Prince William County Public Schools
TRANSPORTATION - PERSONAL/MORAL
CHARACTER REFERENCE FORM
The Prince William County Public Schools (PWCS) Transportation Department application
process requires submission of this personal reference form. The applicant should complete
Section I and forward the form to the person who will be completing the statement in Section II.
SECTION I (to be completed by the applicant)
DEAR DATE
(List the name of the individual that will be completing the statement below)
I am applying for a position with the Transportation Department with PWCS. Please complete
the required fields in SECTION II and forward it to the Department of Human Resources
(DHR). I understand this form is confidential and will not be shared with me.
Applicant's Name (Please Print) Applicant's Signature
Applicant's Phone Number Applicant's PID Number
SECTION II (to be completed by reference provider)
Statement required by Section 22.1-178.3 of the Code of Virginia
This is to certify that the individual whose information is listed
above, who is an applicant for a job as a school bus driver, is known
by me, to be a person of good moral character.
Information of the person providing the statement
Name:
Address:
Phone Number:
Signature:
Please Fax: 703.791.8193, email HR@pwcs.edu or Mail to: PWCS Attn: DHR, P.O. Box 389,
Manassas, VA 20108
The Prince William County School Board is committed to a policy of nondiscrimination and to the provision of equity in its educational programs,
services and activities for all students and employees. The Division shall not discriminate in employment nor in the provision of educational
programs, services, and activities on the basis of race, color, religion, national origin, sex, gender identity, sexual orientation, pregnancy, childbirth
or related medical conditions, age, marital status, veteran status, disability, genetic information or any other basis prohibited by law. The
following individual(s) will handle inquiries regarding nondiscrimination policies, including Section 504 and Title IX: Associate Superintendent for
Human Resources, PWCS, P.O. Box 389 Manassas, VA 20108
11/16/2022
