Western Piedmont Regional Transit Authority Operating as Greenway Public Transportation

An Equal Opportunity Employer The Western Piedmont Regional Transit Authority (WPRTA) is an equal opportunity employer dedicated to a policy of non discrimination in employment upon any basis including race, religion, creed, national origin, sex, age, disability or any other legally protected status.

All applicants must read and acknowledge before submitting application. ( This application cannot be considered without applicant acknowledgement).

By my acknowledgement, I certify that the information provided in this application for employment ( and accompanying resume, if any ) is true and
complete. I understand that any false information or significant omissions may disqualify me from further consideration for employment, if discovered
at a later time. I agree to immediately notify the Western Piedmont Regional Transit Authority if I am ever convicted, plead guilty or plead no contest to
any felony or misdemeanor, or have my driver’s license suspended or revoked for any reason, or if I agree to enter a pre-trial diversion or similar
program such as ARD in connection with a prosecution for a felony or any driving event while my job application is pending, or during my period of
employment, if hired.

I authorize the investigation of all statements contained in this application for employment ( and accompanying resume, if any ). I also authorize
the Western Piedmont Regional Transit Authority to contact my present and past employers, and references (unless otherwise noted within this
employment application).

I authorize any person, school, current employer ( except as previously noted ), past employer(s) and organizations named in this application for
employment ( and accompanying resume, if any ) to provide the Western Piedmont Regional Transit Authority with any relevant information and
opinion that may be useful to the Authority in making a hiring selection. I release such persons and organizations from any legal liability in making
such statements.

Upon tentative offer of employment and when applicable, I give permission for a complete physical examination and drug screening. I consent
to the release to the Western Piedmont Regional Transit Authority of any and all medical and drug screening information, as may be deemed necessary
by the Authority in judging my capability to do the work for which I am applying. I also give permission for the authority to complete a criminal and
driving record investigation/verification, prior to any offer of employment.

I understand that if my employment is terminated by the Western Piedmont Regional Transit Authority for dishonesty, vehicular accident or any
criminal acts, the Authority may be notified and I may be criminally prosecuted. I also understand that, if hired, I may not hold other employment
that creates a conflict of interest or adversely impacts my performance at the Authority.

I understand that this application does not, by itself, create a contract of employment. I understand and agree that, if hired, my employment is not
for a definite period of time, and may, regardless of the date of payment of my wages or salary, be terminated at any time. I understand that no
person is authorized to change any of the terms mentioned in this application form.

DISCLOSURE

Greenway Public Transportation (“Greenway”) may obtain information about you from a consumer reporting agency (CRA) for employment purposes. For the purposes of this disclosure and authorization, “employment” also includes retaining or engaging you to provides services to or for the Company. The information obtained is referred to as a consumer report, which generally is information concerning your credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living which is used or expected to be used or collected for the purpose of establishing your eligibility for employment with Company. An investigative consumer report may also be obtained; in this type of report, the same information is obtained regarding your character, general reputation, personal characteristics, or mode of living, but it is obtained through personal interviews with your friends, neighbors, or associates; however, Before You Hire, Inc. does not process any type of investigative consumer report. The reports may contain information regarding your criminal history, driving records, and verification of your employment history, education, social security number and other background information.
A consumer report may be obtained at any time during the application process with Company, or, if hired or otherwise engaged to provide services, at any time during your employment. Thus, you may be the subject of a consumer report. You have a right, upon written request made within a reasonable time after receipt of this notice, to request disclosure of the nature and scope of any consumer report, and a copy of the report.
Please be advised that the nature and the scope of the most common form of consumer report obtained with regard to applicants for employment is an investigation into your employment history conducted by Before You Hire, Inc., 2117 Simonton Road, Suite 101, Statesville, NC 28625, (704) 878-3600, who is a third-party organization hired by Company to conduct the investigation.
You should carefully consider whether to exercise your right to request disclosure of the nature and scope of any consumer report.

AUTHORIZATION

To the extent permitted by federal and state law, I hereby consent and authorize Greenway, its subsidiaries, affiliates, other related entities, successors and/or assigs, and Before You Hire, Inc. (“CRA”) to procure a: CONSUMER REPORT, as described above in the Disclosure, for the purpose of establishing my eligibility for employment with Company. My authorization remains valid throughout my employment with the Company. To the extent permitted by applicable law, I agree Company can procure additional consumer reports during my employment without providing additional disclosures or obtaining additional authorizations; further, I hereby consent and authorize, without reservation, any law enforcement agency, administrator, state or federal agency, military branch, school or university (public or private), information service bureau, past or present employer or supervisor, and/or private business, to furnish all background information requested by Before You Hire, Inc., additional third-party organizations acting on behalf of the Company and/or the Company itself.

I acknowledge that I have received the Disclosure and Authorization, A Summary of Your Rights Under the Fair Credit Reporting Act, and any additional State Law notices provided based upon, where the Company may employ me. I have reviewed and understand the information, statements, and notices in all the disclosures provided to me, including this Release. I agree that a facsimile (“fax”) or a digital copy of the forms completed by me shall be as valid as the original. I understand that the information regarding sex, race, and date of birth are for the sole purpose of gathering the information accurately and will not be used to discriminate against me in violation of any law. I understand that if I am hired or otherwise engaged or selected by the Company for its stated purpose, a consumer report will have been conducted on me. I hereby release and hold harmless the Company and Before You Hire, Inc. from any and all liabilities or damages that might occur from any information obtained through the procurement of my consumer reports.

Qualified applicants are considered for employment without regard to race, religion, sex, national origin, age, marital status, sexual orientation. veteran status, disability or other protected characteristic.

 

Western Piedmont Regional Transit Authority (WPRTA) is subject to certain government recordkeeping and reporting requirements for the administration of civil rights laws and regulations. To comply with these laws, WPRTA invites you to voluntarily self-identify your race or ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and separate from personnel files. It may only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those requiring information to be summarized and reported to the Federal government for civil rights enforcement. When reported, data will not identify any specific individual.