wyoming Department of Education, Office for Civil Rights Coordinator, 2nd Floor, Hathaway Building, Cheyenne, WY 82202-0050, or telephone (307)-777-6218. The District hires only U.S. citizens and lawfully authorized alien workers.