Bus Driver Application

Bus Driver Application

BARRY WALLER, SUPERINTENDENT
117 EAST WESLEY AVENUE, LYONS, GA 30436
Telephone:912-526-3141 Fax:912-526-3291

Toombs Logo

DATE:

Last Name

First Name

Middle Name

Maiden Name
Present Address:(Street OR P.O. Box)

City

State

Zip Code

Birthday

Telephone #
Name as it Appears on Social Security Card:  
Years of Driving Experience (Specify): Car Bus Truck
Driver's License Number: Class EXP
Have you been involved as a driver in traffic accidents in the last 3 years? Yes No
If Yes, Date Nature of Accident
Fatalities Injuries
Have you been convicted of any traffic violations? Yes No
If Yes, Location (City & State) Charge Penalty
Date
Has your license, permit or privilege ever been suspended or revoked? Yes No (If so, explain with an attachment)
Circle the Highest Grade Completed1
2
3
4
5
6
7
8
9
10
11
12
College
1
2
3
4
Have you ever been convicted of a Felony? Yes No
Explain
Safe Driving Award you hold and from whom?
Are you willing to attend a bus driver training course? Yes No
Past Employment:(Start present position) May we contact them? Yes No
Name: Phone #:
Position: Address:
Name: Phone #:
Position: Address:
Reference:(Persons not related to you but who have knowledge of your qualifications for the position for which you are applying)
Name: Phone #:
Position: Address:
Name: Phone #:
Position: Address:
I understand that any false answer or statement or implication made by me on this application shall be considered sufficient cause for denial of employment. This certifies that this application was completed by me (or under my direction), and that all entries and information are true and complete to the best of my knowledge.
Signature Date

THE TOOMBS COUNTY BOARD OF EDUCATION IS AN EQUAL OPPORTUNITY EMPLOYER. THE BOARD DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, SEX, AGE, NATIONAL ORIGIN OR HANDICAP IN ITS EDUCATIONAL PROGRAMS, ACTIVIES, OR EMPLOYMENT POLICIES.



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