Riverbend Transit - Application Form

Application Instructions

Please complete the online application below as thoroughly as possible. All required fields are marked with an asterisk. After you submit the form, you will receive a confirmation email with any next steps that may be required.

If you prefer to complete the application by hand, you may download a PDF copy using the link below:

Download the PDF Application

Once completed, the PDF application can be scanned and emailed to info@riverbendtransit.org or delivered to River Bend Transit in person.

Applicant Information

Last Name(*)

Please let us know your last name.

First Name(*)

Please let us know your first name.

Middle Name

Please let us know your middle name.

Email(*)

Please let us know your email address.

Street Address

Please enter your street address

City

Please enter your city.

State

Please enter your state.

Zip Code(*)

Please enter your zip code.

Telephone Number(*)

Please enter your telephone number.

Emergency Contact Name

Please enter your emergency contact name.

Emergency Contact Address

Please enter your emergency contact street address.

Emergency Contact Phone(*)

Please enter your emergency contact telephone number.

Name of relative already employed by RBT

Please enter name of relative already employed by RBT.

Referred by (if applicable)

Please enter name of Referred by (if applicable).

Position & Employment

Position Desired

Please enter position desired.

Date you can start

Please enter date you can start.

Desired Wage

Please enter desired wage

Type of Employment

Full TimePart TimeAre you interested in working weekends?

Invalid Input

Currently Employed

Yes No

Invalid Input

From the past two years of the date of this application, were you an employee in a safety-sensitive position covered under the DOT drug and alcohol testing regulations?(*)

Yes No

Please choose an option.

If you answered "yes," please download and complete the Release of Information form, scan the completed form, and send the scan to info@riverbendtransit.org with your name in the email.

Are you on a lay-off and subject to recall?(*)

YesNo

Please choose an option.

If Yes when?