Mechanic Application – Marcantransportation

Mechanic Application Form

Servicing the New York and Westchester area for over 40 years. Our fleet of 200 plus mini-buses are ready to service you for charter work or trips in the New York area. Please give us a call for your Mini- School bus service.

Mechanic Information Form

If you knowingly make a false statement on this application, you commit a misdemeanor and may be subject to prosecution in addition to rejection of your certification to drive a school bus under contract with the New York City Department of Education.

Part 1 - PERSONAL INFORMATION

1. First Name

2. Middle Initial

3. Last Name

4. Social Security Number

5. Date of Birth

6. Marital Status

7. Sex

8. Current Address

9. Apt/Unit Number

10. City

11. State

10. Zip Code

8. Previous Address

9. Apt/Unit Number

10. City

11. State

10. Zip Code

18. Telephone Number

19. Cell Number

20. Email Address

21a. Are you a citizen or permanent of the United States?
Yes - skip 21bNo - Proceed to 21b

21b. If not, are you authorized to work in the United States?
YesNo

Part 2 - Background & History

Date of Course

Place of Course

Duration of Course

Certified Received?
YesNo
YesNo

Date of Employment

Date of Departure

Company Name

Company Address

Reason for Leaving

I understand that a false statement willfully made on this application may result in my termination from employment, or disqualification from future employment, or both, and addition, may subject me to criminal charges.

30. Applicant Signature

31. Date

I have determined, to the best of my ability, that the above applicant has exhibited the highest moral character and will be respectful of the students entrusted in their care. I certify that I have reviewed all the qualifications and the documentation necessary to certify the above applicant as a Department of Education Mechanic.

32. Company Representative Signature

33. Company

Satisfied customers

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John Doe

Jane

Bonjing

John Doe

Jane

Bonjing

Mar-Can Transportation 318 E 3rd Street,
Mount Vernon, NY, 10553

Call us:
914-668-3772 / 914-668-2205
914-663-0651 / 914-663-0472

Fax Number: 914-668-2206

general@marcantransportation.com

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