In compliance with Federal and State equal opportunity laws, qualified applicants are considered for all positions without regard to gender, color, race, national origin, age, disability, marital status, sexual orientation, other legally protected group status or non-job related disability.

MUST BE READ AND SIGNED BY THE APPLICANT
I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e).
I also understand that I have the right to:

Review information provided by previous employer(s)
Have errors in the information corrected by previous employer(s) and for those previous employers to re-send the corrected information to the prospective employer, and
Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information

Applicant Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Applicant

Job Applying For {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Please indicate your first choice: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Social Security Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Cell Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Are you 18 or older? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Are you 21 or older? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Previous addresses for the last three (3) years

Address {binding ItemNumber}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Work & Driving Experience

In accordance with §391.21 & §391.23 of the Federal Motor Carrier Safety Regulations(FMCSR), an applicant must list all previous work experience for the three (3) years prior to the date of application shown on page one, as well as all commercial driving experience for seven (7) years prior to those three years, for a total of 10 years. If you are an owner operator, list carriers leased to. PLEASE LIST HISTORY STARTING WITH MOST RECENT EMPLOYER, ADDING EMPLOYERS AS NEEDED.

Work Experience

Employer {binding ItemNumber}

Company Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Company Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Fax {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Job Description {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Start Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

End Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Reason for Leaving {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Supervisor Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

* Were you subject to controlled substances and alcohol testing specified by 49 CFR Part 40 during this period? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

**ACCOUNT FOR PERIOD BETWEEN JOBS – Include dates (month/year) and reason: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

*The FMCSR apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passenger or property when the vehicle: 1) weighs or has a GVWR of 10,001 pounds or more, 2) is designed or used to transport 9 or more passengers, 3) is of any size & is used to transport hazardous materials requiring placarding.
**Any gaps in employment and/or unemployment must be explained.

License / Driving History

License Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

License Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

State {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Expiration Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Current Endorsements (Check all that apply) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

List all restrictions on your license {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Have you had a valid Illinois Drivers License for at least the past three consecutive years? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Have you been licensed to drive in another state in the last three years? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

List any additional license(s) held in the past three (3) years:

License {binding ItemNumber}

License Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

State {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Expiration Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Has your permit, license or privilege to operate a motor vehicle ever been denied, suspended, revoked or cancelled? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If yes, explain: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Have you ever been convicted for DUI, DWI or OUI? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If yes, explain: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

PLEASE LIST ALL MOTOR VEHICLE COLLISIONS, TRAFFIC CONVICTIONS AND/OR FORFEITURES (OTHER THAN PARKING TICKETS) IN WHICH YOU WERE INVOLVED (BOTH COMMERCIAL & PRIVATE VEHICLE) DURING THE PAST THREE (3) YEARS PRIOR TO APPLICATION DATE. IF NONE, WRITE “NONE”

Collisions & Violations

Incident {binding ItemNumber}

Collision / Violation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

State {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Fatalities / Injuries {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Commercial Vehicle {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Please list all driving experience (other than a regular auto) with dates

Item {binding ItemNumber}

Vehicle Class {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Vehicle Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Start Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

End Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Education / General

K-12 Highest Grade Completed {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

College Highest Grade Completed {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Last School Attended / Dates {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Other Schools Attended / Dates {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Other Training / Dates {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Have you received any safety awards or special training? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Do you have any knowledge of the Federal Motor Carrier Safety Regulations? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Have you been employed or applied at Johannes Bus Service before? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If yes, explain: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Is there any reason or any health issue that may prevent you from performing the functions of the job for which you have applied, with or without reasonable accommodations? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If yes, explain: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Have you ever been convicted of a felony? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If yes, explain: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Are you on “lay off” status and subject to recall? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

May we contact your present employer? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

How did you hear about us? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Please be specific (ex: if you answered newspaper ad put down which newspaper) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

References & Validation

List at least three references not related to you:

References

Reference {binding ItemNumber}

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Relationship {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

MUST BE READ AND SIGNED BY THE APPLICANT

I authorize the carrier to make such inquiries and investigations of my personal, employment, driving or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my applications or interview(s) may result in discharge. I agree to abide by the rules and regulations of the carrier as well as the Federal Motor Carrier Safety Regulations (FMCSR). I also agree and understand that if I am selected to drive for the carrier that I will be on a probationary period during which time I may be discharged without recourse.

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Untitled {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

In order to properly process and evaluate a qualified application for employment as a commercial driver or truck/bus mechanic, for DOT motor carrier: Johannes Bus Service, Inc. (DOT 295723), a photocopy of the applicant’s current driver’s license must be attached. If the current license of the applicant is not an Illinois issued license, the applicant should obtain an Illinois license if they reside within the State. If an Illinois license is not obtained, the applicant may not be considered for employment with this company. In addition, the job for which you are applying, as a commercial motor vehicle operator and as a permitted Illinois School Bus Driver, is safety sensitive in nature and it requires that an Illinois School Bus Driver Card of Eligibility and a Motor Vehicle Record (MVR) from the State of Illinois, as well as, an MVR from any other state, in which the applicant held a drivers license in the past three (3) years, from the date of application, be attached. Any application that does not include the above mentioned items may not be considered for employment, as per State and Federal laws. Any application that includes an Illinois School Bus Driver Card of Eligibility that shows the applicant “Ineligible” may not be considered for employment. All job offers are conditional offers contingent on passing the Illinois specific criminal background investigation and being physically qualified by a Certified Medical Examiner (CME).

Initial here if you understand these conditions {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Attach Files {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

School Bus Driver Application Checklist

IN ORDER TO BE ELIGIBLE FOR AN INTERVIEW, THE APPLICANT MUST COMPLETE THE ENTIRE APPLICATION AND HAVE PROVIDED A SCHOOL BUS ELIGIBILITY CARD & MVR.

INTERVIEWS WILL NOT BE SCHEDULED WITHOUT THESE ITEMS.

OFFICE: Out of state license holders CAN NOT BE TRAINED. APPLICATIONS ARE FILLED OUT AT JBS.

Copy (FRONT & BACK) of APPLICANTS driver’s license must be attached to application.

IOWA DL APPLICANTS:

Must hold a valid Iowa DL with CDL and School Bus and Passenger Endorsements

Must bring in Iowa MVR for last 3 years

Must be willing to get an Illinois School Bus Permit on top of the Iowa Permit

Sign Secretary of State Waiver Form

CDL Holder Sign FMCSA PSP/FOIA Forms

ILLINOIS DL APPLICANTS:

Must hold a valid Illinois DL

Must bring in Illinois MVR for last 3 years ($12)

Must bring in Card of Eligibility from Sec of State (FREE)

CDL Holder Sign FMCSA PSP/FOIA Forms

CLICK HERE FOR REAL ID INFO on identification items needed for changing your Drivers License!

The Illinois school bus card of eligibility (no charge) & Illinois MVR ($12.00) can be obtained at:

Secretary of State’s Office
2001 – 5th Street, Silvis, IL
Twin Oaks Shopping Centre (by Hy-Vee)
Phone # 309.796.0934
www.cyberdriveillinois.com

Hours for the Drivers Facility:
Sun - Closed
Mon - Closed
Tue - 8am to 5:30pm
Wed - 8am to 5pm
Thu - 8am to 5pm
Fri - 8am to 5pm
Sat - 7:30am to 12Noon

The bus driving position is considered a part-time job. Daily School Bus Routes and On-Demand Charter Work.

Applicants who commence the training process and fail to complete the training may be held responsible for some of the training costs incurred by the Company.

IN ORDER TO BE ELIGIBLE FOR AN INTERVIEW, THE APPLICANT MUST COMPLETE THE ENTIRE APPLICATION AND HAVE PROVIDED A SCHOOL BUS ELIGIBILITY CARD & MVR. INTERVIEWS WILL NOT BE SCHEDULED WITHOUT THESE ITEMS.

Attach front and back scan of driver's license: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Applicant

Previous addresses for the last three (3) years

Address {binding ItemNumber}

Work & Driving Experience

Work Experience

Employer {binding ItemNumber}

License / Driving History

List any additional license(s) held in the past three (3) years:

License {binding ItemNumber}

Collisions & Violations

Incident {binding ItemNumber}

Please list all driving experience (other than a regular auto) with dates

Item {binding ItemNumber}

Education / General

References & Validation

References

Reference {binding ItemNumber}

MUST BE READ AND SIGNED BY THE APPLICANT

School Bus Driver Application Checklist

Your progress has been saved.

Applicant

Previous addresses for the last three (3) years

Address {binding ItemNumber}

Work & Driving Experience

Work Experience

Employer {binding ItemNumber}

License / Driving History

List any additional license(s) held in the past three (3) years:

License {binding ItemNumber}

Collisions & Violations

Incident {binding ItemNumber}

Please list all driving experience (other than a regular auto) with dates

Item {binding ItemNumber}

Education / General

References & Validation

References

Reference {binding ItemNumber}

MUST BE READ AND SIGNED BY THE APPLICANT

School Bus Driver Application Checklist