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East End Bus Lines

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Employment Application

Employment Application

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NOTE:
We do not discriminate on the basis of race, color, religion, national original, sex, age, or disability. It is our intention that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors.
Application Date*
Available Start Date:*
Full- or Part-time:*
Weekly Hours Desired:*
Salary Desired:*
Select companies you want to apply to.*
- East End Bus Lines (Medford Yard)
- Montauk Student Transport (Bronx Yard)
- Montauk Student Transport (Peekskill Yard)
- Montauk Transit Service (New Jersey Yard)
Days You Can Work:*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Shift(s) Desired:*
- Early
- Mid
- Late Afternoon

Position Information
Position Applied For:*
Position Applied For:*
Other position you're applying for?*
How did you hear about this position?*
Referring Employee Name:*
First Last
Job Posting Website / URL*
Posting / Job Number
Please explain:*

Personal Information
Name*
First Middle Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Primary Phone*
Secondary Phone
Email*

General Information
Are you known by another name?*
- Yes
- No
Please specify other name:*
First Middle Last
Have you ever applied here before?*
- Yes
- No
When?*
Were you ever employed by one of our companies?*
- Yes
- No
Select yes if ever employed by East End Bus Lines, Montauk Student Transport and/or Montauk Transit Services.
Select which companies:*
- East End Bus Lines
- Montauk Student Transport
- Montauk Transit Services
Start Date (East End Bus Lines)*
End Date*
Start Date (Montauk Student Transport)*
End Date*
Start Date (Montauk Transit Services)*
End Date*
If hired, can you furnish proof you're eligible to work in the US?*
- Yes
- No
Are you a US Military Service veteran?*
- Yes
- No
For which branch?*
Have you ever been convicted of any law violations?*
- Yes
- No
Please explain:*

Education
High School*
- Graduated with Diploma
- Graduated with GED
- Didn't Complete High School
College / University*
- Associates Degree
- Bachelors Degree
- Masters Degree
- Doctorate Degree
- No College / University
Choose highest level achieved.

Certificates

Add a row

Remove this row

Add more lines by clicking the + button on the right.

Employment References
Are you presently employed?*
- Yes
- No
May we contact your present employer?*
- Yes
- No
Have you ever been fired or asked to resign from a job?*
- Yes
- No
Please explain:*
Please provide 3 professional preferences (no relatives).
Reference #1*
Name Company Title
Phone*
Email
Reference #2*
Name Company Title
Phone*
Email
Reference #3*
Name Company Title
Phone*
Email

Driving Data
One License Confirmation*
- Section 383.21 FMCSR states “No person who operates a commercial motor vehicle shall at any time have more than one driver’s license.” I certify that I do NOT have more than one motor vehicle license, the information for which is listed below:
License #*
Exp. Date*
State*
State where the license was acquired.
License Conditions (if any)

Add more lines by clicking the + button to the right.
CDL Class Type*
Airbrakes*
- Yes
- No
Endorsements*
- Passenger
- School
- Other
Select all that apply.
Other Endorsements

Add more by clicking + to the right of each item.
Has your driving privilege ever been denied, revoked, or suspended?*
- Yes
- No
On what date?*
In what state?*
Violation & Disposition*

Add more lines by clicking the + button to the right.
Have you been involved in any accidents in the last 3 years?*
- Yes
- No
Accident Record for Past 3 Years*
Date Accident Type Fatalities Injuries

Start with the most recent accident and continue in descending order.

Work History:
List names of employers with present or last employer listed first for the last 5 years. Account for all periods of time, including military service and any period of unemployment.
Start Date*
End Date*
Job Title*
Starting Salary*
Ending Salary*
Pay Type*
Company*
Phone*
Address*
Street Address City State ZIP Code
Work Performed*
Reason for leaving:*
Were you subject to the Federal Motor Carrier Safety Regulations (FMC5Rs) while employed by the previous employer?*
- Yes
- No
Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 40 CFR Part 40?*
- Yes
- No
Would you like to add a second previous employer from the past 5 years?*
- Yes
- No

Start Date*
End Date*
Job Title*
Starting Salary*
Ending Salary*
Pay Type*
Company*
Phone*
Address*
Street Address City State ZIP Code
Work Performed*
Reason for leaving:*
Were you subject to the Federal Motor Carrier Safety Regulations (FMC5Rs) while employed by the previous employer?*
- Yes
- No
Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 40 CFR Part 40?*
- Yes
- No
Would you like to add a third previous employer from the past 5 years?*
- Yes
- No

Start Date*
End Date*
Job Title*
Starting Salary*
Ending Salary*
Pay Type*
Company*
Phone*
Address*
Street Address City State ZIP Code
Work Performed*
Reason for leaving:*
Were you subject to the Federal Motor Carrier Safety Regulations (FMC5Rs) while employed by the previous employer?*
- Yes
- No
Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 40 CFR Part 40?*
- Yes
- No
Would you like to add a fourth previous employer from the past 5 years?*
- Yes
- No

Start Date*
End Date*
Job Title*
Starting Salary*
Ending Salary*
Pay Type*
Company*
Phone*
Address*
Street Address City State ZIP Code
Work Performed*
Reason for leaving:*
Were you subject to the Federal Motor Carrier Safety Regulations (FMC5Rs) while employed by the previous employer?*
- Yes
- No
Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 40 CFR Part 40?*
- Yes
- No

Resume
If you have a resume, please upload it now.
Accepted file types: pdf, doc.
Accepted formats include PDF and DOC.
AFFIDAVIT
PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING
I CERTIFY that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.

I UNDERSTAND that EAST END BUS LINES, MONTAUK STUDENT TRANSPORT, and/or MONTAUK TRANSIT SERVICES may request an investigative consumer report from a consumer reporting agency. This report may include information as to my character, reputation, personal characteristics and mode of living obtained from government agencies, friends, former employers, schools and others. I understand I have a right to make a written request within a reasonable time for the disclosure of the name and address of the consumer reporting agency so that I may obtain a complete disclosure of the nature and scope of the investigation.

I AUTHORIZE the investigation of any or all statements contained in this application and also authorize any person, school, current employer (except as previously noted), past employers and organizations from any legal liability in making such statements.
Agreement to Terms*
- I agree that the information provided in this employment application is the truth and accept the terms, affidavit, and all other statements made above.
Name*
First Middle Last
Type your name above in place of your signature to confirm that you have read and agreed to the above affidavit.
Date:*
Verification

Type the words above in the text box.
Name
This field is for validation purposes and should be left unchanged.

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