Beaver County Transit Authority (BCTA) is an Equal Opportunity Employer. We adhere to the laws and to the principles of fair employment practices in all of our terms and conditions of employment for employees and qualified applicants. We do not discriminate on the basis of age, race, sex, color, national origin, religion, disability, veteran status. We do not allow harassment of any type, including sexual harassment. This application will be given consideration for appropriate available positions as long as the applicant is qualified to perform the essential duties of the open position. Our receipt of the application does not in any way imply that the applicant will be employed. We are an at will employer. Please complete the application fully and honestly. No action will be taken on applications that are incomplete and we will not consider applicants for any position if the information is not accurate and honest. We will terminate the employment of anyone who is employed if we subsequently find the application information was inaccurate or dishonest. Personal InformationName* First Middle Last Phone*Alternate PhoneStreet Address*Address Line 2City, State, Zip / Postal Code*Social Security Number*Are you at least 18 years old?*YesNoHave you ever been convicted of a felony?*YesNoFelony Convictions*ReasonDateStatus Are you a citizen or do you have the legal right to be employed in the United States?*YesNoIf no, what is your visa?*VisaStatus Have you applied to BCTA before?*YesNoPrior applications to BCTA*DatePosition Position You Are Applying For*When are you available to start?* Applying for*Full TimePart TimeSpecific ShiftNo PreferenceDo you currently have a CDL License?*YesNoAre you applying for Bus Operator or other driving position requiring use of BCTA vehicles?*YesNoAll licenses you are currently in possession of including CDL if applicable*License TypeLicense NumberDate IssuedExpiration Date Do you have a prepared resume you would like to submit?*YesNoSubmit your resume*If you have submitted a file, please review the form and fill in any fields that may not be on your resume.Education and Training BackgroundPlease start with elementary school to most recent education and include any trade or vocational school training.Elementary School*School NameLocation City & StateYear StartedYear Ended High School or GED?*High SchoolGEDHigh School*School NameLocation City & StateYear StartedYear EndedDiploma, Degree, Certificate AwardedMajor and Minor Subjects GED*StateYear Earned Vocational, Technical or CollegeSchool NameLocation City & StateYear StartedYear EndedDiploma, Degree, Certificate AwardedMajor and Minor Subjects Employment BackgroundWill this be your first job?*YesNoAre you currently employed?*YesNoCurrent or Most Recent Employer*Company NameCity & State Employment Dates*StartEnd Wage or Salary*StartingEnding Titles Held - Please begin with most recent* Duties*Supervisor's Name*May we contact the supervisor?*YesNoSupervisor's Phone*Reason for leaving (please be specific)*Prior EmployerCompany NameCity & State Employment DatesStartEnd Wage or SalaryStartingEnding Titles Held - Please begin with most recent DutiesSupervisor's NameMay we contact the supervisor?YesNoSupervisor's Phone*Reason for leaving (please be specific)Prior EmployerCompany NameCity & State Employment DatesStartEnd Wage or SalaryStartingEnding Titles Held - Please begin with most recent DutiesSupervisor's NameMay we contact the supervisor?*YesNoSupervisor's Phone*Reason for leaving (please be specific)Military BackgroundCurrently Enlisted?YesNoStarting Date of Service Ending Date of Service Branch of ServiceSkills, training and positions Volunteer BackgroundVolunteer experience or activities. Do not give any information that could reveal protected class status (age, race, sex, religion, national origin, disability, veteran) ,unless you believe the information strongly supports your qualifications and you give it voluntarily. We do not discriminate based on protected class status. Volunteer activity is often a good complement to work history. Please also give any leadership roles.Volunteer ExperienceVolunteer OrganizationDuties ReferencesPlease list 3 references that are not related to you.Please list 3 references we may check who are not related to you.Reference 1*NameCity, StatePhoneRelationshipYears Known Reference 2*NameCity, StatePhoneRelationshipYears Known Reference 3*NameCity, StatePhoneRelationshipYears Known Driving Experience and Equipment ExperienceOnly fill out Driving Experience if applying for driver position.Equipment ExperienceClass of EquipmentType of EquipmentDate RangeApprox. Miles (Total) Accident Record - Begin with most recent and include past 3 years*DateNature of AccidentFatalitiesInjuries Traffic Convictions and Forfeitures (other than parking violations) - Begin with most recent and include past 3 years*LocationDateChargePenalty Have you ever been denied a license, permit or privilege to operate a motor vehicle?*YesNoHas any license, permit or privilege ever been suspended or revoked?*YesNoDate* Signature*Please read the following information before you sign, date and submit this Application. Your signature attests that you have read and understood the information and that you agree to what is stated. The information in this Application is true and complete to the best of my knowledge. Falsification of information is reason to not hire an individual and reason for immediate termination of any employee. Any offer of employment by BCTA may be withdrawn and any acceptance by myself may be withdrawn. I understand that BCTA is an at-will employer. All offers of employment are conditional until successful passage of a drug and alcohol screen and any other job-related required pre-employment testing or verification. Driver’s licenses and CDL licenses will be verified for driving positions. I authorize BCTA to verify any and all information contained in this Application without any legal liability. BCTA abides by privacy regulations but has a definite need-to-know for this information. Essential duties of some positions require being on call, being available to work different shifts, being able to work weekends, overtime or split shifts, certain capabilities (i.e. visual acuity for bus operators, communication and language abilities for bus operators and dispatch or related positions, physical capability to operate buses and other company vehicles and similar capabilities), etc Where physical or mental limitations exist in applicants, BCTA recognizes the need to discuss reasonable accommodations for otherwise qualified applicants. We are a public employer operating to serve the public and we have a position of trust with the public. We also strive to be a best practices employer for our staff. We seek and employ candidates who meet our needs and standards. I have read and understood these statements and have completed the Application fully and honestly.