Application (Administrative)

Employment Application (Administrative)

Area Transportation Authority of North Central Pennsylvania an Equal Opportunity Employer (M/F) 44 Transportation Center, Johnsonburg, PA 15845-2102

Please complete this application with as much information as possible. Our Human Resources Representative will contact you for additional information if needed.

[click here] to download the PDF and print the application.

Do you hold a valid Pennsylvania Driver’s License?

YESNO

Are you a U.S. Citizen?

YESNO

Have you worked for this Company before?

YESNO

Does this agency currently employ any member of your immediate family?

YESNO

Does any member of your immediate family currently serve on the Board of Directors of this Authority?

YESNO

Have you served in the U.S. Armed Forces?

YESNO

EMPLOYMENT

List your complete employment record. Include periods of unemployment, starting with your present or last position and work back.

Starting Salary: (Include amount and for what period of time. IE: weekly, annually, etc.)

Ending Salary: (Include amount and for what period of time. IE: weekly, annually, etc.)

Job #2 Information

Starting Salary: (Include amount and for what period of time. IE: weekly, annually, etc.)

Ending Salary: (Include amount and for what period of time. IE: weekly, annually, etc.)

Job #3 Information

Starting Salary: (Include amount and for what period of time. IE: weekly, annually, etc.)

Ending Salary: (Include amount and for what period of time. IE: weekly, annually, etc.)

List software that you have used in your previous work experience: Include Software NAME, TYPE and DEGREE OF PROFICIENCY

Have you ever been convicted of a misdemeanor or felony (excluding minor traffic violations)?

YESNO

List names, address and telephone numbers of three personal references. Do not include relatives:

A false or dishonest answer to any question on this application will be grounds for rating you ineligible for employment. All statements on this application are subject to investigation including a police check, motor vehicle records check, checks of salaries, references, and former employers. All data will be considered in determining your eligibility for employment with this Authority.

CHECK THE BOX if You acknowledge the above statement and You certify that the statements contained herein are accurate and true to the best of your knowledge, information, and belief.