Name
*
First Name
Last Name
Phone Number
*
Email
*
Location
*
Please Select
Eau Claire, WI
Hemet, CA
Novato, CA
Minneapolis, MN
Portland, OR
San Bernardino,CA
Visalia, CA
Traffic Controller Experience Level
*
Please Select
No Experience
Less Than 1,000 Hours
Between 1,000 and 2,000 Hours
Between 2,000 and 3,000 Hours
Greater than 3,000 Hours
Do you currently have a valid drivers license?
*
Yes
No
Are you able to lift up to 50lbs?
*
Yes
No
Are you able to stand for prolonged periods?
*
Yes
No
How did you hear about us?
*
Job Board – Indeed
Job Board - Craigslist
Social Media – Facebook
Social Media – Instagram
Other – Utility Traffic Services Hiring Event
Other – Job Fair
Referral – UTS Employee
Referral – Union
Name of Referrer
Gender
*
Please Select
Male
Female
Opt Out
Race
*
Please Select
Hispanic or Latino
White (not Hispanic or Latino)
Black or African American (not Hispanic or Latino)
Native Hawaiian or Other Pacific Islander (not Hispanic or Latino)
Asian (not Hispanic or Latino)
American Indian or Alaska Native (not Hispanic or Latino)
Two or More Races (not Hispanic or Latino)
Opt Out
Disability
*
Please Select
No
Yes
Opt Out
Veteran
*
Please Select
No
Yes
Opt Out
Are you able to work with a non-standard, flexible schedule?
*
Please Select
No
Yes
Please verify that you are human
*
Submit
Referrer ID
Date
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Should be Empty: