KAT | Employment Application

Employment Application
This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements on this form or during the interview process are grounds for terminating the application process or, if discovered after employment, terminating employment. Knoxville Area Transit has a strong commitment to the community we serve and our employees. As an equal opportunity employer, we strive to have a workforce that reflects the community we serve. No person is unlawfully excluded from employment opportunities based on race, color, religion, national origin, sex (including gender identity, sexual orientation, and pregnancy), age, genetic information, disability, veteran status, or any protected class.
Do you have either a High School diploma or GED?*

YesNo
Do you have a valid TN Driver License with no restrictions?*

YesNo
Are you available for any shift?*

YesNo
Are you legally eligible for employment in this country?*

YesNo
If you answered “no” to any of the questions above, you do not currently meet the minimum requirements for employment with KAT.
PERSONAL INFORMATION
Full Name*

First NameMiddle NameLast Name
Phone Number*

Area CodePhone Number
Current address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Have you had other addresses in the past 7 years?

YesNo
If yes, please include all previous addresses here.
E-mail*

Confirmation Email
What position are you applying for?*
What date can you start?*

MonthDayYear
Will you work overtime if needed?*

YesNo
Have you previously been employed by KAT?*

YesNo
If yes, please list position and dates employed.
What type of driver license do you have?*
List any endorsements that you have on your license
Name on license:*
License Number*
Have you had any moving violations in the past 3 years?*

YesNo
Have you had any traffic accidents in the past 3 years?*

YesNo
Has your license to operate a motor vehicle ever been revoked, suspended or cancelled?*

YesNo
If “Yes”, what was the reason for the revocation, suspension, or cancellation?
Do you have any relatives presently working for KAT? *

YesNo
If yes, what are their names and how are you related?
How did you learn about KAT? Please identify source:*

Social MediaIndeed/Monster/other job boardsKAT EmployeeRadio AdJob FairOnline AdvertisementDowntownKnoxville.orgOther
Have you been convicted of a felony in the past seven years? If so, please describe in the boxes below. Conviction will not necessarily be a bar to employment. (In accordance with company policy and applicable state and federal laws, factors such as age at time of the offense, remoteness of the offense, time since last conviction, nature of the job sought and rehabilitation effort will be reviewed.)*

YesNo

If you answered yes to the previous question, list the details here:

	Charge	City/State	Date of conviction
1.
2.

EDUCATION

Please choose highest level of education completed.
High School Diploma/GEDSome CollegeAssociate DegreeBachelor's DegreeMaster's DegreePHD
Cover Letter

Browse Files

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Resume

Browse Files

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EMPLOYMENT HISTORY
Most recent employer
Company name
Job title
Are you currently working for this employer?

YesNo
If yes, may we contact?

YesNo
Phone number
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Please describe your duties
Reason for leaving
Second most recent Employer
Company name
Job Title
Are you currently working for this employer?

YesNo
If yes, may we contact?

YesNo
Phone number
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Please describe your duties
Reason for leaving
Third most recent employer
Company name
Job title
Are you currently working for this employer?

YesNo
If yes, may we contact?

YesNo
Phone number
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Please describe your duties
Reason for leaving
Reasons for gaps in employment.

Please give detailed explanations for any gaps in employment history.
Certification and Release
By filling my signature and date below, I certify that the answers given by me are true and accurate to the best of my knowledge, and omissions or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application or discharge at any time during my employment. I also understand that the use of illegal drugs is prohibited during employment. I will submit to drug testing to detect the use of illegal drugs prior to and during employment.

I hereby authorize the collection of a urine sample for the purpose of determining the presence of alcohol and/or drugs in my system. I understand that employment with Knoxville Area Transit (KAT) is contingent upon collection of this sample and that a subsequent detection of alcohol and/or drugs will result in the immediate withdrawal of any offer of employment. Additionally, I understand that a positive drug and/or alcohol screen or a refusal to test from a previous employer within the past two years will also result in an immediate withdrawal of any offer of employment.

I hereby give my consent for the release of these test results and other relevant medical information to the KAT’s Medical Review Officer and appropriate Officers. I understand that KAT will not accept results from previous employers as a substitute for this screening.

I further understand that my refusal to submit to a drug and/or alcohol analysis or the required physical evaluation will result in the withdrawal of any offer of employment with KAT.

The urine sample being collected will be tested for evidence of (1) marijuana; (2) cocaine; (3) opiates; (4) phencyclidine (PCP); and (5) amphetamines.

I hereby authorize, without reservation, KAT, any agent of KAT and/or any law enforcement agency to check my driver’s license record and to obtain a copy of this record. I understand this is necessary in order to maintain the current status of my license and address information. This permission is granted for the above as often as deemed necessary by KAT.

I am aware that many jobs at KAT require a State of Tennessee Commercial Drivers’ License, Class B with a passenger endorsement and that, while KAT will train me for the license, it is my responsibility to acquire this license. Additionally, I understand that until I obtain the appropriate license, I will be passed over in seniority in favor of someone hired after me who is in possession of the required license. Furthermore, I understand that if, for any reason, my training takes longer than those hired on or around my hire date, I will be passed over in seniority in favor of those who have completed the training.
Signature (Please use mouse or finger to sign here.)*

Clear
Fair Credit Reporting Act (FCRA)

Authorization to Obtain a Consumer Report (Background/Credit Check)
Pursuant to the federal Fair Credit Reporting Act, I hereby authorize Knoxville Area Transit (KAT) and its designated agents and representatives to conduct a comprehensive review of my background through a consumer report and/or an investigative consumer report to be generated for employment, promotion, reassignment or retention as an employee. I understand that the scope of the consumer report/investigative consumer report may include, but is not limited to, the following areas: verification of Social Security number; current and previous residences; employment history, including all personnel files; education; references; credit history and reports; criminal history, including records from any criminal justice agency in any or all federal, state or county jurisdictions; birth records; motor vehicle records, including traffic citations and registration; and any other public records.

I authorize the complete release of these records or data pertaining to me that an individual, company, firm, corporation or public agency may have. I also authorize and request any present or former employer, school, police department, financial institution or other persons having personal knowledge of me to furnish KAT or its designated agents with any and all information in their possession regarding me in connection with an application of employment. I am authorizing that a photocopy of this authorization be accepted with the same authority as the original.

I understand that, pursuant to the federal Fair Credit Reporting Act, if any adverse action is to be taken based upon the consumer report, a copy of the report and a summary of the consumer’s rights will be provided to me. Such disclosure will be made to me within five days of the date on which KAT receives the written request from me. The Fair Credit Reporting Act gives me specific rights in dealing with consumer reporting agencies.
Signature (Please use mouse or finger to sign here)*

Clear
Today's Date*

MonthDayYear
Date
Should be Empty:

Employment Application

PERSONAL INFORMATION

EDUCATION

EMPLOYMENT HISTORY

Reasons for gaps in employment.

Certification and Release

Fair Credit Reporting Act (FCRA)