Form Center

Step One

Stanislaus Regional Transit Authority (StanRTA) is an equal opportunity employer. All qualified persons are welcome to submit applications for employment. Every applicant must fully complete this Application for Employment.
First Name*
Last Name*
Middle Initial
Present Street Address*
Apartment/Unit Number
City*
State*
Zip Code*
Phone Number*
Email Address*
Is your present address the same as your mailing address?*
1. Yes
2. No
Mailing Street Address
Apartment/Unit Number
City
State
Zip Code
What position are you applying for?*
Please submit a separate application for each position.
Would you accept temporary employment?*
1. Yes
2. No
Is any additional information relative to change of name, use of assumed name, or nickname necessary to enable a check on the information you are providing on this application?
1. Yes
2. No
If yes, please explain.
Do you have a valid California Driver's License?*
1. Yes
2. No
Were you ever informed by a previous employer that you were being terminated or forced to resign due to misconduct or unsatisfactory service?
1. Yes
2. No
If yes, please explain.
Continue

Background Information

Conviction by any court of an offense is not necessarily a bar to employment. Each case is considered individually based up on job requirements. Please answer the question below.
Have you ever been convicted by any court of any offense?
1. Yes
2. No
You may omit: 1) any incident that has been sealed or expunged; or 2) an offense committed which was adjusted in a Juvenile Court or under a youth offender law.
If yes, please explain.
Note: Stanislaus Regional Transit Authority may investigate your background to ascertain and obtain any and all information of concern to your record, whether same is of record or not, including without limitation matters of public record. "Public records" are defined as "records documenting an arrest, indictment, conviction, civil judicial action, tax lien, or outstanding judgement."
Continue |Go Back

Education & Skills

What is the highest level of education you've received?
Are you applying for a clerical position?
1. Yes
2. No
Typing Speed
Office Machines Operated
Computer Programs
Provide information about any college or university you have attended and/or of any business, trade, service, or correspondence school.
Name of Institution*
Address*
Course of Study*
Duration*
Degree*
Name of Institution
Address
Course of Study
Duration
Degree
Name of Institution
Address
Course of Study
Duration
Degree
List any degrees, licenses, or certificates of professional or vocational competence you hold.
List job-related organizations, clubs, professional societies, or other associations to which you belong. You may omit those which indicate your race, religious creed, color, national origin, ancestry, gender, sexual orientation or age.
If you have served in the military or volunteered in the community, list any skills you learned which you feel are relevant to the position for which you are applying.
Continue |Go Back

Employment History

Starting with your most recent employment, provide a complete record of all employment during the past ten years. A resume may not be used as a substitute but may be attached if you so desire. If more space is needed, upload and submit an additional sheet.
Please explain all gaps in employment.
Dates of Employment
Dates of Employment Start Date
—
Dates of Employment End Date
Employer's Name
Final Hourly Rate
Employer's Address
Employer's Phone Number
Supervisor's Name
Your Job Title and Duties
Why Did You Leave?
Dates of Employment
Dates of Employment Start Date
Dates of Employment Start Time
—
Dates of Employment End Date
Dates of Employment End Time
Employer's Name
Final Hourly Rate
Employer's Address
Employer's Phone Number
Supervisor's Name
Your Job Title and Duties
Why Did You Leave?
Dates of Employment
Dates of Employment Start Date
—
Dates of Employment End Date
Employer's Name
Final Hourly Rate
Employers Address
Employer's Phone Number
Supervisor's Name
Your Job Title and Duties
Why Did You Leave?
Please submit any additional information.
Are you applying for a Safety-Sensitive position?
1. Yes
2. No
During the past two years have you tested positive or refused to test on any pre-employment drug and alcohol test administered by an employer that they applied to but did not obtain, safety-sensitive transporation work covered by DOT drug and alcohol testing rules?
1. Yes
2. No
Continue |Go Back

Acknowledgement

I agree and understand that any misrepresentation of information or omission of facts I have provided in this Application for Employment may result in immediate discharge.
I agree and understand that representatives of Stanislaus Regional Transit Authority, may investigate my background to ascertain and obtain any and all information of concern to my record, whether same is of record or not, including without limitation matters of public record. "Public records" are defined as "records documenting an arrest, indictment, conviction, civic judicial action, tax lien, or outstanding judgement."
I understand and agree that I have a right to receive a copy of public record information directly obtained by Stanislaus Regional Transit Authority. I understand and agree that I will not receive a copy of such public record information if I check the box below waiving my right to such information. I release Stanislaus Regional Transit Authority, its employees, and all persons from any liability for furnishing such information.
I waive my right to a copy of public record information obtained by Stanislaus Regional Transit Authority.
Please initial appropriate answer.
Yes
No
I agree and understand that this application for employment in no way obligates Stanislaus Regional Transit Authority to employ me. I agree and understand that employment with Stanislaus Regional Transit Authority is at-will and may be terminated by either the employee or Stanislaus Regional Transit Authority at any time, with or without cause, and with or without notice. I agree that any and all claims arising out of or related to my application for employment and/or employment (if offered) including without limitation claims for harassment, discrimination, and/or wrongful termination, shall be submitted to final and binding arbitration in accordance with the California Arbitration Act (Code of Civil Procedure section 1281 et seq.) and not to any other forum unless a specific law requires otherwise. Any such claims must be presented to the other party in writing within the applicable statute of limitations period in which a legal action alleging a violation of the law must be commenced. Within the next 10 business days, authorized representatives of the parties shall attempt to select a neutral arbitrator by mutual agreement, but if they are not able to agree on a person to act as neutral arbitrator, Stanislaus Regional Transit Authority shall request a list of potential neutral arbitrators from teh state or federal mediation and conciliation services and from said list, the parties will alternately strike names until only one name remains; the name of the remaining person shall be the arbitrator. Stanislaus Regional Transit Authority shall be responsible for all fees and costs associated with the arbitration as required by law. The arbitration shall take place in Modesto, California. The California Discover Act (Code of Civil Procedure section 2016.010 et seq.) shall govern discovery with the arbitrator resolving any discovery disputes. The arbitrator shall issue a final and written binding decision and ward and shall have the authority to award all remedies and relief and all fees and costs, as provided by law. Pending arbitration, either party may seek temporary injunctive relief from the appropriate court in circumstances otherwise authorized under state or federal law. Judgement upon the award rendered by the arbitrator may be entered in any court of competent jurisdiction. I understand that this arbitration agreement is a waiver of all rights to a civil jury trial.
Initial*
Based upon job requirements, offers of employment may be conditional and contingent on the successful completion of a pre-employment drug test, post job offer physical, fingerprint clearance, and/or background investigation. Safety-sensitive positions are subject to Stanislaus Regional Transit Authority's Drug and Alcohol Testing Program.
I certify that this Application for Employment was completed by me, and that all entries on it and information in it and any attachments signed by me are true and correct to the best of my knowledge.
Signature of Applicant*
Please type in your full name.
Date Signed*
Date Signed
Continue |Go Back

Employment Questionnaire

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
Submit | Go Back

Search Forms:

Job Application

Steps

Step One

Background Information

Education & Skills

Employment History

Acknowledgement

Employment Questionnaire

Contact Us