Employment Application

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    If you would prefer to complete a paper copy of the Application for Employment, please download the PDF version. Once completed, you can either drop it off at the River Valley Transit office or mail it to: River Valley Transit · 1500 West 3rd St · Williamsport

    The City of Williamsport & River Valley Transit is an Affirmative Action and Equal Opportunity employer. Various federal, state and local laws prohibit discrimination based on race, color, religion, sex, age, national origin, disability or veteran’s status. It is the policy of the City of Williamsport & River Valley Transit to comply fully with applicable law, and information requested on this application will not be used for any purpose prohibited by law.

    Application Information

    Referral source: *

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    Employment Agency

    Friend
    Relative

    Other

    Contact Information

    Background Information

    Have you filed an application here before? *

    Previous application date:

    Have you been employed here before? *

    Previous employment date:

    from:

    to:

    Are you a citizen of the United States? *

     

    Do you have a valid vehicle operator’s license? *

    Are you on layoff and subject to recall? *

    Can you travel if the job requires it? *

     

    Do you have any relative working here? *

    List relatives name(s):

    Have you been convicted of a felony in the last 7 years? *

    Explain:

    Are you a veteran of the U. S Military Service? *

     

    Are you available for work: *

    Full-time

    Part-time

    Shift Work

     

    Education Information

    Elementary School


    High School


    College


    Graduate/Professional


     

    Describe any specialized training, skills or activities you have which are pertinent to this position:

    Employment Information

    Employer 1

    Date employed:

    from:

    to:

    Hourly Rate / Salary:

    starting:

    ending:

    Reasons for leaving:

    Add another employer

    Employer 2

    Date employed:

    from:

    to:

    Hourly Rate / Salary:

    starting:

    ending:

    Reasons for leaving:

    Add another employer

    Employer 3

    Date employed:

    from:

    to:

    Hourly Rate / Salary:

    starting:

    ending:

    Reasons for leaving:

    Add another employer

    Employer 4

    Date employed:

    from:

    to:

    Hourly Rate / Salary:

    starting:

    ending:

    Reasons for leaving:

    May we contact above employers? *

    Summarize any special skills or qualifications acquired from previous employment or experience, which would be applicable to this position:

    Reference Information

    List names, addresses, and phone numbers of three references not related to you.

    Reference 1

    Reference 2

    Reference 3

    Statement

    I certify that the information provided herein is true and complete to the best of my knowledge.

    I authorize investigation by the City of Williamsport & River Valley Transit of all information and references contained in this Application for Employment as may be necessary in arriving at a decision concerning my employment. I hereby release the City of Williamsport & River Valley Transit, its agents and representatives, from any and all liability for such investigation and all previous employers, companies/corporations, organizations, and other persons for cooperating with such investigation. If my position is non-union, I acknowledge and agree that my employment shall be at-will. This means I may terminate my employment at any time, for any reason, and the City of Williamsport & River Valley Transit may terminate my employment at any time, for any reason whatsoever.

    In the event of employment, I understand that any false or misleading information, statements, or representations given in my application or interview(s) will result in my discharge at any time. I also understand that I am required to abide by all policies, procedures, rules, and regulations of the City of Williamsport & River Valley Transit.

    Signature

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