Kobussen Buses
Position(s) Applied For:
 Date of Application:
Name:
 E-Mail:
Address:
City, State:
 Zip Code:
Telephone:
  
If applying for a driving position, please fill in the following:
Date of Birth:
 Driver's License No.
Please continue filling in application here:

If you are under 18, can you furnish a work permit?
yes no

Have you ever been employed
here before? yes no
Are you legally eligible for employment in this country?
(Proof of U.S. citizenship or immigration status will be required upon employment) yes no
Date available for work
By whom or how were you referred to us?
If newspaper, which paper If radio, which station
If television, which station
Skills and Qualifications
Summarize special skills and qualifications acquired from employment or other experiences that may qualify you for work with our company:
Educational Background
High School
Years completed Did you graduate? yes no
Course of study
College
Years completed Did you graduate? yes no
Course of study
Other
Years completed Did you graduate? yes no
Course of study
Employment History
List your last employer, assignments, or volunteer activities.
Employer:
Telephone:
From To
Job Title:
Address:
Immediate Supervisor and Title:
Summarize the nature of work performed and job responsibilities. Also include any related job skills or military experience:
Reason for leaving:
Hourly Rate/Salary: Start $ per Final $ per
Reference
Name:
Telephone:

It is understood and agreed upon that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the Employer's service if I have been employed.

I give the Employer the right to investigate all references and to secure additional information about me, if job related, I hereby release from liability the Employer and its representatives for seeking such information, and all other persons, corporations or organizations for furnishing such information.

The Employer is an Equal Opportunity Employer. The Employer does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant's consideration for employment on a basis prohibited by local, state, or federal law.

This application is current for only 60 days. At the conclusion of this time, if I have not heard from the Employer and still wish to be considered for employment, it will be necessay to fill out a new application.

I understand that just as I am free to resign at any time, the Employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the Employer has the authority to make any assurances to the contrary.
Signature: (Applicant to sign form at time of interview)