McKinney Avenue Transit Authority

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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 ____________________

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 ____________________________________________ AREA CODE+PHONE # _______________________

OTHER PHONE#: ________________________________________RELATIONSHIP_________________________

ADDRESS_____________________________________________________________________________________

DOCTOR: __________________________________________ AREA CODE+PHONE # ______________________


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 ____________________________________________ 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.