HIRTA Employment Application

(Proof of U.S. Citizenship or immigration status will be required upon employment.)

Drivers Only Driver Experience & Qualifications:


List Employment for the past 7 years, starting with your current or most recent employer. Please add sections if necessary.


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Summarize special skills and qualifications acquired from employment or other experiences that may qualify you to work with our company.


List name and telephone number of three work references that are not related to you. If not applicable, list three school or personal references that are not related to you.


I have read the attached job description, and understand the essential functions of the job as stated in the job description. Check if you can perform the essential functions as listed with or without accomodation.

It is understood and agreed upon that any misrepresentation by me in this application will be sufficient cause for cancellatoin of this application and/or seperation from the employer's service if I have been employed. Furthermore, I understand that I am free to resign at any time, with or without cause and without prior notice should I be employed. I understand that no representative of HIRTA has the authority to make any assurances to the contrary.

I give HIRTA the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability HIRTA and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.

HIRTA is an Equal Opportunity Employer. HIRTA does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant's consideration for employment on a basis prohibited by local, state, or federal law.

This application is current for 60 days. At the conclusion of this time, if I have not heard from HIRTA and still wish to be considered for employment, it is necessary to fill out a new application.

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