Apply

Step 1
Step 2
Step 3
Step 4
Step 5
Step 6

PERSONAL INFORMATION

Name (Last, First, Middle)*

Social Security Number (Optional)

Address*

City*

State*

Zip Code

Phone Number

Cell or Other Phone

E-mail*

If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in the United States?

YesNo

Do you have a valid Driver’s License?

YesNo

License Number

Expiration Date

Step 1
Step 2
Step 3
Step 4
Step 5
Step 6

EMPLOYMENT DESIRED

Position

Date available to begin work

Type of Employment (Check all that apply)

Full-timePart-timeTemporary

Are you related to any Solano Transportation Authority employee?

YesNo

If yes, provide Name and Relationship

If you have any questions or believe that you may need accommodations during the testing process, please contact Human Resources at (707) 424-6075. Requests for accommodations must be received by the final filing date for the recruitment.

Step 1
Step 2
Step 3
Step 4
Step 5
Step 6

AGREEMENT

I certify that all statements made on this application are complete and true to the best of my knowledge. I agree and understand that any misrepresentation or deliberate omission of material fact contained in this application may be justification for disqualification or termination of employment with the Solano Transportation Authority. I authorize investigation of all matters contained in this application and agree to undergo any job-related examination, drug screening, fingerprinting, DMV record and/or background check upon conditional offer of employment and that the employment is contingent upon meeting the conditions of employment as may be required by the agency.

Signature

Date

Step 1
Step 2
Step 3
Step 4
Step 5
Step 6

Education & Training

Name and Location of School	Diploma Received	Degree / Major
High School
College/University
Trade/Business or Correspondence School
Graduate School

List computer, typing or equipment skills

Are you bilingual?

YesNo

If yes, state language

SpeakReadWrite

Step 1
Step 2
Step 3
Step 4
Step 5
Step 6

Employment History
(List all jobs with the most recent first. Different positions with the same employer may be listed separately. You may attach additional sheets of this page if necessary. A resume may be attached, but may not be substituted for completing this application)

Name & Address of Employer	Job Title/Position	Dates of Employment (Mo/Yr)	Supervisor / Contact Number
		From: To:	May we contact? YesNo

Describe Job Duties

Reason for leaving:

Name & Address of Employer	Job Title/Position	Dates of Employment (Mo/Yr)	Supervisor / Contact Number
		From: To:	May we contact? YesNo

Describe Job Duties

Reason for leaving:

Name & Address of Employer	Job Title/Position	Dates of Employment (Mo/Yr)	Supervisor / Contact Number
		From: To:	May we contact? YesNo

Describe Job Duties

Reason for leaving:

Name & Address of Employer	Job Title/Position	Dates of Employment (Mo/Yr)	Supervisor / Contact Number
		From: To:	May we contact? YesNo

Describe Job Duties

Reason for leaving:

Name & Address of Employer	Job Title/Position	Dates of Employment (Mo/Yr)	Supervisor / Contact Number
		From: To:	May we contact? YesNo

Describe Job Duties

Reason for leaving:

PERSONAL INFORMATION

EMPLOYMENT DESIRED

AGREEMENT

Education & Training

Employment History (List all jobs with the most recent first. Different positions with the same employer may be listed separately. You may attach additional sheets of this page if necessary. A resume may be attached, but may not be substituted for completing this application)

Employment History
(List all jobs with the most recent first. Different positions with the same employer may be listed separately. You may attach additional sheets of this page if necessary. A resume may be attached, but may not be substituted for completing this application)