Dts 1 Application Form PDF Details

Embarking on the journey of securing a position within the realm of public service often commences with the meticulous completion of application forms, among which the DTS-1 form stands as a pivotal initial step for candidates aiming to join the Maryland Department of Transportation (MDOT). This form serves as a comprehensive tool for gathering pivotal personal details, professional history, and educational background of applicants. It is designed with clear sections that must be filled out accurately, as any omissions could potentially derail an application. Aside from personal and contact information, applicants are asked about their preferences for work location, full-time or part-time employment, and are also encouraged to disclose voluntarily their ethnic background, to aid in statistical analysis and ensure equal employment opportunities. Additionally, the form delves into the applicants' veteran status, requiring those who claim such status to provide supporting documentation. Education and employment records form the core of this application, where individuals list their academic achievements and outline their work experience in detail, emphasizing the importance of accuracy and thoroughness in depicting their professional journey. Noteworthy is the stipulation that resumes cannot substitute the application, underscoring the need for candidates to engage with the form's particulars. The document also outlines provisions for State employees, necessitating transparency about their current employment status within the state system. Lastly, it touches upon the requirement for certain positions to provide a valid driver’s license, alongside an acknowledgment of Maryland's legal framework regarding employment practices, cementing the DTS-1 form as a crucial step in the employment process within MDOT and highlighting the department's commitment to fair and diligent recruitment practices.

QuestionAnswer
Form NameDts 1 Application Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesdts1 application, maryland form dts 1, form dts 1, how to form dts 1

Form Preview Example

OFFICE USE ONLY

________

APPROVED

________

DISAPPROVED

________

PENDING

________

BY

________

REASON

APPLICATION (DTS-1)

RECRUITMENT AND EXAMINATION

Please fill out completely. Omissions may result in application being rejected. Resumes may NOT be substituted for this application. Type or print clearly. Information provided is confidential and will only be used by authorized personnel. Applicants who are within six (6) months of meeting the education and/or experience qualifications may be approved for the examination pending completion of those requirements.

LAST FOUR DIGITS OF SOCIAL SECURITY NUMBER:

Position Applied For:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name:

 

 

 

 

 

 

 

First Name:

 

 

 

 

MI:

 

 

Address (Number and Street or RFD):

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

 

County:

 

 

 

 

State:

 

 

Zip Code:

 

-

 

Home Phone:

( )

-

 

 

 

 

Work Phone: ( )

-

 

 

 

 

 

Email Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please click or type “X” where you will accept employment.

Please click or type “X” to identify the source(s) from which you learned about this position.

Garrett

Allegany

Washington County

Frederick

Carroll

Montgomery

Baltimore City

Baltimore County

Howard

Harford

Cecil

Kent

Prince George’s

Charles

Calvert

St. Mary’s

Anne Arundel

Queen Anne’s

Talbot

Caroline

Dorchester

Wicomico

Somerset

Worcester

MDOT Web Site

Other Website (specify)

Newspaper / Journal (specify)

Career Fair (specify)

Radio or Television (specify)

College Recruitment (specify)

High School Recruitment (specify)

Employment Office (specify)

Bulletin Board (specify)

Heard about from an Employee

Other (specify)

Please click or type “X” to identify availability below.

Full-Time Employment Only

Part-Time Employment Only Full-Time and/or Part-Time Employment

Applicants are requested to voluntarily provide this information for

statistical purposes only; failure to do so will not affect your chances of employment.

Birth Date:

Language(s) Spoken:

Male

Female

Ethnic/Race Identification

Check this block if you are of Hispanic or Latino origin.

Race: Select one or more. If multiracial, check all that apply.

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

AN EQUAL OPPORTUNITY EMPLOYER

www.mdot.maryland.gov

Arrangements and/or accommodations will be provided upon request for persons with disabilities.

MD Relay 711 DTS-1 (09-20-2013)

EDUCATION:

Did you graduate from high school or have you obtained a GED?

Yes

No

 

 

 

 

 

 

 

Name of High School:

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If no, enter the highest grade successfully completed:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF COLLEGE/UNIVERSITY:

 

NAME OF COLLEGE/UNIVERSITY:

 

 

 

 

 

 

 

 

 

 

ADDRESS:

 

 

 

ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

DATES ATTENDED

 

 

 

DATES ATTENDED

 

 

 

FROM:

 

TO:

 

FROM:

 

TO:

 

MAJOR:

 

 

 

MAJOR:

 

 

 

 

 

 

 

 

 

 

 

NUMBER OF CREDIT

DEGREE TITLE & YEAR RECEIVED:

NUMBER OF CREDIT

DEGREE TITLE & YEAR RECEIVED:

HOURS COMPLETED:

HOURS COMPLETED:

 

 

 

 

 

 

 

 

 

 

 

 

LIST PERTINENT UNDERGRADUATE COLLEGE

SEMESTER

LIST PERTINENT GRADUATE COLLEGE SUBJECTS

SEMESTER

SUBJECTS COMPLETED

CREDIT HOURS

 

 

COMPLETED

 

CREDIT HOURS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trade or Technical School

Course

Course Work

Certificate Awarded

Completed?

(Title and Date)

 

 

Are you a current permanent State employee?

Yes or

No

Are you a contractual or temporary employee for the State?

Yes or

No If yes, start date

(Please check ‘No’ if you are employed by a staffing agency)

If you are a permanent, contractual or temporary employee for a State agency please indicate where you currently work?

__________________________________________________

If you are currently a permanent MDOT employee, at which Administration are you assigned? If yes, please click or type “X” in the

appropriate box.

 

 

 

 

 

 

MAA

MDTA

MPA

MTA

MVA

SHA

TSO

Veteran status - Please check below:

I am a veteran

I am a disabled veteran

I am a spouse of a disabled veteran

I am not a veteran

If you indicated veteran status, you MUST submit documentation* of this status prior to the completion of the recruitment for which you are applying. Be sure to note the recruitment you are applying for on the documentation. Please fax (410-865- 1301), email (mdotvets@mdot.state.md.us), or mail (MDOT Headquarters, Recruitment and Exams Unit, 7201 Corporate Center Drive, Hanover, MD 21076). THIS DOCUMENTATION MUST BE SUBMITTED EACH TIME YOU APPLY.

*Documentation may include any of the following: Honorable discharge or certificate of service (Form DD 214), United States Unformed Services ID card (DD Form 2), evidence of service connected disability [for example, letter from Veteran’s Administration dated within the last six (6) months], spouse

enlistment, induction or entry to active duty, marriage license or certificate of marriage, and/or death certificate or other acceptable proof showing date of spouse’s death.

EMPLOYMENT RECORD

*List all relevant work experience, including experience gained in the armed forces, different jobs held within the same organization, pertinent volunteer work, and part-time employment.

*Please list your MOST RECENT work experience FIRST.

*For some positions, the application may be evaluated for a test score, so please be specific in describing actual tasks

performed.

*If you are a contractor or consultant and work at a State agency, please be sure to list the company’s name as the employer, not the State agency where you currently work.

*If more space is required, you may attach additional pages to the application. Be sure to put your name and last four digits of your Social Security Number on all additional pages.

A

B

C

COMPANY NAME:

 

SUPERVISOR’S NAME:

 

TELEPHONE NUMBER:

 

 

 

 

(

)

-

 

 

 

 

 

 

ADDRESS:

 

FULL TIME/PART TIME:

NUMBER OF

 

NUMBER OF

 

 

 

HOURS WORKED

 

PERSONS

 

 

 

PER WEEK:

 

SUPERVISED:

 

 

 

 

 

 

 

REASON FOR LEAVING:

 

JOB TITLES OF PERSONS SUPERVISED:

 

 

 

 

 

 

 

 

 

 

DATE: (MONTH/YEAR)

 

JOB TITLE:

 

 

 

 

From:

To:

 

 

 

 

 

 

 

 

 

 

 

 

SPECIFIC DUTIES (attach additional pages if necessary):

COMPANY NAME:

 

SUPERVISOR’S NAME:

 

TELEPHONE NUMBER:

 

 

 

 

(

)

-

 

 

 

 

 

 

ADDRESS:

 

FULL TIME/PART TIME:

NUMBER OF

 

NUMBER OF

 

 

 

HOURS WORKED

 

PERSONS

 

 

 

PER WEEK:

 

SUPERVISED:

 

 

 

 

 

 

 

REASON FOR LEAVING:

 

JOB TITLES OF PERSONS SUPERVISED:

 

 

 

 

 

 

 

 

 

 

DATE: (MONTH/YEAR)

 

JOB TITLE:

 

 

 

 

From:

To:

 

 

 

 

 

SPECIFIC DUTIES (attach additional pages if necessary):

COMPANY NAME:

 

SUPERVISOR’S NAME:

 

TELEPHONE NUMBER:

 

 

 

 

(

)

-

 

 

 

 

 

 

ADDRESS:

 

FULL TIME/PART TIME:

NUMBER OF

 

NUMBER OF

 

 

 

HOURS WORKED

 

PERSONS

 

 

 

PER WEEK:

 

SUPERVISED:

 

 

 

 

 

 

 

REASON FOR LEAVING:

 

JOB TITLES OF PERSONS SUPERVISED:

 

 

 

 

 

 

 

 

 

 

DATE: (MONTH/YEAR)

 

JOB TITLE:

 

 

 

 

From:

To:

 

 

 

 

 

 

 

 

 

 

 

 

SPECIFIC DUTIES (attach additional pages if necessary):

D

COMPANY NAME:

 

SUPERVISOR’S NAME:

 

TELEPHONE NUMBER:

 

 

 

 

(

)

-

 

 

 

 

 

 

ADDRESS:

 

FULL TIME/PART TIME:

NUMBER OF

 

NUMBER OF

 

 

 

HOURS WORKED

 

PERSONS

 

 

 

PER WEEK:

 

SUPERVISED:

 

 

 

 

 

 

 

REASON FOR LEAVING:

 

JOB TITLES OF PERSONS SUPERVISED:

 

 

 

 

 

 

 

 

 

 

DATE: (MONTH/YEAR)

 

JOB TITLE:

 

 

 

 

From:

To:

 

 

 

 

 

SPECIFIC DUTIES (attach additional pages if necessary):

May we contact your current employer? If no, please explain.

________________________________________________________________________________________

List any additional information that may help evaluate your qualifications for the position. Examples are special skills, computer programs, licenses, certifications, training seminars and workshops, etc.

LICENSES: If a license, certificate, or any other authorization to practice a trade or profession is required, complete the following section. All requirements under the licensing section of the job specifications must be complied with, and verification must be submitted with this application form.

TYPE OF LICENSE

LICENSE NUMBER

EXPIRATION DATE

GRANTED BY (Licensing Board)

 

 

 

 

TYPE OF LICENSE

LICENSE NUMBER

EXPIRATION DATE

GRANTED BY (Licensing Board)

 

 

 

 

The Maryland Department of Transportation has permission to access my driving record if required for this position.

Driver’s License: (You must provide the following information for positions requiring a valid driver’s license.)

Yes

No

Issued by the State of:

 

Expiration Date:

 

 

 

License Number:

 

 

Class:

 

 

Birth Date:

 

Check if you are interested in Contractual and/or Temporary positions*:

Yes, I am interested in Contractual/Temporary positions.

No, I am not interested in Contractual/Temporary Positions.

* No State paid benefits are offered for Temporary or Contractual positions.

I acknowledge that if I have requested veteran status, I must send in the appropriate documentation each time I apply for a position.

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□ I am not a veteran

□ I am a veteran, and will send in the appropriate documentation (see page 2 for submission details)

Under Maryland law, an employer may not require or demand, as a condition of employment, prospective employment, or continued employment, that an individual submit to or take a lie detector or similar test. An employer who violates this law is guilty of a misdemeanor and subject to a fine not exceeding $100. This provision does not apply to applicants for law enforcement positions pursuant to Labor and Employment Article, Section 3-702 (b) Annotated Code of Maryland.

I certify that all information contained on this application is true and complete. I authorize the Maryland Department of Transportation to contact all sources and/or conduct a thorough background investigation, as necessary, to verify the information contained on this application. I understand that any erroneous, misleading or fraudulent information is sufficient grounds for rejection from the examination process, removal from the list of eligibles, withdrawal of an offer of employment or immediate discharge.

SIGNATURE OF APPLICANT

DATE

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