Short Application for Employment Form

Please note that when we have received this online application form - if there are any positions suitable we will send you a comprehensive employment form in pdf format.

First name *

Last name *

Email address *

Phone number *

Address *

City, State, Zip *

Country *

21 years of age or older *

Yes

US Citizen *

Yes

*Proof of citizenship or immigrations status will be required upon employment and original Social Security Card

Are you willing to relocate? *

Yes

Sex *

Male

Female

What position are you applying for? *

Upload CV *

Drag and drop files here or Browse Max file size: 5MB

The maximum file size is 5 MB (pdf, doc, docx, jpg)

Upload Employment History *

Drag and drop files here or Browse Max file size: 5MB

The maximum file size is 5 MB (pdf, doc, docx, jpg)

Comments

Name

ADA Complaint Policy
Title IV Program

Reduced Fare application (PDF)

Click this link to download the reduced fare application.

Homebound Form (PDF)

Click this link to download the homebound form

Location Release Form (PDF)

Click this link to download the Authorization for Release of Location Information.

Tell us what you think!

We are constantly working to raise the
bar on our services. If you have any
questions or concerns about your
experience, please let us know.

Steven Dubois
Executive Director
(989) 366-5309 Option #8
sdubois@roscota.net

Nichole King
Operations Manager
(989) 366-5309 Option #6
nking@roscota.net

Rhonda Cross
Mobility Manager
(989) 366-5309 Option #9
rcross@roscota.net

Kendra Couture
Dispatch/Driver Supervisor
(989) 366-5309 Option #1
kcouture@roscota.net