Job Application | Yates Dial-A-Ride

YATES DIAL-A-RIDE
An Equal Opportunity Employer

1987 E. US 10
Idlewild, MI 49642
231-745-7311

APPLICATION FOR EMPLOYMENT

Yates Dial-A-Ride (“Agency”) is an equal opportunity employer. It is the policy of the Agency to comply with all applicable laws that prohibit discrimination in employment based on a person’s race, color, religion, sex, age, national origin, marital status, disability, height, weight or

any other reason prohibited by law.

INSTRUCTIONS:
1. Fill in all information. If printing and dropping off, please print legibly in ink.
2. Answer all questions accurately and completely.
3. Resumes will not be accepted in lieu of completed applications, but are considered to be
supplemental information. Using “See resume” on the application is not acceptable.
4. Use a separate sheet of paper if you need to clarify any responses.
5. A separate application must be completed and submitted for each position for which you seek
consideration.
6. Applications that are incomplete, unsigned or received after the deadline date (if applicable) will
not be considered.
7. The Agency will not return resumes, transcripts, letters of reference, or any other documents
submitted by the applicant.

Position you are applying for:

Date application was completed:

PERSONAL INFORMATION

Full Name:

Present Address:

Permanent Address (if different):

Primary telephone number:

Alternate telephone number:

E-Mail

If yes, describe in full:

List any other names under which you have been employed and/or which you have used for legal purposes during the previous 5 years (include dates):

If yes, list dates, positions, supervisors and reasons for leaving:

If yes, list positions applied for and dates:

If yes, list name and relationship to you:

If yes, describe in full:

GENERAL INFORMATION

Earliest date available for work:

Salary desired:

EDUCATION

High School (name & location)

Years completed:

Diploma, Degree or Certification recieved?

College (name & location)

Years completed:

Diploma, Degree or Certification recieved?

Post Graduate (name & location)

Years completed:

Diploma, Degree or Certification recieved?

Other (name & location)

Years completed:

Diploma, Degree or Certification recieved?

If yes, where and what courses?

SKILLS

In the following section, describe the skills you have that will help you in the performance of this job (including relevant licenses and certiﬁcations).

Language skills:

Computer and technology skills:

Machine, tool or equipment skills:

Other skills:

PERSONAL REFERENCES

Do not use relatives or former supervisiors.

Name

Address

Ocupation

Years known

Phone Number

Name

Address

Ocupation

Years known

Phone Number

Name

Address

Ocupation

Years known

Phone Number

Name

Address

Ocupation

Years known

Phone Number

EMPLOYMENT RECORD

List all work and volunteer experience. Start with your current or most recent experience. Do not skip any employers. Also list and explain any periods of unemployment.

Name

Address

Phone

Date of employment

Position

Description of work preformed

Name of supervisor

Reason for leaving:

Name

Address

Phone

Date of employment

Position

Description of work preformed

Name of supervisor

Reason for leaving:

Name

Address

Phone

Date of employment

Position

Description of work preformed

Name of supervisor

Reason for leaving:

Name

Address

Phone

Date of employment

Position

Description of work preformed

Name of supervisor

Reason for leaving:

MILITARY

Type of Service

Branch of Military

Rank at Discharge

Type of Discharge

If other than honorable, describe in full

List any other information that will help us evaluate your qualiﬁcations for this job

How did you learn about this job opening? (Include all that apply.) State Employment Office, Employment Agency, College Placement, Advertisement, Company Website/Employee, Friend/Relative, Walk-In.

Upload File

Terms & Conditions

I accept terms & conditions

Thank you!

Service...our reason for being.

1987 E. US 10, Idlewild, MI 49642
(231) 745-7311
hperry@yatesdialaride.com

YATES DIAL-A-RIDE
An Equal Opportunity Employer

1987 E. US 10
Idlewild, MI 49642
231-745-7311

APPLICATION FOR EMPLOYMENT

PERSONAL INFORMATION

GENERAL INFORMATION

EDUCATION

SKILLS

PERSONAL REFERENCES

EMPLOYMENT RECORD

MILITARY

We look forward to serving you!

1987 E. US 10, Idlewild, MI 49642

Call Us!
(231) 745-7311
hperry@yatesdialaride.com

Request your ride at least one (1) hour in advance if possible (a 24-hour notice is appreciated).

YATES DIAL-A-RIDE An Equal Opportunity Employer

1987 E. US 10 Idlewild, MI 49642 231-745-7311

APPLICATION FOR EMPLOYMENT

PERSONAL INFORMATION

GENERAL INFORMATION

EDUCATION

SKILLS

PERSONAL REFERENCES

EMPLOYMENT RECORD

MILITARY

YATES DIAL-A-RIDE
An Equal Opportunity Employer

1987 E. US 10
Idlewild, MI 49642
231-745-7311