Transportation Employment Application

Transportation Employment Application
Minimum Job Requirements for Shuttle Drivers: You must have at least 3 semesters left as a UConn student You must be registered for the current/upcoming semester You agree to work a minimum of 10 hours per week (to include 1 opening shift, 1 closing shift or 1 weekend shift) You have possessed a valid CT drivers license for at least 2 years and have at least 2 years driving experience in the United States. You are 18 years of age and are able to communicate the English language clearly You must pass a USDOT drug test as required by 49 CFR part 653.

Personal Information
Name:		E-Mail Address:
Local Address:		Local Phone:
Permanent Address:		Permanent Phone:
Birth Date:

Academic Information

Major:

Grad. Date:

Semester Standing:

Number of Credits
Enrolled In:

Extracurricular
Activities:

Driving Experience
License Number:		State:		Class:		Expiration Date:
When did you first receive your license?				Where was it issued?
Have you ever been convicted of a traffic violation (including speeding tickets)?
If yes, please explain.
What is your driving experience?