First Name*
Last Name*
Email Address*
Phone*
Who referred you to this position? Enter their first and last name here.
Do you have a valid driver's license?*
No answer Yes No
Do you have a valid Commercial Driver's License?*
No answer Yes No
What's your highest level of education completed?
No answer GED or Equivalent High School Some College College - Associates College - Bachelor of Arts College - Bachelor of Fine Arts College - Bachelor of Science College - Master of Arts College - Master of Science College - Master of Fine Arts College - Master of Business Administration College - Doctorate Medical Doctor Other
College or University
Are you 18 years of age or older?*
No answer Yes No
What languages do you speak fluently?
Can you work weekends?
No answer Yes No
Can you work evenings?
No answer Yes No
Can you work overtime?
No answer Yes No
Have you ever been convicted of a felony?*
No answer No Yes
If “Yes”, you have been convicted of a felony, please explain the circumstances around the conviction:*
References: Please enter names and contact information:*
If you currently hold a CDL license or permit, indicate which class and endorsement: (Example) A/PS, B/PS, C/PS, If none, type N/A.*
Have you ever filed an application with us before?*
-- No answer -- Yes No
If yes, provide previous application date:
Have you ever been employed with us before?*
-- No answer -- Yes No
If yes, provide date of employment:
Are you currently employed?
-- No answer -- Yes No
If yes, may we contact your present employer?
-- No answer -- Yes No
Have you ever been denied employment, as a result of a security background check?*
-- No answer -- Yes No
Have you ever been refused employment based on a positive drug or alcohol test?*
-- No answer -- Yes No
Are you on probation?*
-- No answer -- Yes No
A driving abstract will be obtained for persons applying for a drivers position.
Have you been driving over 3 years in the U.S.?*
-- No answer -- Yes No
Have you ever had an accident resulting in death or injuries to yourself or others?*
-- No answer -- Yes No
If yes, describe incident.
Have you ever been an employee of this or any other bus or truck company?
-- No answer -- Yes No
If yes, please list them along with years of driving experience in each.
Example: (_____ Years in Transit Bus) (_____ Years in School Bus) (_____ Years in Truck).
Have you ever been denied a license, permit, or privilege to operate a motor vehicle?*
-- No answer -- Yes No
Has any license or privelege ever been suspended or revoked?*
-- No answer -- Yes No
Work Availability*
-- No answer -- Full time Part time
Do you have any relatives or friends employed by this company?
If so, list full name and relationship to you.
Have you ever incurred an occupational injury or condition?
If so, list nature of injury, by whom employed, date of injury and is case still open?
NYS Department of Education requires a physical performance test be performed before hire and every 2 years. Components of the test require you have the ability to drag 125lbs, 30 feet, in 30 seconds and be able to evacuate a bus in 20 seconds.
Have you ever had any physical condition that may affect your ability to perform work, related to the position for which you are applying?
Have you ever had any physical condition etc?
-- No answer -- Yes No
If yes, then explain.
Are you now covered by a medical plan?
-- No answer -- Yes No
If yes, list insurance provider and if whether a single or family plan.
Have you had any military service in the USA?
-- No answer -- Yes No
Are you in active reserve?
-- No answer -- Yes No
Are you in National Guard?
-- No answer -- Yes No
Note: If you are NOT submitting a resume with this application, please answer the following questions. List 10 Years of verifiable employment experience:
Name of Company:
Company address:
Company contact name & phone number:
Dates of employment:
Position:
Reason for leaving:
Reason for leaving most recent job:*
-- No answer -- Undesirable Commute Retirement Better wages Better benefits Better work environment Better position COVID-19 Lay-off/ Downsizing Terminated Other
References: Provide 3 Personal References with Name & Contact Number (No Family Members)*
Invitation for Job Applicants to Self-Identify as a U.S. Veteran
A “disabled veteran” is one of the following:
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
a person who was discharged or released from active duty because of a service-connected disability.
A “recently separated veteran” means 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.
An “active duty wartime or campaign badge veteran” means a veteran 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 Department of Defense.
An “Armed forces service medal veteran” means a 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 service medal was awarded pursuant to Executive Order 12985.
Voluntary Self-Identification of Disability
Voluntary Self-Identification of Disability Form CC-305
OMB Control Number 1250-0005
Expires 04/30/2026
Why are you being asked to complete this form?
How do you know if you have a disability?