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Employment Application
Apply here online

Optional: To download the application, fill it out and send it in, please click here to download.

Coast RTA is an Equal Opportunity Employer.

Please fill out this form completely. Uncompleted forms will be discarded.

Applicant Information

Job Title:

Last Name:

First Name:

Email Address:

Phone Number:

Alternate Phone Number:

Address:

Apartment / Unit #:

City:

State:

Zip Code:

Date Available:

Desired Salary:

Employment Information

Are you a citizen of the United States?:

If no, are you authorized to work in the United States?:

Have you ever filed an application with Coast RTA?:

Have you ever been employed by Coast RTA?:

Have you ever been discharged, terminated or asked to resign from any position?:

If yes, please explain:

Have you ever been convicted of any law violation (except a minor traffic violation; include misdemeanors, felonies, etc.)?:

If yes, please explain:

Do you possess a valid Driver's License?:

Driver's License Number:

Driver's License State:

Driver's License Class:

Driver's License Expiration Date:

Do you possess a valid Commercial Driver's License with passenger endorsement?:

Commercial Driver's License Number:

Commercial Driver's License State:

Commercial Driver's License Class:

Commercial Driver's License Expiration Date:

Education Information

Do you possess a High School Diploma or GED Certificate?:

List name and location of college, university or vocational school, your major or course of study, whether or not you graduated, and your type of degree:

Employment History

Company Name (Please list most recent employers first):

Supervisor:

Job Title:

Phone:

Address:

From (Mo/Yr):

To (Mo/Yr):

Starting Salary:

Ending Salary:

May we contact your previous supervisor for a reference?:

Duties Performed:

Employment History

Company Name:

Supervisor:

Job Title:

Phone:

Address:

From (Mo/Yr):

To (Mo/Yr):

Starting Salary:

Ending Salary:

May we contact your previous supervisor for a reference?:

Duties Performed:

Employment History

Company Name:

Supervisor:

Job Title:

Phone:

Address:

From (Mo/Yr):

To (Mo/Yr):

Starting Salary:

Ending Salary:

May we contact your previous supervisor for a reference?:

Duties Performed:

Military Service

Military Branch:

Start Date of Service:

End Date of Service:

Rank at Discharge:

Type of Discharge:

If other than honorable, please explain:

Skills and Qualifications

Summarize special job skills, licenses and/or certificates you hold that are related to your qualifications for this position:

Other

Comments and Questions:

Upload Resume File:

Voluntary Affirmative Action

Referral Source:

Sex:

Age:

Ethnic Origin:

If you are hired by The Coast RTA, a review of your background may be made. This review will reveal any misdemeanor and/or felony convictions. This investigation will be done through the State Law Enforcement Agency having Jurisdiction and F.B.I (Federal Bureau of Investigation) in Washington, D.C. Also, your accident and traffic record may be screened through the Department of Motor Vehicles in the state that you are currently licensed.

It is agreed and understood the employer or assigned agents may investigate the applicant’s background to ascertain any and all information of concern to the applicant’s record, whether same is of record or not, and applicant releases employers and persons named herein from all liability for any damages on account of their furnishing such information.

It is also agreed and understood that this application for employment in no way obligates the employer to employ the applicant.

I understand that any false answer, statements or implications made by me on this application or other required documents shall be considered sufficient grounds for denial of employment or discharge.

This certified that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

If you click submit, you are giving Coast RTA your electronic signature, which is binding in a court of law.

* This is a printer friendly version of the original page, made to save you ink and paper.

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Employment ApplicationApply here online

Employment ApplicationApply here online

Employment Application
Apply here online

Employment Application
Apply here online