| | | 20,000+ Fresh Resumes Monthly | |
|
|
| |
Click here or scroll down to respond to this candidateJacobson Transportation Company, Inc.Street Address NW 128th St.Clive, IA Street Address
PHONE NUMBER AVAILABLEStreet Address -17-2022 5:09:06AM CDTIntelliApp (Ab)Applicant opted out of D&A release authorization for the following individual employers / educational institutions.Friends Aware IncThank you for your interest in Jacobson Transportation Company, Inc. To apply for a driving position, please complete our online application for employment. Incomplete information will delay the processing of your application or prevent it from being submitted.To Applicant: READ THE FOLLOWING INFORMATION CAREFULLY BEFORE SUBMITTING THIS APPLICATIONThe Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. Federal law alsoprohibits discrimination on the basis of age with respect to certain individuals. The laws of most States also prohibit some or all of the abovetypes of discrimination as well as some additional types such as discrimination based on ancestry, marital status or physical or mentalhandicap or disability. Federal law obligates us to provide reasonable accommodations to the known disabilities of applicants employees,unless to do so would pose an undue hardship. Please let us know if you need an accommodation to complete the application process, to takeany required tests, or to perform any essential elements of the position sought. You will be considered for employment without regard to any prohibitedbasis of discrimination under state or federal law.Personal InformationReferral Code: cdllife-Martinsburg-textblastName Donald Paul BoyerResidence 3 years or longer (If No,previous addresses shown below)YesCurrent Address 11124 Ore Street NortheastCity, State/Province Zip/Postal Cumberland, MD 21502 Country United StatesResidence 3 years or longer (If No,previous addresses shown below)YesSSN/SIN 9552Date of BirthPrimary Phone PHONE NUMBER AVAILABLECell Phone PHONE NUMBER AVAILABLEPreferred method of contact Primary Phone1Best time to contact you AnyEmail EMAIL AVAILABLEYes, I agree to receive informationconcerning future opportunities orpromotions from Jacobson TransportationCompany, Inc. by email or othercommercial electronic communications.YesWould you like to receive communicationfrom Jacobson Transportation Company,Inc. via text message?By participating, you consent to receivetext messages sent by an automatictelephone dialing system, which maycontain recruiting/advertising messages.Consent to these terms is not a conditionof being hired, contracted, or leased. Youmay opt out at any time by texting STOP tounsubscribe. You also agree thatJacobson Transportation Company, Inc.'sservice provider receives in real time andlogs your text messages with JacobsonTransportation Company, Inc..YesCompany QuestionsGENERAL INFORMATIONI provide consent to receive auto-dialed orpre-recorded calls or texts on behalf ofJacobson Transportation Companies, Inc. Ihave also been informed of theconsequences of consent and I agree toreceive such calls or texts at the mobilenumber I have provided.YesHow did you hear about us? FacebookPlease provide additional detail on howyou heard about us:FacebookWhat kind of job are you looking for? Company Driver Please provide additional details on the jobyou are applying for:Somewhat localIf you have already spoken with a recruiter,please select their name:Have you worked for XPO Logistics or anyof its affiliates previously?NoAffiliates: 3PD, Bounce Logistics, NewBreed, CGL, Jacobson Trans., Menlo,Con-Way Freight, Con-Way Inc., PacerInternational, Express-1, Kelron,2Continental Freight. Please list names anddates:Do you have a TWIC Card? NoHow many moving violations have you hadin the past 3 years?Have you had any preventable accidentsin the past 3 years?NoHow many preventable accidents have youhad in the past 3 years?Please describe each accident. Includedate, location, any injuries or fatalities, andwhether any vehicle was towed.Have you ever been convicted of recklessdriving, careless driving or carelessoperation of a motor vehicle, or are anycharges pending?NoWhat year?Have you refused a drug/alcohol test ortested positive within the past three years?NoName of Driving School? N/ATruck School City N/ATruck School State / Province MarylandStill in Driving School? NoPlease enter graduation date: N/ALicensesPlease enter all licenses held within the last three (3) years. License Number 751State/Province MDCountry United StatesLicense Class Class ALicense Expiration Date 09-30-2025Physical Expiration Date 09-20-2022Current License YesCommercial Driver License YesEndorsementsTanker Endorsement YesHAZMAT Endorsement No3X Endorsement NoDoubles Triples Endorsement NoOther Endorsement NoEmployment / UnemploymentFriends Aware IncCompany Friends Aware IncStart Date 09-2016End Date 03-2022AddressCity, State/Province Zip/Postal Cumberland, MDCountryPhone PHONE NUMBER AVAILABLEPosition Held Maintenance/DriverReason for leaving? MoneyWere you terminated/discharged/laid off?Is this your current employer? YesMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?YesWere you subject to the Federal MotorCarrier or Transport Canada SafetyRegulations while employed/contracted bythis employer/contractor?Did you perform any safety sensitivefunctions in this job subject to drug andalcohol testing?States Driven 1Areas DrivenMiles driven weeklyPay Range (cents/mile)Most common truck driven BusMost common trailerTrailer lengthQueen city carriets4Company Queen city carrietsStart Date 10-1997End Date 08-2012Address 1212industrial blvdCity, State/Province Zip/Postal Cumberland, MD 21502 Country United StatesPhone PHONE NUMBER AVAILABLEPosition Held Tractor trailer driverReason for leaving? Out of businessWere you terminated/discharged/laid off? YesTermination Explanation Laid off out of businessIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?YesWere you subject to the Federal MotorCarrier or Transport Canada SafetyRegulations while employed/contracted bythis employer/contractor?YesDid you perform any safety sensitivefunctions in this job, regulated by DOT,and subject to drug and alcohol testing?YesAreas Driven Md. Wv.Pa.Oh.Ind. I'll.Miles driven weekly 2000-2500Pay Range (cents/mile)Most common truck driven Conventional TractorMost common trailer VanTrailer length 53 feet or moreN/aCompany N/aStart Date UnknownEnd Date UnknownAddressCity, State/Province Zip/Postal MDCountryPhone5Position HeldReason for leaving?Were you terminated/discharged/laid off?Did you operate a commercial motorvehicle?Were you subject to the Federal MotorCarrier or Transport Canada SafetyRegulations while employed/contracted bythis employer/contractor?Did you perform any safety sensitivefunctions in this job, regulated by DOT,and subject to drug and alcohol testing?Areas DrivenMiles driven weeklyPay Range (cents/mile)Most common truck drivenMost common trailerTrailer lengthFMCSRUnder FMCSR 391.15, are you currentlydisqualified from driving a commercialmotor vehicle? [49 CFR 391.15]NoHas your license, permit or privilege todrive ever been suspended or revoked forany reason? [49 CFR 391.21(b)(9)]NoHave you ever been denied a license,permit, or privilege to operate a motorvehicle?[49 CFR 391.21(b)(9)]NoWithin the past two years, have you testedpositive, or refused to test, on apre-employment drug or alcohol test by anemployer to whom you applied, but did notobtain, safety-sensitive transportation workcovered by DOT agency drug and alcoholtesting rules? [49 CFR 40.25(j)]NoIn the past three(3) years, have you everbeen convicted of any of the followingoffenses: [49 CFR 391.15]:Driving a commercial motor vehiclewith a blood alcohol concentration("BAC") of .04 percent or moreNo6Driving under the influence ofalcohol, as prescribed by state lawRefusal to undergo drug andalcohol testing as required by anyjurisdiction for the enforcement ofFederal Motor Carrier Safety ActregulationsDriving a commercial motor vehicleunder the influence of any 21C.F.R. 1308.11 Schedule Iidentified controlled substance, anamphetamine, a narcotic drug, aformulation of an amphetamine, ora derivative of a narcotic drugTransportation, possession, orunlawful use of a 21 C.F.R.1308.11 Schedule I identifiedcontrolled substance,amphetamines, narcotic drugs,formulations of an amphetamine, orderivatives of narcotic drugs whileyou were on duty driving for amotor carrierLeaving the scene of an accidentwhile operating a commercial motorvehicleOr any other felony involving theuse of a commercial motor vehicleVehicle Accident RecordWere you involved in any accidents/incidents with any vehicle in the last 3 years (even if not at fault)?No AccidentsTraffic Convictions \ ViolationsHave you had any moving violations or traffic convictions in the past 3 years? No ViolationsSignatureFull Name Donald Paul BoyerIP Address PHONE NUMBER AVAILABLESignature Date/Time 03-17-2022 5:09 AMBy signing my application below, I agree to use an electronic signature to demonstrate my consent. An electronic signature is as legally binding as an ink signature. 7This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. Signed Date: 03-17-2022 5:09 AMSigned:Federal FCRA Summary of Rights AcknowledgmentBy checking this box, I (a) acknowledgethat I have read and understand thefederal FCRA Summary of Rights andhave been given the opportunity tocopy/print the Summary of Rights and (b)agree to use an electronic signature todemonstrate my consent. An electronicsignature is as legally binding as an inksignature.YesPSP Disclosure and AuthorizationBy checking the box, I (a) acknowledgethat I have read and understand the PSPDisclosure and Authorization and alsohave been given the opportunity tocopy/print it, and (b) agree to use anelectronic signature to demonstrate myconsent. An electronic signature is aslegally binding as an ink signature.YesFCRA Disclosure and AuthorizationBy checking the box, I (a) acknowledgethat I have read and understand the aboveand also have been given the opportunityto copy/print it, and (b) agree to use anelectronic signature to demonstrate myconsent. An electronic signature is aslegally binding as an ink signature.YesEmployment Verification Acknowledgment and Release (DOT Drug and Alcohol) By checking the box, I (a) acknowledgethat I have read and understand the aboveand also have been given the opportunityto copy/print it, and (b) agree to use anelectronic signature to demonstrate myYes8consent. An electronic signature is aslegally binding as an ink signature.Clearinghouse ReleaseBy checking the box, I (a) acknowledgethat I have read and understand the aboveand also have been given the opportunityto copy/print it, and (b) agree to use anelectronic signature to demonstrate myconsent. An electronic signature is aslegally binding as an ink signature.YesADDITIONAL DISCLOSURES FOR DOT REMOTE APPLICANTSBy my check of this box, I represent that Iunderstand and agree to the aboveYesBACKGROUND CHECK AUTHORIZATION FOR DOT REMOTE APPLICANTS By my check of this box, I represent that Iunderstand and agree to the aboveYesUser Requested CopyUser requested a copy to be sent to thisemail address lowboy11379@yahoo.com.Yes9BACKGROUND CHECKAUTHORIZATION FOR DOT REMOTE APPLICANTSTo the extent permitted by applicable law, I hereby consent to and authorize Jacobson Transportation Company, Inc., and/or its parents (including XPO Logistics, Inc.), subsidiaries, affiliates, other related entities, successors, and/or assigns(the "Company"), to procure consumer report(s), criminal background check(s), and/or investigative consumer report(s)(as defined by applicable California state law), on my background from a consumer reporting agency ("CRA") or from an investigative consumer reporting agency ("ICRA"), as described in the Background Check Disclosure for DOT Remote Applicants, the Additional Disclosures for DOT Remote Applicants, and the California State Law Disclosures(Non-Credit) (all of which I have received separately from the Company). I have reviewed and understand the information, statements, and notices in the Background Check Disclosure for DOT Remote Applicants, the Additional Disclosures for DOT Remote Applicants, and the California State Law Disclosures (Non-Credit), as well as this Background Check Authorization for DOT Remote Applicants. Except as otherwise prohibited by applicable law, I consent to and authorize the Company to share this information with Company's current or prospective clients, customers, others with a need to know, and/or their agents for business reasons (e.g., to place me in certain employment positions, jobs, work sites, etc.).I hereby authorize Jacobson Transportation Company, Inc., and/or its parents (including XPO Logistics, Inc.), subsidiaries, affiliates, other related entities, successors, and/or assigns (the "Company") to do a complete background investigation including all information related to my alcohol and controlled substances testing (including pre-employment test results, random test results, reasonable suspicion test results, and post-accident test results) and training records conducted under the Federal Highway Administration (FHWA) 49 CFR Parts 40, 382 or 391. I authorize the release of any information, including all information related to my alcohol and controlled substance testing(including pre-employment test results, random test results, reasonable suspicion test results, and post-accident test results) conducted under the Federal Highway Administration (FHWA) 49 CFR Parts 40, 382 or 391. Printed Name:Donald Paul BoyerSocial Security #:9552Signed Date: 03-17-2022Donald Paul Boyer11124 Ore Street NortheastCumberland, MD 21502PHONE NUMBER AVAILABLEGender:10IMPORTANT DISCLOSUREREGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Jacobson Transportation Company, Inc. ("Prospective Employer"), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA).When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report. When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act. Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication.Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report. The Prospective Employer cannot obtain background reports from FMCSA without your authorization. AUTHORIZATIONIf you agree that the Prospective Employer may obtain such background reports, please read the following and sign below: I authorize Jacobson Transportation Company, Inc. ("Prospective Employer") to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am authorizing the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication. I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, I understand all inspections, with or without violations, will appear on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report. I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above. Printed Name:Donald Paul BoyerSigned Date: 03-17-202211Consent for Limited Queries of the Federal Motor Carrier Safety Administration (FMCSA) Drug and Alcohol ClearinghouseI hereby provide consent to Jacobson Transportation Company, Inc. to conduct a limited query of the FMCSA Commercial Driver's License Drug and Alcohol Clearinghouse to determine whether drug or alcohol violation information about me exists in the Clearinghouse. I understand this consent shall remain on file and shall serve as ongoing consent for Jacobson Transportation Company, Inc. to conduct multiple limited queries of the Clearinghouse at any time during my employment or contract period without asking me for additional consent.I understand that if I refuse to provide consent for Jacobson Transportation Company, Inc. to conduct a limited query of the Clearinghouse, Jacobson Transportation Company, Inc. is required to prohibit me from performing safety-sensitive functions, including operating a commercial motor vehicle.I understand that if the limited query conducted by Jacobson Transportation Company, Inc. indicates that drug or alcohol information exists about me in the Clearinghouse, the FMCSA will not disclose that information to Jacobson Transportation Company, Inc. unless I give additional specific consent within the Clearinghouse. However, I understand that Jacobson Transportation Company, Inc. will be required to conduct a full query of the Clearinghouse within 24 hours after a limited query indicates that drug or alcohol information exists and that if I do not grant consent within the Clearinghouse for that full query I will be removed from performing safety-sensitive functions, including operating a commercial motor vehicle. 03-17-2022Donald Paul Boyer Date12ADDITIONAL DISCLOSURES FOR DOT REMOTE APPLICANTSMinnesota applicants/employees only: You have the right to request a complete and accurate disclosure of the nature and scope of any consumer report from HireRight, 14002 E. 21st Street, Suite 1200, Tulsa, OK 74134, Phone PHONE NUMBER AVAILABLE New York applicants/employees only: Upon request, you will be informed whether or not a consumer report was requested, and if such report was requested, informed of the name and address of the CRA that furnished the report. Your written request should be made to Company at XPO Logistics, Attn: Recruiting Department, 3811 Dixon, Des Moines, IA 5013. You may also contact the Company at HireRight, 14002 E. 21st Street, Suite 1200, Tulsa, OK 74134, Phone PHONE NUMBER AVAILABLE[PLEASE SEE BELOW FOR ADDITIONAL DISCLOSURES THAT MAY APPLY TO YOU] CALIFORNIASTATE LAW DISCLOSURES(Non-Credit)For California applicants/employees only: Under California law, an investigative consumer report is a consumer report in which information on a consumers character, general reputation, personal characteristics, or mode of living is obtained through any lawful means. In connection with your application for employment and/or continued employment (i.e., for employment purposes) with Jacobson Transportation Company, Inc., and/or its parents (including XPO Logistics, Inc.), subsidiaries, affiliates, other related entities, successors, and/or assigns (the Company). The Company may obtain an investigative consumer report (as defined under California law). With respect to any investigative consumer report from an investigative consumer reporting agency(ICRA), Company may investigate the information contained in your employment application and other background information about you, including but not limited to obtaining a criminal record report, obtaining information about your character, general reputation, personal characteristics and mode of living, verifying references, work history, your social security number, your educational achievements, licensure, certifications, driving records, and other information about you, including interviewing people who are knowledgeable about you. The results of this report may be used as a factor in making employment decisions. The source of any investigative consumer report (as this term is defined under California law and as explained more fully above) will be HireRight, 14002 E. 21st Street, Suite 1200, Tulsa, OK 74134, www.hireright.com, Phone 800-331-9175 . Information regarding HireRightss privacy practices can be found at HireRight, 14002 E. 21st Street, Suite 1200, Tulsa, OK 74134, www.hireright.com, Phone 800-331-9175. Under California Civil Code section 1786.22, you are entitled to a visual inspection of files maintained on you by an ICRA, as follows: In person, if you appear in person and furnish proper identification, during normal business hours and on reasonable notice. A copy of your file shall also be available to you for a fee not to exceed the actual costs of duplication services provided; 1.By certified mail, if you make a written request, with proper identification, for copies to be sent to a specified addressee. An ICRA complying with requests for certified mailings under the California Code shall not be liable for disclosures to third parties caused by mishandling of mail after such mailings leave the ICRA; 2.A summary of all information contained in your files and required to be provided by the California Code shall be provided to you by telephone, if you have made a written request, with proper identification for telephone disclosure, and the toll charges, if any, for the telephone call are prepaid by you or charged directly to you. 3.Proper Identification means information generally deemed sufficient to identify you, which includes documents such as a valid drivers license, social security account number, military identification card, and credit cards. Only if you cannot identify yourself with such information may the ICRA require additional information concerning your employment and personal or family history in order to verify your identity.The ICRA will provide trained personnel to explain any information furnished to you and will provide a written explanation of any coded information contained in files maintained on you. This written explanation will be provided whenever a file is provided to you for visual inspection.You may be accompanied by one other person of your choosing, who must furnish reasonable identification. An ICRA may require you to furnish a written statement granting permission to the ICRA to discuss your file in such persons presence. Printed Name:Donald Paul BoyerSocial Security #:9552Signed Date: 03-17-2022Donald Paul Boyer11124 Ore Street NortheastCumberland, MD 21502PHONE NUMBER AVAILABLE13BACKGROUND CHECK AUTHORIZATION FOR DOT REMOTE APPLICANTS To the extent permitted by applicable law, I hereby consent to and authorize Jacobson Transportation Company, Inc., and/or its parents (including XPO Logistics, Inc.), subsidiaries, affiliates, other related entities, successors, and/or assigns (theCompany), to procure consumer report(s), criminal background check(s), and/or investigative consumer report(s) (as defined by applicable California state law), on my background from a consumer reporting agency (CRA) or from an investigative consumer reporting agency (ICRA), as described in the Background Check Disclosure for DOT Remote Applicants, the Additional Disclosures for DOT Remote Applicants, and the California State Law Disclosures (Non-Credit) (all of which I have received separately from the Company). I have reviewed and understand the information, statements, and notices in the Background Check Disclosure for DOT Remote Applicants, the Additional Disclosures for DOT Remote Applicants, and the California State Law Disclosures (Non-Credit), as well as this Background Check Authorization for DOT Remote Applicants. Except as otherwise prohibited by applicable law, I consent to and authorize the Company to share this information with Companys current or prospective clients, customers, others with a need to know, and/or their agents for business reasons (e.g., to place me in certain employment positions, jobs, work sites, etc.).I hereby authorize Jacobson Transportation Company, Inc., and/or its parents (including XPO Logistics, Inc.), subsidiaries, affiliates, other related entities, successors, and/or assigns (the Company) to do a complete background investigation including all information related to my alcohol and controlled substances testing (including pre-employment test results, random test results, reasonable suspicion test results, and post-accident test results) and training records conducted under the Federal Highway Administration(FHWA) 49 CFR Parts 40, 382 or 391. I authorize the release of any information, including all information related to my alcohol and controlled substance testing (including pre-employment test results, random test results, reasonable suspicion test results, and post-accident test results) conducted under the Federal Highway Administration (FHWA) 49 CFR Parts 40, 382 or 391. Printed Name:Donald Paul BoyerSocial Security #:9552Signed Date: 03-17-2022Donald Paul Boyer11124 Ore Street NortheastCumberland, MD 21502PHONE NUMBER AVAILABLE14BACKGROUND CHECKAUTHORIZATION FOR DOT REMOTE APPLICANTSTo the extent permitted by applicable law, I hereby consent to and authorize Jacobson Transportation Company, Inc., and/or its parents (including XPO Logistics, Inc.), subsidiaries, affiliates, other related entities, successors, and/or assigns(the "Company"), to procure consumer report(s), criminal background check(s), and/or investigative consumer report(s)(as defined by applicable California state law), on my background from a consumer reporting agency ("CRA") or from an |
