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Volunteer Application
Print form and mail or FAX to MATA (see bottom of form). Enter "none" in any field if it is not applicable.
NAME ________________________________________________________ SS #____________________________
ADDRESS : ____________________________________________________________________________________
CITY _______________________________________
STATE ______________________ZIP ___________________
PHONE #: HOME ___________________ _WORK
______________________CELL
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FAX NUMBER ______________________________ E-MAIL_____________________________________________
BIRTHDATE ___________________OCCUPATION ____________________________________________________
DL #: ________________ STATE: ________CLASS: ____________RESTRICTIONS:_________________________
| I would like to: (check all that apply) |
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| Technical skills: |
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Describe any Construction Experience _________________________________________________________________________________________________
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Describe any Railroad Experience ________________________________________________________________________________________________
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| I can work on MATA projects at the following facilities: | |
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PLEASE DESCRIBE ANY HEALTH CONDITONS YOU MAY HAVE ______________________________________
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Emergency
Notification:
NAME ____________________________________________ AREA CODE+PHONE # _______________________
OTHER PHONE#: ________________________________________RELATIONSHIP_________________________
ADDRESS_____________________________________________________________________________________
DOCTOR: __________________________________________ AREA CODE+PHONE # ______________________
HAVE YOU EVER BEEN CONVICTED OF A FELLONY?
Yes
No. IF SO, EXPLAIN:
_____________________________________________________________________________________________
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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?
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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 ____________________________________________ AREA CODE+PHONE # _______________________
RELATIONSHIP______________________________ COMPANY _________________________________________
NAME ____________________________________________ AREA CODE+PHONE # _______________________
RELATIONSHIP______________________________ COMPANY _________________________________________
NAME ____________________________________________ AREA CODE+PHONE # _______________________
RELATIONSHIP______________________________ COMPANY _________________________________________
MAY
WE CALL THESE REFERENCES?
Yes
No
SIGNED ______________________________________________________DATE____________________________
Mail to: McKinney Avenue Transit Authority, 3153 Oak Grove, Dallas, TX 75204 USA or FAX to: 214.855.5250.