Utah Transit Authority

Legal First Name*

Legal Last Name*

Address*

City*

State*

Zip*

Cell Phone

Phone*

Do you authorize Utah Transit Authority to send updates by text message?* Yes No

Email Address*

Desired Salary*

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Veterans Preference*

Can you provide documentation that you are authorized to work in the United States?* Yes No

What type of driver license do you have?*

Please list state where driver license was issued:

Are you a current or former employee of UTA* Current Employee Former Employee Not Applicable

If current employee, please provide your badge number (Type NA if Not Applicable):*

If previous employee, please list position(s) and dates. (Type NA if Not Applicable)*

Do you have any relatives or members of your household who are current employed at UTA or who serve on UTA's Board of Trustees?* Yes No

If yes, please provide your relative or member of your household's name.*

Have you ever been convicted of any alcohol or drug related offense?* Yes No

You must mark yes if you have any convictions for any alcohol or drug related offense at any time in any jurisdiction. This includes convictions to which you entered a plea of no contest, a plea in abeyance, or other similar type of plea. A conviction for an alcohol or drug related offense does not automatically bar your employment at UTA. However, applicants who fail to disclose prior convictions will be subject to immediate termination.

If yes, please explain (Type NA if Not Applicable):*

Have you ever (at anytime) been convicted of a felony?* Yes No

You must mark yes if you have had any felony convictions in any jurisdiction. This includes convictions to which you entered a plea of no contest, a plea in abeyance, or other similar type of plea. Not all felony convictions automatically bar your employment. However, applicants who fail to disclose felony convictions will be subject to immediate termination.

If yes, please list the dates and charges/offenses which resulted in convictions. (Type NA if Not Applicable):*

Apply Confirmation* I hereby acknowledge my understanding that I will receive a confirmation email once I have completed my application. I also understand that if I were not to receive the email confirmation, this may indicate my application did not go through. Only completed applications received prior to the closing date of this job posting can be accepted.

RELEASE TO OBTAIN STATE OF UTAH AND LOCAL COURTS RECORDS

Maiden Name(s)/Other Name(s) Used for Public Records

Month/Day of Birth (example: 01/20)*

By checking this box I authorize UTA to review my State of Utah and local court records.* I authorize

Electronic Fare Systems Manager

Add Resume*

Personal Information

RELEASE TO OBTAIN STATE OF UTAH AND LOCAL COURTS RECORDS

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