Application For Employment Form The information supplied in this document and in your application will be treated in the strictest of confidence. STAR Transit is an Equal Opportunity Employer and shall provide equal employment opportunity to its staff, potential employees, and applicants for employment on the basis of fitness and merit without regard to race, color, religion, national origin, political affiliation, sex (including gender identity and sexual orientation), age, genetic information, disability, veteran status, or other protected class. Applicant InfoName Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Details of advertised vacancyJob titleLocationAvailable start dateFull timePart timeApplicant detailsAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Do you have any friends or relatives working for STAR Transit?YesNoIf yes, state names and relationshipContact detailsMobile phoneHome phoneEmail Licenses/CertificationsDo you have a valid Commercial Drivers License? N/A No Yes, Class A Yes, Class B Yes, Class C Expiration date of Commercial Drivers License Date Format: MM slash DD slash YYYY Do you have a passenger endorsement? Yes No N/A Expiration date of passenger endorsement Date Format: MM slash DD slash YYYY Do you have a current DOT Physical? Yes No N/A Expiration date of DOT Physical Date Format: MM slash DD slash YYYY BackgroundHave you had any moving violations and/or accidents in the past three years?YesNoList all moving violations and/or accidents:In the past three (3) years, have 󠄀you 󠄀failed 󠄀an 󠄀employer’s 󠄀drug 󠄀or 󠄀 alcohol test?Yes (please explain below)NoN/AHave you ever been convicted for driving under the influence (DUI)?YesNoIf hired, would there be anything preventing you from working as scheduled?YesNoWould you be available to work overtime, if necessary?YesNoIf hired, could you present evidence of your U.S. Citizenship or proof of your legal right to live and work in the country?YesNoHave you ever been terminated or asked to resign from a job?Yes (Please explain below)NoDo you have any commitment to another entity or person that might affect your employment with STAR Transit?Yes (Please provide brief details below)NoHave you in the last 10 years, under your name or another name, been convicted of, pleaded guilty or nolo contendere to, received deferred adjudication for, or been on any form of diversion for any criminal offense?Yes (Please provide brief details below)NoHave you ever, under your name or another name, been convicted of a crime, which resulted with your being in prison and released from prison or paroled?Yes (Please provide brief details below)NoEducationName of high schoolDid you graduate?YesNoName of college/universityDid you graduate?YesNoName of vocational/other schoolDid you graduate?YesNoDo you speak, write or understand any other languages? Please describeQualifications/TrainingPlease attach certified copies of all qualifications and certificates of attainmentPlease list qualifications/certifications and the year obtainede.g. CPR/First Aid, Defensive DrivingDo you have any other experience, training, qualifications or skills, which you feel may make you especially suited for work at STAR Transit?Yes (Please explain below)NoList any computer programs with which you are familiar.Military ServiceWERE YOU EVER IN THE ARMED SERVICES?YesNoHAVE YOU OBTAINED ANY SPECIAL SKILLS OR ABILITIES AS A RESULT OF SERVICE IN THE MILITARY?YesNoEmployment DetailsARE YOU CURRENTLY EMPLOYED?YesNo1 NAME OF EMPLOYER1 POSITION HELD1 HOW LONG HAVE YOU BEEN WITH THIS EMPLOYER?2 NAME OF EMPLOYER2 POSITION HELD2 HOW LONG HAVE YOU BEEN WITH THIS EMPLOYER?ReferencesNAME OF REFERENCE 1POSITION HELD 1NAME OF ORGANIZATION 1CONTACT NUMBER 1NAME OF REFERENCE 2POSITION HELD 2NAME OF ORGANIZATION 2CONTACT NUMBER 2NAME OF REFERENCE 3POSITION HELD 3NAME OF ORGANIZATION 3CONTACT NUMBER 3Attach resume (Optional)ResumeWe accept .DOC, .DOCX, and .PDF files up to 1MB.Certification I hereby certify that the above information is correct and complete to the best of my knowledge and belief. I understand that, if I am employed, I will be liable to dismissal if any of the statements in my application are found to be deliberately misleading. Applicant's nameDate Date Format: MM slash DD slash YYYY NameThis field is for validation purposes and should be left unchanged.