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APPLICATION

Fill out our Employment Application below, or Contact our CDL Coordinator, Valerie Mott at 213 Canal St, Ellenville, NY 12428, 845-647-6106.

Name(required)

Email(required)

Telephone

Street Address

City, State, Zipcode

NY Drivers License #

Drivers License Class

Endorsements

Are you over 18 years of age? Yes

No

Date of Birth

Highest Level of education

Location where you are interested in working

Position desired

Date you can start

Salary Desired

EMPLOYMENT EXPERIENCE
Please give a complete description of your employment history.

Most Recent Employer

Most recent employer

Job title

Start Date

End Date

Job Responsibilities

Reason for leaving

Phone Number

Supervisor’s Name

May we contact this employer? Yes

No

Previous Employer

Previous employer

Job title

Start Date

End Date

Job Responsibilities

Reason for leaving

Phone Number

Supervisor’s Name

May we contact this employer? Yes

No

Next Previous Employer

Next previous employer

Job title

Start Date

End Date

Job Responsibilities

Reason for leaving

Phone Number

Supervisor’s Name

May we contact this employer? Yes

No

Special Skills (e.g. CDL holder, Diesel repair, etc...)

Have you ever been denied a TWIC Card or a Hazmat Endorsement? Yes

No

Have you ever been convicted of any crime? Yes

No

(Note: a conviction is not an automatic bar to employment.)

If YES, please explain and state the charge, the court, the date, and the disposition of the case.

All applicants will be expected to pass a drug screening during the hiring process. Rolling V is a drug free employer.

PO Box 110
South Fallsburg, New York 12779
Phone: 845-434-0511
Fax: 845-434-0259
Email: info@rollingv.com

Copyright © 2021, Rolling V Bus Corporation, Inc. All Rights Reserved.