Prairie Hills Transit

2015 TUMBLE WEED TRAIL ~ SPEARFISH, SD 57783
LOCAL PHONE: 605-642-6668 ~ TOLL FREE PHONE: 1-877-673-3687

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Employment Application

Personal Iinformation

First Name:
Middle Initial:
Last Name:
Position applied for:
Availability Date"
Expected rate of pay"
Mailing Address
City:
State:
Zip:
Home Phone:
Work
Email:
Are you: over 18
over 25 (some positions have min. age requirements)
Are you a U.S. Citizen?     Yes No
if no, do you have a work authorization number? Yes No
Have you applied for employment with this firm in the past?    Yes No
Are you interested in working full- or part-time?     Full-time Part-time

Education & Skills

Prairie Hills is an Equal Opportunity Employer.

PART-TIME DRIVER - STURGIS

The driver must be able to effectively and safely transport all riders and perform requests for services as they are dispatched. Must be able to read and write legibly to record rider names, addresses, pick-up & destination locations, mileage, time and complete forms and records. Clear speech and hearing are essential to communicate with patrons, co-workers and to identify vehicle and traffic noises. The driver must have the physical ability to push common wheelchairs and stoop, kneel or stand to assist patrons. The driver is required to work in inclement weather with fluctuating temperatures and varying precipitation levels. Must be able to work under time constraints, meet deadlines and be able to learn and follow passenger safety techniques while using lift equipment. EOE
Salary: $9.65 per Hourly

Status: Part Time
Hours per Week: 20-30

Days: Monday - Friday
Licenses/Certification: Must possess or be willing to obtain a CDL with Passenger Endorsement within 90 days of hire. Must have or be willing to obtain certification in CPR and First Aid.
Minimum Age: 25
Lifting Requirements: Medium to 50 Pounds
Drivers License Class: C - Small Vehicle < 26,000 GVWR or TRL1 < 10,000 GVWR and Class 1

Worksite Address: Sturgis, SD 57785

Apply online or print form, complete and send by email, fax, or mail.

 

Click here to see EEO Policy

 

          

 


 

 

 

 

 

Education: (highest grade completed)
List any education or training (College degrees, vocational, or military certifications, etc.)  
 
Special Skills:  
 

Military Service

Have you served in the U.S. Armed Forces?    Yes No
Did you serve on active duty other than training Yes No
If yes, list ACTIVE DUTY Dates             From
To:

Resources

If needed, do you have:        Tools Valid SD Driver's License
CDL Endorsements

Work History: Describe your most important jobs within the last 10 years, beginning with the most recent.

A) Employer:
City
State
Immediate Supervisor:
Ending Wage:
Job Title:
Start Date: 
End Date:
Job Duties/Responsibilities:
 
 

 

B) Employer:
City
State
Immediate Supervisor:
Ending Wage:
Job Title:
Start Date: 
End Date:
Job Duties/Responsibilities:
 
 

 

C) Employer:
City
State
Immediate Supervisor:
Ending Wage:
Job Title:
Start Date: 
End Date:
Job Duties/Responsibilities:
 
 

 

Summary of other work experinces not listed above  
 

References

Name
Address
City/State/Zip
Phone
   
Name
Address
City/State/Zip
Phone
   
Name
Address
City/State/Zip
Phone

 

I declare the information provided by me in this application is true, correct and complete to the best of my knowledge. I understand that if hired, any falsification, misstatement or omission of fact in connection with my application, whether on this document or not, may result in the immediate termination of my employment. I authorize this employer to verify any and all information provided above. I acknowledge that if hired, I will be an at-will employee. I will be subject to dismissal or discipline without notice or cause, at the discretion of the employer. I also understand that this means I am free to quit my employment at any time, for any reason, without notice. I understand that no representative of the company, other than the executive director, has the authority to change the terms of the at-will relationship and that any such change can occur only in a written employment contract.

I agree to the above statement.  

This application is valid for sixty days from the application date unless renewed in person or in writing.

Our policy is to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental disability, or veteran status.

 
 
 


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