Employment Form

Online Application

Please carefully read and answer required questions. You will not be able to submit this application without completing the *required fields.

EPTA Employment Application

*Name (Last, First, Middle):

*Street Address and/or Mailing Address:

*City:

*State:

*ZIP:

*Phone Number:

Email Address:

Salary desired:

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Position Information

*Position(s) applying for:

*Hours:

*Will you drive/report to work in winter conditions?

*Are you authorized to work in the U.S. on an unrestricted basis?

*Do you have a valid Commercial Driver's License?

*Do you have a Passenger Endorsement?

*Have you ever been convicted of a felony?

If yes, explain:

*Have you ever worked for Eastern Panhandle Transit Authority?

If yes, provide dates of employment and position:

*Are you aware that all EPTA employees are subject to drug and alcohol testing?

Education

Education

Please list any education or training you feel relates to the position(s) applied for that would help you perform the

work, such as schools, colleges, degrees, vocational or technical programs, and military training.

Previous Education

Special Skills:

References:

Previous Employment

Previous Employment: Start with present or most recent employment and work in reverse chronological order.

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Job #1

Company

Address:

Phone:

Job Title:

Supervisor:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for reference?

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Job #2

Company:

Address:

Phone:

Job Title:

Supervisor:

From:

To:

Reason for Leaving:

May we contact you previous supervisor for reference?

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Job #3

Company:

Address:

Phone:

Job Title:

Supervisor:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for reference?

Opt-In

*By checking this box I certify that these answers are true and complete to the best of my knowlege. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my termination.

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, color, sexual orientation, national origin, gender, disability, religion, age, or other protected classifications.

446 Novak Drive, Martinsburg, WV 25405

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