Employee Bus Driver Document

EMPLOYEE BUS DRIVER DOCUMENT

This document collects employment, licensing, driving history, and authorization information required for consideration and placement as a bus driver. Complete all sections fully and truthfully. Incomplete or falsified information may disqualify you from employment or subject you to termination.

Personal Information

Emergency Contact

Position Information

Requested Start Date:

Full-time Part-time Temporary

Licenses, Certifications, and Medical Qualifications

DOT Medical Expiration Date:

Driving & Safety History

Have you been convicted of driving under the influence or a similar offense? Yes

Authorization to Obtain Motor Vehicle Record & Background Check

I hereby authorize the Employer, its agents and representatives to obtain and review my motor vehicle record and criminal background records as required for employment as a driver. I understand this information will be used solely for determining my suitability for safety-sensitive driving duties.

Applicant consents to release of motor vehicle records and background information: I authorize

Employment History (Most Recent First)

Dates Employed: From To

Dates Employed: From To

Education

Graduation Date:

References (Professional)

Health & Physical Requirements

Are you able to perform the essential functions of a bus driver with or without reasonable accommodation? Yes

Drug & Alcohol Testing

As a condition of employment in safety-sensitive duties, applicant must submit to pre-employment drug testing, random testing, post-accident testing and reasonable suspicion testing as required by policy and law. Applicant acknowledges that refusal to submit or a positive test result may disqualify applicant or lead to termination.

Consent to testing: Pre-employment drug test Random and post-accident testing

Authorization & Certification

I certify that all information on this document is true and complete to the best of my knowledge. I understand that false statements, omissions, or misrepresentations may result in rejection of my application or immediate termination if discovered after hire.

I authorize all employers, schools, references, and licensing authorities named in this application to release any and all information concerning my employment, education, driving record, and licensure for purposes of evaluating my application. I release such parties from liability for providing such information.

Applicant Initials:

Equal Opportunity and At-Will Employment

The Employer is an equal opportunity employer and does not unlawfully discriminate on the basis of race, color, religion, sex, national origin, age, disability, or any other protected characteristic. Reasonable accommodations will be provided in accordance with applicable law.

Unless otherwise provided by a written employment agreement signed by an authorized representative of the Employer, employment is at-will. This means the employee or Employer may terminate the employment relationship at any time, with or without cause or notice.

Applicant Certification and Agreement

By signing below, I certify under penalty of perjury that the information contained in this Employee Bus Driver Document is true and complete. I acknowledge that the Employer will rely on this information in determining my eligibility for employment and continued assignment to safety-sensitive driving duties. I consent to applicable background checks, driving record checks, and drug/alcohol testing as described above.

I understand I must provide valid proof of identity and authorization to work, a valid driver's license and endorsements, and a current DOT medical certificate prior to assignment to a driving position.

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