Section 14-275c-51 - Application for employment as a driver(a) Every applicant for employment as a driver shall furnish to any prospective employer an application for employment which shall contain the following information: (1) The applicant's name, address, sex, date of birth and social security number;(2) All addresses at which the applicant has resided during the three (3) years preceding the date on which the appiication is submitted;(3) The issuing state, number, and expiration date of every unexpired motor vehicle operator's license, permit, endorsement or the like from any jurisdiction;(4) The nature and extent of the applicant's experience in the operation of school buses or similar equipment during the past three (3) years including any employment as a school bus or STV driver;(5) A list of all motor vehicle accidents in which the applicant was involved during the three (3) years preceding the date the application is submitted, specifying the date and nature of each accident and fatalities or personal injuries it caused, and any liability by the applicant or claims against the applicant as a result of the accident;(6) A list of violations of motor vehicle laws or ordinances of any jurisdiction (other than minor violations or infractions involving only parking) of which the applicant was convicted or forfeited bond or collateral during the five (5) years preceding the date the application is submitted;(7) A statement setting forth in detail the facts and circumstances of any denial, revocation, refusal, disqualification or suspension of any license, permit, endorsement or privilege to operate a motor vehicle by any jurisdiction, or a statement, subject to the penalty of law, that no such denial, revocation, refusal, disqualification or suspension has occurred;(8) A list of all of the applicant's criminal convictions (except for motor vehicle violations) in any jurisdiction for the five (5) years preceding the date the application is submitted;(9) A list of the names and addresses of the applicant's employers during the three (3) years preceding the date the application is submitted, together with the dates he was employed by, and his reason for leaving the employ of, each employer;(10) A list of the names and addresses of the applicant's employers during the seven (7) year period preceding the three (3) years contained in subdivision (9) of this subsection for which the applicant was an operator of a school bus, student transportation vehicle or commercial vehicle;(11) The names, addresses and telephone numbers of two reputable citizens who shall vouch under oath for the good character of the applicant;(12) A notification that the applicant shall be required to submit to a urinalysis drug test; and(13) The following vertification and signature line, which shall appear at the end of the application form and be signed by the applicant: This certifies under penalty of false statement that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.
_______________________ | ____________________________________________ |
(Date) | (Applicant's Signature) |
(b) A prospective employer may require the applicant to provide information in addition to the information required in subsection (a) of this section.(c) Before an application is submitted, the employer or prospective employer shall inform the applicant that the information he provides shall be used for investigating the applicant's background.Conn. Agencies Regs. § 14-275c-51
Effective January 25, 1994