McKinney Avenue Transit Authority

Volunteer Application
Required fields are displayed in UPPER CASE. Enter "none" for a required field if not applicable.

NAME ________________________________________________________ SS # ______________________________

ADDRESS : ________________________________________________________________________________________

CITY _______________________________________ STATE ______________________ZIP ___________________

HOME PHONE __________________ WORK PHONE
____________________Cell Phone ______________________

FAX NUMBER ______________________________ E-mail ________________________________________________

BIRTHDATE ___________________OCCUPATION ______________________________________________________

DL #: ________________ STATE: ________CLASS: ____________RESTRICTIONS: ___________________________

I would like to: (check all that apply) Operate a streetcar; Be a conductor; Work in the shop
Work in publications; Work in the office; Work in special events.

Technical skills: Mechanical; Electronic; Air brakes; Woodworking; Metal work
Welding; HV/DC; Track work; Overhead wire; Utility Company
Ship Elect auto/aircraft Commercial Power

Describe any Construction Experience ___________________________________________________________________

_________________________________________________________________________________________________

Describe any Railroad Experience ______________________________________________________________________

________________________________________________________________________________________________

Administrative skills Accounting Computer Programming Word Processing
Graphic Arts Writing/Publishing Administration

I can work on MATA projects at the following facilities:
Home.    Describe: ___________________________________________________________________________
Work.    Describe: ___________________________________________________________________________

PLEASE DESCRIBE ANY HEALTH CONDITONS YOU MAY HAVE ______________________________________

________________________________________________________________________________________________


Emergency Notification:

NAME ____________________________________________ PHONE # with AREA CODE _____________________

Additional phone #: ________________________________________RELATIONSHIP_________________________

ADDRESS_____________________________________________________________________________________

DOCTOR: __________________________________________ PHONE # with AREA CODE _____________________


HAVE YOU EVER BEEN CONVICTED OF A FELLONY?
  Yes     No.   IF SO, EXPLAIN:

_____________________________________________________________________________________________

_____________________________________________________________________________________________

HAVE YOU BEEN INVOLVED IN AN AUTO ACCIDENT IN WHICH YOU WERE FOUND TO BE AT FAULT
WITHIN THE LAST TWO (2) YEARS? 
Yes   No

HAVE YOU EVER HAD YOUR DRIVERS LICENSE SUSPENEDED OR REVOKED?   Yes   No   IF YES, WHEN?

_____________________________________________________________________________________________

BY SIGNING THIS APPLICATION, I UNDERSTAND THAT MY FAILURE TO ANSWER ANY OF THE ABOVE
QUESTIONS TRUTHFULLY IS GROUNDS FOR DISMISSAL FROM THE SERVICE.

Personal References:

NAME ____________________________________________ PHONE # with AREA CODE ______________________

RELATIONSHIP______________________________ COMPANY __________________________________________

Name ______________________________________________ Phone # with Area Code ________________________

Relationship_________________________________ Company ___________________________________________

Name ______________________________________________ Phone # with Area Code ________________________

Relationship_________________________________ Company ___________________________________________


MAY WE CALL THESE REFERENCES?    Yes    No

Signed ______________________________________________________ Date______________________________

Mail to: McKinney Avenue Transit Authority, 3153 Oak Grove,  Dallas, TX 75204 or FAX to: 214.855.5250.

© 2002 The McKinney Avenue Transit Authority, 3153 Oak Grove at Bowen,  Dallas, TX 75204
Voice: 214.855.0006 - FAX:  214.855.5250.   Last updated February 27, 2002.
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