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Transportation Director Application

Today's Date*

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Position for which you are applying*

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First Name*

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Middle Name*

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Last Name*

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Email Address*

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Phone Number*

Number Required

Address (Street, City, State, Zip)*

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Birth Place (State or Country)

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Have you ever been convicted of a felony?*

Answer required for "Have you ever been convicted of a felony?"

Yes

If you answered yes to the above question, please explain. If you answered no, please enter "N/A" *

Answer required for "If you answered yes to the above question, please explain. If you answered no, please enter \"N/A\" "

Driving Qualifications - Driver Licenses - Please enter the State, License No., Type of License and Expiration Date*

Answer required for "Driving Qualifications - Driver Licenses - Please enter the State, License No., Type of License and Expiration Date"

The next four questions are about your driving experience and history with various classes of equipment. Type of equipment can include experience driving a van, tank, flat, etc. Please be as descriptive as possible and include your start and end dates.

Driving Experience - Class of Experience with a Straight Truck - Please enter the Type of Equipment you drove, Dates as a Driver, and Approximate No. of Miles (Total)*

Answer required for "Driving Experience - Class of Experience with a Straight Truck - Please enter the Type of Equipment you drove, Dates as a Driver, and Approximate No. of Miles (Total)"

Driving Experience - Class of Experience with a Tractor and Semi-Trailer - Please enter the Type of Equipment you drove, Dates as a Driver, and Approximate No. of Miles (Total)*

Answer required for "Driving Experience - Class of Experience with a Tractor and Semi-Trailer - Please enter the Type of Equipment you drove, Dates as a Driver, and Approximate No. of Miles (Total)"

Driving Experience - Class of Experience with a Tractor-Two Trailers - Please enter the Type of Equipment you drove, Dates as a Driver, and Approximate No. of Miles (Total)*

Answer required for "Driving Experience - Class of Experience with a Tractor-Two Trailers - Please enter the Type of Equipment you drove, Dates as a Driver, and Approximate No. of Miles (Total)"

Driving Experience - Other Class of Experience - Please enter the Type of Equipment you drove, Dates as a Driver, and Approximate No. of Miles (Total)*

Answer required for "Driving Experience - Other Class of Experience - Please enter the Type of Equipment you drove, Dates as a Driver, and Approximate No. of Miles (Total)"

The next questions are about your driving and accident record for the past three (3) years or more. If fatalities or injuries were reported in any accident, you will have space at the end of the questions to provide additional (optional) information.

Accident 1

Date of last accident (if none, write N/A)*

Answer required for "Date of last accident (if none, write N/A)"

Nature of accident (head-on, rear-end, upset, etc.)*

Answer required for "Nature of accident (head-on, rear-end, upset, etc.)"

Fatalities*

Answer required for "Fatalities"

Yes

Injuries*

Answer required for "Injuries"

Yes

Additional (optional) information about accident fatalities or injuries

Answer required for "Additional (optional) information about accident fatalities or injuries"

Accident 2

Date of accident (if none, write N/A)*

Answer required for "Date of accident (if none, write N/A)"

Nature of accident (head-on, rear-end, upset, etc.)*

Answer required for "Nature of accident (head-on, rear-end, upset, etc.)"

Fatalities*

Answer required for "Fatalities"

Yes

Injuries*

Answer required for "Injuries"

Yes

Accident 3

Date of accident (if none, write N/A)*

Answer required for "Date of accident (if none, write N/A)"

Nature of accident (head-on, rear-end, upset, etc.)*

Answer required for "Nature of accident (head-on, rear-end, upset, etc.)"

Fatalities*

Answer required for "Fatalities"

Yes

Injuries*

Answer required for "Injuries"

Yes

The next question is about your traffic convictions and forfeitures for the past three (3) years (other than parking violations). Please provide the required information. If none, type N/A or None.

If you have traffic convictions and forfeitures for the past three (3) years, other than parking violations, please enter the information below: Location, Date, Charge, Penalty.*

Answer required for "If you have traffic convictions and forfeitures for the past three (3) years, other than parking violations, please enter the information below: Location, Date, Charge, Penalty."

The next two questions are about license privilege. If you answer Yes to either A or B, please provide a statement below giving details.

A. Have you ever been denied a license, permit or privilege to operate a motor vehicle?*

Answer required for "A. Have you ever been denied a license, permit or privilege to operate a motor vehicle?"

Yes

If Yes, please enter additional information in the space below.

Answer required for "If Yes, please enter additional information in the space below."

B. Have you ever had a license, permit or privilege suspended or revoked?*

Answer required for "B. Have you ever had a license, permit or privilege suspended or revoked?"

Yes

If Yes, please enter additional information in the space below.

Answer required for "If Yes, please enter additional information in the space below."

The next question is about your school and education.

Educational Preparation - List most current first.

Include name of school, address of school, degree, major/minor, and date of graduation.

Answer required for "Educational Preparation - List most current first. "

The next part is about your Employment Record. NOTE: DOT requires that employment for at least three (3) years and/or commercial driving experience for the past 10 years be shown.

Employer 1

Name of Last Employer *

Answer required for "Name of Last Employer "

Job Title and Duties*

Answer required for "Job Title and Duties"

Phone Number*

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Employer Address*

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Start Date*

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End Date*

Answer required for "End Date"

Reason for Leaving*

Answer required for "Reason for Leaving"

Employer 2

Name of Last Employer *

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Job Title and Duties*

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Phone Number*

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Employer Address*

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Start Date*

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End Date*

Answer required for "End Date"

Reason for Leaving*

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Employer 3

Name of Last Employer *

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Job Title and Duties*

Answer required for "Job Title and Duties"

Phone Number*

Answer required for "Phone Number"

Employer Address*

Answer required for "Employer Address"

Start Date*

Answer required for "Start Date"

End Date*

Answer required for "End Date"

Reason for Leaving*

Answer required for "Reason for Leaving"

Other Work Experience*

Date of Employment, Employers Name & Address, Position Held/ Full time or Part Time, Telephone Number (be able to list 3).

Answer required for "Other Work Experience"

I request that this application and consideration of same be kept confidential. (Optional)

Answer required for "I request that this application and consideration of same be kept confidential. (Optional)"

Yes

ELECTRONIC SIGNATURE AND DISCLAIMER: Type your name below as your signature to this application. By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this agreement.*

Answer required for "ELECTRONIC SIGNATURE AND DISCLAIMER: Type your name below as your signature to this application. By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this agreement."

In the next section of this application you will be asked eight (8) questions that require a short answer. You may provide as much information as you would like. Please don't skip any questions. The following questions are designed to help us begin to know you as a person and a professional. Your concise and candid responses are very important to us.

1. Why do (did) you want to become a transportation director?

Answer required for "1. Why do (did) you want to become a transportation director?"

2. What do you consider to be your major strengths as a transportation director?

Answer required for "2. What do you consider to be your major strengths as a transportation director?"

3. In your previous experience, in what ways have you most influenced a school and community?

Answer required for "3. In your previous experience, in what ways have you most influenced a school and community?"

4. As a transportation director, what communication approaches or systems are (would be) most effective for you?

Answer required for "4. As a transportation director, what communication approaches or systems are (would be) most effective for you?"

5. What methods or approaches would you use most to bring about change?

Answer required for "5. What methods or approaches would you use most to bring about change?"

6. How do you delegate responsibilities to others?

Answer required for "6. How do you delegate responsibilities to others?"

7. How do (will) you, as a transportation director, work most effectively with parents, students, and other district administration?

Answer required for "7. How do (will) you, as a transportation director, work most effectively with parents, students, and other district administration?"

8. What about being transportation director has been (will be) most rewarding to you? Why?

Answer required for "8. What about being transportation director has been (will be) most rewarding to you? Why?"

Additional Information (Optional)

Please give any additional information which will assist us in reaching a true estimate of your qualifications.

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To fully complete this application you are required to provide three (3) references.

References*

Name, Address, Position/Business, Telephone (be able to list 3).

Answer required for "References"

Do we have your permission to contact your current and previous employers?*

Answer required for "Do we have your permission to contact your current and previous employers?"

Yes

ELECTRONIC SIGNATURE AND DISCLAIMER: I certify that all my statements made in this application are true and correct, and that any misstatement of material facts may subject me to disqualification or dismissal. Also, I authorize investigation of all statements made in this application. Type your name below as your signature to this application. By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this agreement.

Answer required for "ELECTRONIC SIGNATURE AND DISCLAIMER: I certify that all my statements made in this application are true and correct, and that any misstatement of material facts may subject me to disqualification or dismissal. Also, I authorize investigation of all statements made in this application. Type your name below as your signature to this application. By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this agreement."

Cover Letter and Resume (Optional)

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Secondary Education Transcripts (Optional)

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Confirmation Email

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