Defiance Van Driver

Black & White Transportation is proud to serve the community and provide the highest quality of transportation to our customers. We offer a variety of career opportunities, and we have many positions to suit your goals.

We are seeking professional and caring Defiance Van Drivers to join our team. In this role, you will transport patients from Pro Medica Defiance Regional Hospital to Perrysburg, Ohio where they will receive medical treatment.

• Safely operate company vehicles to transport passengers to and from assigned locations.
• Provide courteous, professional, and friendly service to all customers.
• Assist passengers with entering/exiting the vehicle as needed.
• Follow all traffic laws, regulations, and company safety policies.
• Keep assigned vehicle clean, fueled, and in good working condition.
• Communicate effectively with dispatch and follow trip assignments.

• Valid driver’s license with a clean driving record.
• Must be at least 25 years of age.
• Ability to pass a background check and drug screen.
• Ability to use a GPS system and read maps.
• Good communication skills.

• May require prolonged sitting or standing.
• Requires normal or corrected vision.
• Full range of body motion required.
• Must be able to lift and carry up to 20 lbs occasionally.
• May require assisting customers up and down stairs.

• This position starts at $15.00/hour.
• Schedule and hours will vary.

Date MM slash DD slash YYYY

Name (Required)

First Middle Last

Address (Required)

Street Address City State / Province / Region ZIP / Postal Code

Telephone (Required)

Email (Required)

Are you authorized to work in the United States on an unrestricted basis? (Required)

Yes

No

Do you have reliable transportation? (Required)

Yes

No

How did you hear about this opening? (Required)

Have you ever applied to Black & White before? (Required)

Yes

No

If yes, when & where?

Are you currently employed? (Required)

Yes

No

If yes, may we contact your current employer?

Yes

No

Date you are available to start (Required) MM slash DD slash YYYY

Hours that you are willing to work. (Check all that apply) (Required)

Full time

Mornings

Evenings

Days

Can you perform the essential functions of the job with or without reasonable accommodation? (Required)

Yes

No

School Name and Location (Required)

Years (Required)

Major/Degree (Required)

School Name and Location

Years

Major/Degree

School Name and Location

Years

Major/Degree

School Name and Location

Years

Major/Degree

Company Name (Required)

Address (Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Telephone (Required)

Date Ended (Required) MM slash DD slash YYYY

Position Held (Required)

Name of Supervisor (Required)

May we Contact? (Required)

Yes

No

Responsibilities (Required)

Reason for Leaving (Required)

Company Name

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone

Date Ended MM slash DD slash YYYY

Position Held

Name of Supervisor

May we Contact?

Yes

No

Responsibilities

Reason for Leaving

Company Name

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone

Date Ended MM slash DD slash YYYY

Position Held

Name of Supervisor

May we Contact?

Yes

No

Responsibilities

Reason for Leaving

Any driving experience or knowledge of city streets that may help you in your work for us?

In addition to your work history, are there other skills, qualifications, or experience that we should consider?

List three references, not related to you, who have known you for more than one year.

Reference 1 Name (Required)

Reference 1 Phone (Required)

Reference 1 Years Known (Required)

Reference 2 Name

Reference 2 Phone

Reference 2 Years Known

Reference 3 Name

Reference 3 Phone

Reference 3 Years Known

Have you ever been convicted of a felony? (Required)

Yes

No

If yes, please describe the conditions.

The Federal Transit Administration (FTA) drug and alcohol testing regulations (49 CFR Part 655) requires all individuals performing safety-sensitive functions to submit to drug and alcohol testing as a condition of performing such work. All independent contractors…