CARTA | Employment Application

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Applicant Information

First name

Last name

Address

City

State

Zip

Phone number

Date available

Desired salary

Position applied for

Are you authorized to work in the U.S.? *

Yes

Have you ever worked for CARTA? *

Yes

When did you work for CARTA?

Have you ever been convicted of a felony? *

Yes

If you have been convicted of a felony, please explain

Can you work all shifts? *

Yes

If you can't work all shifts, please explain

Can you work weekends and/or holidays? *

Yes

If you can't work weekends and/or holidays, please explain

Education

High School

Address

City

State

Zip

Did you graduate? *

Yes

Degree/Focus

College

Address

City

State

Zip

Did you graduate? *

Yes

Degree/Focus

Other

Address

City

State

Zip

Did you graduate? *

Yes

Degree/Focus

Are you applying for a driving position of any kind? *

Yes

Accident Record for the Past 3 Years or More

Accident Date

Nature of Accident (or N/A)

Fatalities

Injuries

Accident Date

Nature of Accident (or N/A)

Fatalities

Injuries

Accident Date

Nature of Accident (or N/A)

Fatalities

Injuries

Traffic Convictions & Forfeitures for the Past 3 Years

(Other than parking violations)

Violation Date

Location (or N/A)

Charge

Penalty

Violation Date

Location (or N/A)

Charge

Penalty

Violation Date

Location (or N/A)

Charge

Penalty

Candidate Voluntary Self-Identification

Confidential – For Reporting & Compliance Purposes Only

Completion of this form is voluntary and will not affect your application or consideration for employment. This information is used solely to comply with federal and state equal opportunity laws and reporting requirements.

Section 1: Candidate Information

Full Name

Position Applied For

Date of Application

Date Completed

Section 2: Sex and Gender Identity

Check all that apply.

Male

Female

Non-Binary

Transgender

Prefer not to answer

Prefer to self-describe

Section 3: Race/Ethnicity

Select one or more.

Hispanic or Latino

White (Not Hispanic or Latino)

Black or African American (Not Hispanic or Latino)

Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)

Asian (Not Hispanic or Latino)

American Indian or Alaska Native (Not Hispanic or Latino)

Two or More Races (Not Hispanic or Latino)

Prefer not to answer