Kobussen Buses Ltd. - Application for Employment

Position(s) Applied For

Date of Application

Name

Street Address

City State Zip Code

Phone E-mail

If you are under 18, can you furnish a work permit? Yes No N/A

Have you ever been employed at Kobussen Buses Ltd. before? Yes No

Are you legally eligible for employment in this country? Yes No

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

Date Available For Work

How were you referred to us?

Friends / Family

Internet Search

Newspaper

Telephone Book

Television

Radio

Saw Our Vehicles

Other

It is understood and agreed upon that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the Employer's service if I have been employed.

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

The Employer is an Equal Opportunity Employer. The Employer 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.