EMPLOYMENT APPLICATION

Take the first step toward a career in traffic control. Complete the form below and our team will be in touch.

All fields marked with an asterisk (*) are required. Applications are reviewed promptly. For questions, call us toll free at (800) 640-8212.

PERSONAL INFORMATION

DATE *

FIRST NAME *

LAST NAME *

ARE YOU 18 YEARS OF AGE OR OLDER? *

MAILING ADDRESS

STREET ADDRESS *

ADDRESS LINE 2

CITY *

STATE *

ZIP CODE *

PHYSICAL ADDRESS (IF DIFFERENT THAN ABOVE)

STREET ADDRESS

ADDRESS LINE 2

CITY

STATE

ZIP CODE

EMAIL ADDRESS *

PHONE NUMBER *

REFERRED BY

DATE YOU CAN START

DAYS AND HOURS AVAILABLE

EMPLOYMENT INFORMATION

Please start with your present or most recent employer.

ARE YOU PRESENTLY EMPLOYED?

PRESENT / MOST RECENT EMPLOYER

EMPLOYER NAME

EMPLOYER ADDRESS

SUPERVISOR'S NAME

TELEPHONE

DATES EMPLOYED (FROM / TO)

REASON FOR LEAVING

STARTING WAGE

ENDING WAGE

MAY WE CONTACT FOR VERIFICATION?

PREVIOUS EMPLOYER 2

EMPLOYER NAME

EMPLOYER ADDRESS

SUPERVISOR'S NAME

TELEPHONE

DATES EMPLOYED (FROM / TO)

REASON FOR LEAVING

STARTING WAGE

ENDING WAGE

MAY WE CONTACT FOR VERIFICATION?

PREVIOUS EMPLOYER 3

EMPLOYER NAME

EMPLOYER ADDRESS

SUPERVISOR'S NAME

TELEPHONE

DATES EMPLOYED (FROM / TO)

REASON FOR LEAVING

STARTING WAGE

ENDING WAGE

MAY WE CONTACT FOR VERIFICATION?

GENERAL INFORMATION

VEHICLE MAKE

MODEL

YEAR

COLOR

PLATE #

DRIVER'S LICENSE #

STATE

EXPIRATION DATE

EDUCATION INFORMATION

HIGH SCHOOL

NAME & LOCATION OF HIGH SCHOOL

DID YOU GRADUATE?

YEAR GRADUATED

COLLEGE / TECH / TRADE SCHOOL

NAME & LOCATION

DID YOU GRADUATE?

YEAR GRADUATED

PROFESSIONAL / WORK RELATED REFERENCES

Give the names of 3 persons whom you have had professional and/or work related experience and have known longer than one year.

REFERENCE 1

NAME

PHONE

YEARS KNOWN

ADDRESS

REFERENCE 2

NAME

PHONE

YEARS KNOWN

ADDRESS

REFERENCE 3

NAME

PHONE

YEARS KNOWN

ADDRESS

IN CASE OF EMERGENCY CONTACT

NAME

PHONE

RELATIONSHIP

AGREEMENT AND AUTHORIZATION

A DESCRIPTION OF THE ACTIVITIES IN SUCH A JOB OR OCCUPATION HAS BEEN ATTACHED?

ARE YOU CAPABLE OF PERFORMING IN A REASONABLE MANNER, WITH OR WITHOUT REASONABLE ACCOMMODATION, THE ACTIVITIES INVOLVED IN THE JOB OR OCCUPATION FOR WHICH YOU HAVE APPLIED?

AUTHORIZATION

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information that they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

By checking this box, I hereby accept the terms and conditions as outlined in the above agreement and understand that by confirming, I am submitting my electronic consent. *

DATE