FleetMaster - Eagle Bus Service

Personal Information

Email *

Position Applying for: *

Do you currently live in the Charlotte, NC area? *

Yes

No

What date can you start work? *

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Home Phone Number

Cell Phone Number *

Social Security Number *

Date of Birth *

Current Driver's License

Driver License Number *

State of DL Issue *

Class of License *

Health Information

Do you have any health reasons or physical or health impairments that could interfere with the duties of school bus monitor? *

Have you ever been terminated or suspended from previous employment because of a positive drug or alcohol test? *

Yes

No

EDUCATION

High School - List last grade completed *

College - List last grade completed

Trade or Technical School - List Certificate or Course Study

Conviction Report

Because of the responsibility Eagle Bus Service has to its school children and community, the following information is needed from all applicants and employees regarding convictions. A record of conviction does not necessarily disqualify applicant from consideration; however, failure to complete this form accurately and completely may mean disqualification from consideration for employment or may be cause for consideration of dismissal if employed and may result in prosecution for filing false information with a public agency.

Other names used and dates of usage:

Have you ever been convicted of a minor offense other than traffic violations? (A DUI is not considered a minor traffic offense) *

Yes

No

Have you ever been convicted of a misdemeanor or felony charge? *

Yes

No

Are you now awaiting trial on a felony charge? *

Yes

No

Have you ever been convicted of a sex or drug related offense? *

Yes

No

Have you ever admitted or been convicted of a dangerous crime against children? *

Yes

No

List any other information not required by this application that you should disclose to Eagle Bus Service so that it may accurately evaluate your fitness to work in a position of public trust with minor students.

Agreements

All applicants must pass a background check and drug screening.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary. I understand that I am required to abide by all rules and regulations of the company. *

The facts set forth in this application and any supplemental information is true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same. By Submitting this form, I understand that misrepresenting my background on this application is grounds for dismissal. *

EAGLE BUS SERVICE

APPLICATION FOR EMPLOYMENT - BUS MONITOR

Personal Information

Current Driver's License

Health Information

EDUCATION

EMPLOYMENT REFERENCES

JOB 1

JOB 2

JOB 3

Conviction Report

Agreements