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Application For Employment

Medical Motor Service is an equal opportunity employer and selects individuals based upon job related qualifications; regardless of race, color, creed, sex, national origin, age, disability, marital status, military status, sexual orientation, genetic information, prior arrest record or any other status protected under federal or local equal opportunity laws.

Personal Information

First Name*
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Last Name*
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Address
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Apt # / Suite / etc.
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City
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State
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Zip
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Primary Phone*
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Secondary Phone
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Email Address
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Position Applying For
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Type of Position
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Hours
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Days

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How did you hear about Medical Motor Service?
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From where/who did you hear about us?
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Have you worked for MMS in the past?
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When?
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What Position?
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Are you either a U.S. Citizen or a legal alien who has the right to work in the United States?*
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License

Driver's License ID
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Do you have a Commercial Drivers License?*
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Class of CDL (Example: C or B)
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CDL Restrictions (Example: B, L, N2, etc.) - Listed below license type.
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Please list and describe any motor vehicle convictions on your license which may help us to understand and evaluate your record.
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Experience

Present or Last Employer

Past or present employer
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Dates of Employment
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Position
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Name of Supervisor
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Reason For Leaving
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Next Previous Employer

Next Previous Employer
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Dates of Employment
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Position
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Name of Supervisor
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Reason For Leaving
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Next Previous Employer

Next Previous Employer
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Dates of Employment
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Position
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Name of Supervisor
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Reason For Leaving
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May we inquire with your former employers?
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Transportation Employers

Please list the name and address of any local transportation providers you have worked for not listed above
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Skills

Highest Level of Education Completed

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Associates Degree Obtained
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Bachelors Degree Obtained
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Post Graduate Degree Obtained
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Are there any other experiences, skills or qualifications which you feel would prepare you to work at Medical Motor Service?
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Please highlight any driving skills or work experience that you have that would prepare you to work at Medical Motor Service
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Upload Your Resume
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Applicant's Statement

I understand and agree that:

  1. Any material misrepresentation or deliberate omission of a fact in my application may be justification for refusal of, or if employed, termination from employment.
  2. I understand that this is an application for employment and that no employment contract is being offered. Also, I understand that if I am employed, such employment is for no definite period of time and that Medical Motor Service can change wages, benefits and conditions at any time.
  3. If I am employed I must pass a physical which will test my ability to do the job under article 19-A of the New York State Department of Motor Vehicles.
  4. I will be required to authorize a Criminal History Record check and will be required to be fingerprinted.
  5. As a condition of employment I will be required to undergo a test for drug/alcohol use. The results of that test will be evaluated to determine my ability to do the job. Such additional testing may be required from time to time.
  6. As a condition of continued employment I will be required to successfully complete, within 1 year of my hire date, a defensive driving course approved by the Agency. If I have completed a course within the past three years, this requirement will be waived.
  7. Medical Motor Service will obtain a report on my driving record from the New York State Motor Vehicle Department.
Agree*
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Name*
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