Morgan County Board of Education 1065 East Avenue

Madison, GA 30650 www.morgan.k12.ga.us

(706) 752-4600

PUPIL TRANSPORTATION EMPLOYMENT APPLICATION DATE OF APPLICATION:_________________ DATE AVAILABLE: _____________________ NAME: _____________________________________________________________________ (LAST)

(FIRST)

(MIDDLE/MAIDEN)

ADDRESS: __________________________________ PHONE: (H) ___________________ ___________________________________ E-MAIL: ___________________________________

(C) ___________________

SSN (last 4 digits): XXX-XX-________

EMPLOYMENT HISTORY List the positions you have held starting with your current or most recent employer.

Employer ___________________ Address _______________________________________ Position ______________ Supervisor Name __________________ Phone ______________ Dates (From/To) _______________ Reason for Leaving ____________________________ Employer ___________________ Address _______________________________________ Position ______________ Supervisor Name __________________ Phone ______________ Dates (From/To) _______________ Reason for Leaving ____________________________ Employer ___________________ Address _______________________________________ Position ______________ Supervisor Name __________________ Phone ______________ Dates (From/To) _______________ Reason for Leaving ____________________________

EDUCATION Official transcripts may be required at the time of employment.

High School ______________________ ___________________ Year Graduated or GED______ (NAME)

(CITY/STATE)

College ___________________________________ Dates Attended ___________________ (NAME)

_____________________________ Degree_______ Major ___________________ (CITY/STATE)

List names of any relatives employed by the Morgan County Charter School System: _______________________ __________________________ _______________________ The Morgan County Board of Education is an equal opportunity employer and does not discriminate in employment on the basis of religion, race, color, national origin, gender, sexual orientation, age or disability.

Are you over the age of 18? □ Yes □ No Position(s) applied for: _________________________

Days/Hours available to work No Preference ____ Thurs______ Mon__________ Fri ________ Tues__________ Sat________ Wed__________ Sun________

How many hours can you work weekly? _________ Employment desired: □ Full-Time Only □ Part-Time Only □ Full-Time OR Part-Time OR Substitute

□ Substitute Only

DRIVING EXPERIENCE Please attach a copy of your Driver’s License.

Driver’s License Number: __________________ Class: _______ Expires: ________ Years of Driving Experience (specify): Car _______ Bus _______ Truck _______ Are you willing to attend a School Bus Driver training course? ______ Have you been involved as the driver in a traffic accident (s) in the last three (3) years? _______ If yes, please attach an explanation with the date (s) and nature of the accidents. Have you been convicted of any traffic violations? ______ If yes, please attach an explanation with the date(s), location, charge and penalties. Has your license, permit or driving privilege ever been suspended or revoked? _______ If yes, please attach an explanation. Have you ever been convicted of DUI or a crime other than minor traffic violations?*_______ If yes, please attach an explanation. * All employees of the Morgan County Schools are required to submit to fingerprinting/criminal records check.

REFERENCES List three persons other than relatives who are familiar with your capabilities.

Name

Address

Occupation

Telephone

___________________ ______________________________ ____________ ___________ ___________________ ______________________________ ____________ ___________ ___________________ ______________________________ ____________ ___________ Please list any Safe Driving Awards or other skills and qualifications you feel would be helpful to us in considering your application: _______________________________________________ ___________________________________________________________________________ I authorize full investigation of the information given in this application and consent to the representatives of the Morgan County BOE contacting my references, previous employers, and schools attended. I understand that any misstatement or omission of any information requested will be a reason for non-employment or dismissal from employment. If employed, I agree to abide by all the policies as set forth by the Morgan County BOE.

APPLICANT’S SIGNATURE _____________________________ DATE _________________ REVISED 12/14