APPLYING FOR

{field:position_applying_for_1597418650242}

{field:applicant_time_and_date_stamp_1621962376604}

APPLICANT INFORMATION

First Name	Middle Name	Last Name*
{field:frist_name_1607978977097}	{field:applicant_middle_name_1621962325916}	{field:applicant_last_name_1621962333816}

Address	City	US States	Zip
{field:applicant_address_1621962344141}	{field:applicant_city_1621962349869}	{field:applicant_us_states_1621962354860}	{field:applicant_zip_1621962359757}

Phone	Email
{field:applicant_phone_1621962368003}	{field:applicant_email_1621962372830}

ELIGIBILITY

Do you have a valid driver's license?	Issuing State	DL #	DL CLASS	Endorsements
{field:do_you_have_a_valid_driver_s_license_1597419972179}	{field:issuing_state_1597420343169}	{field:dl_1597420354567}	{field:dl_class_1597420369462}	{field:airbrakes_passenger_end}

If applying for a BUS OPERATOR position, you must be 21 years or older at time of appointment. Do you meet this requirement	Can you, after a job oﬀer for employment, submit veriﬁcation of your legal right to work in the United States?	k4
{field:if_applying_for_a_position_that_requires_a_class_b_license_you_must_be_21_years_or_older_are_you_21_years_or_older_1629919846301}	{field:can_you_after_a_job_offer_for_employment_submit_verification_of_your_legal_right_to_work_in_the_united_states_1597420225132}	{field:k4_1621284800422:link}

Available weekends?	Available any shift?
{field:available_weekends_1597420220057}	{field:available_any_shift_1597420217135}

Do you have any relatives that work at SBMTD or are Members of the Board?	Please provide name(s):	Have you ever worked for SBMTD?	Have you ever applied at MTD before?:	Please provide Employee ID:
{field:do_you_have_any_relatives_that_work_at_sbmtd_or_are_members_of_the_board_1597420134386}	{field:please_provide_name_s_1597420515922}	{field:have_you_ever_worked_for_sbmtd_1597420182277}	{field:have_you_ever_applied_at_mtd_before}	{field:which_position_and_when}	{field:please_provide_employee_id_1597420530348}

EDUCATION & TRAINING

EDUCATION

What is the highest level of completed? (check box below)
{field:what_is_the_highest_level_of_education_you_have_completed_check_box_below_1659994962888}

High School / College / University	Course of Study / Type of Degree	Years Completed	Did you graduate?
{field:high_school_college_university_1603727559583}	{field:course_of_study_type_of_degree_1603727545150}	{field:years_completed_1603727721474}	{field:did_you_graduate_1603727584740}
{field:textbox_1603727931516}	{field:textbox_1603727775024}	{field:number_1603727776881}	{field:listradio_1603727779301}
{field:textbox_1603727772318}	{field:textbox_1603727933450}	{field:number_1603727935384}	{field:listradio_1603727937557}

OTHER RELEVANT COURSES AND TRAINING

Name of Course	Name of Institute	Length of Course	From	To
{field:name_of_course_1606152384383}	{field:name_of_institute_1620849976884}	{field:length_of_course_1620850142754}	{field:from_1620850507522}	{field:to_1620850660592}
{field:name_of_course_two_1606153055493}	{field:textbox_1620850056415}	{field:length_of_course_1620850173982}	{field:textbox_1620850497675}	{field:to_1620850670513}
{field:name_of_course_three_1606153134478}	{field:name_of_institute_1620850088255}	{field:length_of_course_1620850182938}	{field:from_1620850552085}	{field:to_1620850678974}

OTHER RELEVANT COURSES AND TRAINING

Type	Expiration Date	Serial Number	Date Issued
{field:type_1603729187256}	{field:expiration_date_1620851607273}	{field:serial_number_1603729228679}	{field:date_issued_1620851107894}
{field:type_two_1606153406182}	{field:expiration_date_1620851614989}	{field:serial_number_two_1606153416430}	{field:date_issued_1620851121461}
{field:type_three_1606153430762}	{field:expiration_date_1620851624372}	{field:serial_number_three_1606153440077}	{field:date_issued_1620851130574}

LANGUAGES

Do you speak any languages other than English?	Speak (separate multiple languages with a comma)	Read/Write (separate multiple languages with a comma)
{field:do_you_speak_any_languages_other_than_english_1603729534664}	{field:speak_separate_multiple_languages_with_a_comma_1603729594566}	{field:read_write_separate_multiple_languages_with_a_comma_1603729615705}

Applicant Approval

I certify that all statements in this application are true and I agree that any misstatement or concealment of fact may subject me to disqualification or dismissal. I understand that any offer of employment is contingent upon passing a drug and alcohol test and a fitness for duty examination for the position for which I am applying. I understand that employment with SBMTD is at-will meaning that I may resign my employment without giving a reason and SBMTD retains the right to terminate employees at any time, with or without advanced notice or cause, for any reason not prohibited by law.

Applicant Signature:	{field:type_your_full_name_below_to_certify_that_you_have_read_and_agree_to_the_statement_above_1603729993983}

EMPLOYMENT HISTORY

Are you currently employed?	Resume Link:
{field:are_you_currently_employed_1603730290896}	{field:upload_your_resume_1603928291695}

Current & Previous Employers

Current employer

Name of current employer	Starting date	Job Title
{field:name_of_current_employer_-_current_emp_1606845422889}	{field:starting_date_-_current_emp_1607967155462}	{field:job_title_-_current_emp_1606845429256}

Supervisor Name/Title	Phone Number	Phone Email	May we contact this employer?
{field:supervisor_name_title_-_current_emp_1606845432711}	{field:phone_number_-_current_emp_1606845436806}	{field:supervisor_email_-_current_emp_copy_1630516784837}	{field:may_we_contact_this_employer_-_current_emp_1606845439913}

Street Address	City	State	Zip
{field:street_address_-_current_emp_1606846264060}	{field:city_-_current_emp_1606846333052}	{field:state_-_current_emp_1606845454481}	{field:zip_-_current_emp_1606845461048}

Number of Employees Supervised	# Hours per week
{field:number_of_employees_supervised_-_current_emp_1606845466448}	{field:hours_per_week_-_current_emp_1606845469565}

List key responsibilities
{field:list_key_responsibilities_-_current_emp_1606845475708}

Previous employer

Previous employer #1

Name of previous employer	Starting date	End date
{field:name_of_previous_employer_1_1606862217511}	{field:starting_date_1_1607967118985}	{field:ending_date_1_1607967080986}

Job title	Supervisor Name/Title	Phone Number	Supervisor E-mail	May we contact this employer?
{field:job_title_1_1606852598921}	{field:supervisor_name_title_1_1606852595051}	{field:phone_number_1_1606852625516}	{field:supervisor_email_1_copy_1630516828796}	{field:may_we_contact_this_employer_1_1606852635756}
Street Address	City	State	Zip
{field:address_1_1606852640346}	{field:city_1_1606852644642}	{field:state_1_1606852649463}	{field:zip_1_1606852662084}

Number of Employees Supervised	# Hours per week	Reason for Leaving
{field:number_of_employees_supervised_1_1606852668147}	{field:hours_per_week_1_1606852672667}	{field:reason_for_leaving_1_1606852988580}

List key responsibilities
{field:list_key_responsibilities_1_1606852680454}

Previous employer #2

Name of previous employer	Starting date	End Date
{field:name_of_previous_employer_2_1606862274027}	{field:starting_date_2_1607967123545}	{field:ending_date_2_1607967058148}

Job title	Supervisor Name/Title	Phone Number	Supervisor E-mail	May we contact this employer?
{field:job_title_2_1606852693559}	{field:supervisor_name_title_2_1606862539945}	{field:phone_number_2_1606852696552}	{field:supervisor_email_2_copy_1630516858961}	{field:may_we_contact_this_employer_2_1606852701536}
Street Address	City	State	Zip
{field:address_2_1606852704135}	{field:city_2_1606852707318}	{field:state_2_1606852709790}	{field:zip_2_1606852712775}

Number of Employees Supervised	# Hours per week	Reason for Leaving
{field:number_of_employees_supervised_2_1606852715993}	{field:hours_per_week_2_1606852719210}	{field:reason_for_leaving_2_1606852732575}

List key responsibilities
{field:list_key_responsibilities_2_1606852723439}

Previous employer #3

Name of previous employer	Starting date	End date
{field:name_of_previous_employer_3_1606862278635}	{field:starting_date_3_1607967134593}	{field:ending_date_3_1607967035580}

Job title	Supervisor Name/Title	Phone Number	Supervisor E-mail	May we contact this employer?
{field:job_title_3_1606852743668}	{field:supervisor_name_title_3_1606862561104}	{field:phone_number_3_1606852750352}	{field:supervisor_email_3_copy_1630516897989}	{field:may_we_contact_this_employer_3_1606852757069}
Street Address	City	State	Zip
{field:address_3_1606852759743}	{field:city_3_1606852762716}	{field:state_3_1606852765691}	{field:zip_3_1606852768149}

Number of Employees Supervised	# Hours per week	Reason for Leaving
{field:number_of_employees_supervised_3_1606852771690}	{field:hours_per_week_3_1606852774517}	{field:reason_for_leaving_3_1606854662781}

List key responsibilities
{field:list_key_responsibilities_3_1606852779014}

Previous employer #4

Name of previous employer	Starting date	End date
{field:name_of_previous_employer_4_1623783103609}	{field:starting_date_4_1623783014508}	{field:ending_date_4_1623783069932}

Job title	Supervisor Name/Title	Phone Number	Supervisor E-mail	May we contact this employer?
{field:job_title_4_1623782984490}	{field:supervisor_name_title_4_1623782952635}	{field:phone_number_4_1623782915887}	{field:textbox_1630516904160}	{field:may_we_contact_this_employer_4_1623781442567}
Street Address	City	State	Zip
{field:address_4_1623781283699}	{field:city_4_1623781302752}	{field:us_states_4_1623781325879}	{field:zip_4_1623781350911}

Number of Employees Supervised	# Hours per week	Reason for Leaving
{field:number_of_employees_supervised_4_1623781139737}	{field:hours_per_week_4_1623785467371}	{field:reason_for_leaving_4_1623780967902}

List key responsibilities
{field:list_key_responsibilities_4_1623781003349}

Other

Please Explain - Employment Information
{field:please_explain_-_employment_information_1606852186836}

Applicant Approval

It is SBMTD's policy, as part of the selection process, to contact your previous employers for employment-related reference information. Please note: We will not contact your CURRENT employer unless you authorize us to do so below.

Applicant Signature:	{field:type_your_full_name_below_to_authorize_sbmtd_to_contact_my_previous_employer_s_indicated_above_1603745314254}

{field:applicant_time_and_date_stamp_1621962376604}

EQUAL EMPLOYMENT OPPORTUNITY - VOLUNTARY SURVEY

GENDER (check box below)	{field:gender_check_box_below_1606931445384}	AGE GROUP (check box below)	{field:age_group_check_box_below_1606931530125}

Race/ethnicity

{field:race_ethnicity_1620934515086}

Job opening survey

How applicant heard about job opening?	EMPLOYEE REFERRAL (NAME):	ANOTHER WEBSITE (URL)	(SOURCE)
{field:please_tell_us_how_you_heard_about_this_job_opening_col_1_1603919962480}, {field:please_tell_us_how_you_heard_about_this_job_opening_col_2_1603920102506}	{field:employee_referral_name_1603920410214}	{field:another_website_url_1603920418584}	{field:other_source_1603920429137}