Back Work Application *  Last Name : *  First Name : Middle Initial : *  Social Security No. : *  Street Address : *  Apt. No. : *  City : *  State : *  Zip : Home telephone : Cell : *  Email : *  Uniform shirt size (select one) : Select XS S M L XL XLL Desired Position (Note - You must be able to work at least 6 hrs/day, 5 days/week, and 2 weeks)   *  Are you applying to drive a car or a van ?   YES NO List all current valid driving operator's license(s) you hold by List all current valid driving operator's license(s) you hold by ID number, state and classification with expiration (You must submit a current driver's record abstract from the DMV) : Select Position(s) : Select Automobile Driver Van Driver Vehicle Dispatcher at NTC Bus Dispatcher at NYC hotel Pick-up/drop off stop monitor at NYC hotel Pick-up/drop off stop monitor at NTC Reservationist Customer Service/Greeter Clerical/IT/Office Support Select Position(s) : : Automobile Driver : Van Driver : Vehicle Dispatcher at NTC : Bus Dispatcher at NYC hotel : Pick-up/drop off stop monitor at NYC hotel : Pick-up/drop off stop monitor at NTC : Reservationist : Customer Service/Greeter : Clerical/IT/Office Support Other - please specify : *  Date you can start work in 2009 : Select 08/25/2009 08/26/2009 08/27/2009 08/28/2009 08/29/2009 08/30/2009 08/31/2009 09/01/2009 09/02/2009 09/03/2009 09/04/2009 09/05/2009 09/06/2009 09/07/2009 Desired Hourly Wage : $ per hour Job History       Are you currently employed?   YES NO If employed, may we contact your current employer? : YES NO If yes, provide the contact information of current employer : Have you ever been employed as a automobile or van driver before? : YES NO If you answered yes, please list the employer(s) and employer address(es), dates (months and years) of employment : If you have been a driver before, please describe any training you received or instruction programs you attended in connection with your position as a driver : YES NO Please explain the details. : Have you worked at the USTA, the National Tennis Center or at the US Tennis Open before in either a paid job or as a volunteer? : YES NO If yes, specify the specific entity or entities, the date(s) worked and the name of last supervisor with each entity : Were you ever dismissed from your job at the USTA, the National Tennis Center or the US Tennis Open ? : YES NO Please explain the details   Have you ever been convicted of a crime or disciplined or discharged for any of the following: Absenteeism, Lateness, Insubordination, Theft or Unauthorized Removal of Company Property, Fighting or Assault, Violating Alcohol or Drug Policies ? : YES NO Please explain the details. : Most recent prior employer and references:       *  Employer: : *  Job title : *  Address : *  Duties : *  Phone : Monthly salary / hourly wage : *  Date from : Date To : (MM/DD/YYYY) Reason for leaving : References 1 *  Name : *  Occupation : *  Address : *  Relationship to you : *  Phone number : *  Years known : References 2 Name : Occupation : Address : Relationship to you : Phone number : Years known : Physical Record : Do you have any physical disabilities that would prevent you from performing the work for which you are applying? : YES NO If yes, describe : Have you ever been injured? : YES NO If yes, provide details : Education, Additional Expertise, Driving History : Identify the last grade of schooling you completed or highest level of education you have attained   Select Post-College 4-year College 2-year College High School other- please specify   Please identify the name and address of the school you choose in answer to the prior question     Specify the certificate, diploma or degree earned from the school you identified above   Select post-college or college graduation degree high school diploma high school equivalency certificate other- please specify   Identify any areas of special training, education or additional experience you have that is relevant to a job as automotive vehicle driver : Language(s) in addition to English that you can speak fluently : You can read : You can write : Identify service with the U.S. Military or any Law Enforcement organization, including which service, dates served and final rank : Applicants to drive a car or van must answer the next two questions: Identify and provide details of any traffic moving violations or citations you have received in the last 5 years : YES NO Please explain the details.   Identify and provide details concerning any accident resulting in either property or bodily injury damages to any person that occurred within the last 3 years to any vehicle of which you were the driver at the time of such accident : YES NO Please explain the details.   Use this additional space for your answers to any questions on this application :     Top

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