Washington Metropolitan Area Transit Authority Office of Human Resource Management Services, 600 Fifth Street, NW, Washington, DC 20001 www.metroopensdoors.com EMPLOYMENT APPLICATION ‘Thank you for your interest in a position with the Washington Metropolitan Area Transit Authority (WMATA). WMATA will affirmatively recrult and hire applicants on the basis oftheir abilities, achievements and experience without regard to race, color, creed, religion, national origin, sex, age, sexual orientation or disability. When possible, you may be contacted by email so please be sure to provide a valid email address. Pak jon Applying for Position No. Name (First, Middle, Tasty al Secu No. ‘Aaaress (Number, Steet) [Apartment ¥ ares (Ci, State] Zip Horie Phone ce Phone (Mobile Phone Email AdGTESS Desired start date Desired hours per week [O Regular Cr Teriparary Cr either GFulltime O Part-time Either What isthe rainimum salary you will accept? FE RRSSS EDUCATION Sn en I Level ‘Name of School, Number of — ]Did You | List Diploma, Major City and State Where Located Years Attended) Graduate? | Degree or Certificates | Field GEDMigh ives School No College ove No Trade, ovis Vocational, a lor Technical te Post - tis Graduate, i, Other ONS I fave you served in the U.S. Armed Forces? | From i ]eranch Ves O No Type of Work Training ~ © A Drug Free Workplace @ An Equal Opportunity Employer @ A Non-Smoking Work Environment @ 30.241 1005 PagetLista ofthe jobs, Including part-time jobs, during the past 10 years. Start with your present orlastjob. You may include voluntary work experiences. Attach additional pages, if necessary. ‘MAY WE CONTACT YOUR CURRENT EMPLOYER FORAREFERENCE? YES ONO Name of Employer [Date From 0 ‘aaress Position Held [Salary Start salary End Describe he responsToiites of your position Namie of immediate Manager or Supervisor felephone No. Reasonjs) Tor Leaving Name of Employer ate From 0 adress Position Fala salary Start salary End Describe the responsibilities of your position Name of immediate Manager or Supervisor elephone No. IReason(s) for Leaving Ware of Employer rate From jo adress Position Held salary Start Salary End Describe the responsibilities of your position Name of Immediate Manager or Supervisor elephone No. JReason(s) for Leaving EE PEUSONAUINGORMAM T. Special Qualifications (include current technical professional licenses and numbers, academic or professional awards, ceriications) List any relevant training you have received. Besides English, Tst your proviclenoy In any offer Tanguages. Language(s) Proficiency: Speaking” QHigh QMedium QLow Reading QHigh QMedium QLow Writing © QHigh OMedium Low Fave you ever been an applicant or employee of the Washington Metropolitan Area Transit Authority? (If answer is yes, please give rnames(s) at time of employment, date(s), and position title(s)) Name Dates of Employment Position Title ‘TDo you have relatives working for the Washington Metropolitan Area Transit Authorily? ci Ves (|ranswer is yes, please give name(s), relationship(s), and position title(s) on Page 3.) __C.No 5, Have you ever been convicted of any offense other than a traffic violation? I yes, please explain (a conviction does not automatically disqualify you from employment. Criminal convictions are nat an absolute bar to employment, but will be considered with respect to the specific requirements ofthe job for which you are applying. Yes (if answer is yes, please give details on Page 3.) ONo ‘© A Drug Free Workplace @ An Equal Opportunity Employer @ A Non-Smoking Work Environment @ 50.241 10/05 Page 2for detailed answers to othe paper utilizing the same format.) Please identify where you learned about this employment opportuniiy with WMATA WMATA Website QWMATA Employee (Please Specify) Job Falr (Please Specify) Other Website (Please Specity) Newspaper (Please Specify) Other (Please Specity) ~~ 9A Drug Free Workplace @ An Equal Opportunity Employer ANon-Smoking Work Environment @ (PLEASE LEAVE THIS SPACE BLANK) 50.241 10/05 Pages