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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Millsdale Rd.Joliet, IL Street Address
PHONE NUMBER AVAILABLEStreet Address -09-2024 2:53:30PM CDTIntelliApp - CST (OO)Thank you for your interest in Candidate's Name .. To apply for a driving position, please complete our online questionnaire. Incomplete information will delay the processing of your questionnaire or prevent it from being submitted. Personal InformationReferral Code: CC_IML_ORDOTRName Luis Anibal MartinezResidence 3 years or longer (If No,previous addresses shown below)YesCurrent Address 217 Central Lake CirCity, State/Province Zip/Postal Griffin, GA 30224Country United StatesResidence 3 years or longer (If No,previous addresses shown below)YesSSN/SIN 5689Date of BirthPrimary Phone PHONE NUMBER AVAILABLECell Phone PHONE NUMBER AVAILABLEEmail EMAIL AVAILABLECompany QuestionsSet WL from URL 5GENERAL INFORMATIONWhat service division are you applying for? Intermodal What position are you applying for? Company Driver What location are you applying for? GA, Atlanta - International What type of run do you prefer? LocalHow much intermodal experience do youhave?2 year +Do you need to (Are you interested in)participate(ing) in Central States OwnerOperator Plates Program?YesYes1Are you legally eligible to contract with aMotor Carrier in the United States?Are you currently employed or contractedto another Motor Carrier?YesWhat date did your last employment orcontract date end?Do you read, write, and speak English? YesHave you ever worked or been contractedto this company before?NoEnter start and end dates, location,position, and reason for leaving:Do you have a current TWIC card? YesExpiration date: 2028Have you served in the U.S. Armed Forcesor are you a family member eligible forderived preference?NoPlease enter the names of any relativesemployed or contracted here:Have you ever been known by any othername?NoEnter name:How were you referred to this company? OtherIf "Newspaper Ad", please enter the nameof the paperIf "Contractor", please enter the name ofthe contractorIf "Flyer", please tell us where you picked itupIf "Central States Trucking Co. Driver",please enter their nameIf "Other" please describeIn case of Emergency, notify (list name,address, and phone):DRIVING EXPERIENCEPlease summarize driving experience youhave had. List the class, type ofequiptment, and with start and end dates.30 yrs CDL AWhich safe driving awards do you hold andfrom whom?EQUIPMENT (OWNER/OPERATORS ONLY)Equipment Description (Tractor):2Type:Year:Make:Model:VIN:EDUCATIONList highest grade completed: College - 2List last school attended (name, city, andstate):IST ACADEMY MIAMI FLALicensesLicense Number 802Licensing Authority GACountry USLicense Class Class ALicense Expiration Date 06-14-2030DOT Medical Card Expiration Date 04-21-2024Current License YesCommercial Driver License YesEndorsementsTanker Endorsement NoHAZMAT Endorsement NoX Endorsement NoDoubles Triples Endorsement NoOther Endorsement NoLicensesLicense Number 802Licensing Authority GACountry USLicense Class Class ALicense Expiration Date 06-14-2030DOT Medical Card Expiration Date 05-06-2024Current License Yes3Commercial Driver License YesEndorsementsTanker Endorsement NoHAZMAT Endorsement NoX Endorsement NoDoubles Triples Endorsement NoOther Endorsement NoLicensesLicense Number 155Licensing Authority TNCountry USLicense Class Class ALicense Expiration Date 08-13-2027DOT Medical Card Expiration Date 01-12-2021Current License NoCommercial Driver License YesEndorsementsTanker Endorsement NoHAZMAT Endorsement NoX Endorsement NoDoubles Triples Endorsement NoOther Endorsement NoEmployment / UnemploymentFirstFleetCompany FirstFleetStart Date 06-2023End Date 04-2024Address 217 central lake circleCity, State/Province Zip/Postal Griffin, TN 30223Country United StatesPhone PHONE NUMBER AVAILABLEPosition Held OTR Driver4Reason for leaving? Still here. JB Hunt just got are bid. Were you terminated/discharged/laid off? NoIs 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?YesDid you perform any safety sensitivefunctions in this job, regulated by DOT,and subject to drug and alcohol testing?YesAreas DrivenMiles driven weekly 1500-2000Pay Range (cents/mile)Most common truck driven Conventional TractorMost common trailer Reefer TrailerTrailer length 53 feet or moreRoadOne IntermodaLogisticsCompany RoadOne IntermodaLogisticsStart Date 05-2020End Date 06-2023Address 4201 W. 36th St.City, State/Province Zip/Postal Randolph, MA 60632 Country United StatesPhone PHONE NUMBER AVAILABLEFax PHONE NUMBER AVAILABLEPosition Held 0/0Reason for leaving? Still here.Were you terminated/discharged/laid off? NoIs this your current employer? YesMay we contact this employer at this time? YesDid you operate a commercial motorvehicle?Yes5Were 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 DrivenMiles driven weeklyPay Range (cents/mile)Most common truck driven Conventional TractorMost common trailerTrailer lengthFalcon TransportationCompany Falcon TransportationStart Date 06-2019End Date 06-2020AddressCity, State/Province Zip/Postal Landcaster, PACountry United StatesPhone PHONE NUMBER AVAILABLEPosition Held DriverReason for leaving? Current employerWere you terminated/discharged/laid off? NoIs 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?YesDid you perform any safety sensitivefunctions in this job, regulated by DOT,and subject to drug and alcohol testing?YesAreas DrivenMiles driven weeklyPay Range (cents/mile)6Most common truck driven Tractor-TrailerMost common trailerTrailer lengthKllm Transport Services, LlcCompany Kllm Transport Services, LlcStart Date 02-2019End Date 06-2019Address 135 Riverview Dr.City, State/Province Zip/Postal Jackson, MS 39218Country United StatesPhone PHONE NUMBER AVAILABLEFax PHONE NUMBER AVAILABLEPosition Held L/P DriverReason for leaving? Company asked me to edit my logs Were you terminated/discharged/laid off? NoIs 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 DrivenMiles driven weeklyPay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailerTrailer lengthFirst FleetCompany First FleetStart Date 02-2017End Date 02-20197Address 202 Heritage Park DriveCity, State/Province Zip/Postal Murfreesboro, TN 37129 Country United StatesPhone PHONE NUMBER AVAILABLEFax PHONE NUMBER AVAILABLEPosition Held DriverReason for leaving? wanting lease purchaseWere you terminated/discharged/laid off? NoIs 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 DrivenMiles driven weeklyPay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailerTrailer lengthTransForce, Inc.Company TransForce, Inc.Start Date 06-2016End Date 01-2017Address 5520 Cherokee AvenueAddress 2 Suite 200City, State/Province Zip/Postal Alexandria, VA 22312 Country United StatesPhone PHONE NUMBER AVAILABLEFax PHONE NUMBER AVAILABLEPosition Held Driver8Reason for leaving? Temp work onlyWere you terminated/discharged/laid off? NoIs 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 DrivenMiles driven weeklyPay Range (cents/mile)Most common truck driven Tractor - TrailerMost common trailerTrailer lengthLongisticsCompany LongisticsStart Date 05-2016End Date 05-2016AddressCity, State/Province Zip/Postal X, TNCountry United StatesPhonePosition HeldReason for leaving? xWere you terminated/discharged/laid off? NoIs 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 SafetyYes9Regulations 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?YesAreas DrivenMiles driven weeklyPay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailerTrailer lengthTeam One LogisticsCompany Team One LogisticsStart Date 10-2015End Date 05-2016AddressCity, State/Province Zip/Postal Alpharetta, GACountry United StatesPhone PHONE NUMBER AVAILABLEFax PHONE NUMBER AVAILABLEPosition Held DriverReason for leaving? had topped out of there pay and needed to make more moneyWere you terminated/discharged/laid off? NoIs 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 DrivenMiles driven weekly10Pay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailerTrailer lengthEvans Delivery Company, Inc.Company Evans Delivery Company, Inc.Start Date 08-2015End Date 10-2015Address 100-110 WEST COLUMBIA AVECity, State/Province Zip/Postal Schuylkill Haven, PA 17972 Country United StatesPhone PHONE NUMBER AVAILABLEPosition Held DriverReason for leaving? needed to make more moneyWere you terminated/discharged/laid off? NoIs 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 DrivenMiles driven weeklyPay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailerTrailer lengthCovenant TransportCompany Covenant TransportStart Date 06-2015End Date 08-201511Address 400 BirminghamCity, State/Province Zip/Postal Chattanooga, TN 37419 Country United StatesPhone PHONE NUMBER AVAILABLEFax PHONE NUMBER AVAILABLEPosition Held DriverReason for leaving? xWere you terminated/discharged/laid off? NoIs 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 DrivenMiles driven weeklyPay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailerTrailer lengthRoad One Intermoda LogisticsCompany Road One Intermoda LogisticsStart Date 03-2015End Date 05-2015Address 4201 W. 36th St.City, State/Province Zip/Postal Atlanta, GA 60632Country United StatesPhone PHONE NUMBER AVAILABLEPosition Held DriverReason for leaving? Bad equipmentWere you terminated/discharged/laid off? No12Is 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 DrivenMiles driven weeklyPay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailerTrailer lengthHuddle House IncCompany Huddle House IncStart Date 02-2012End Date 03-2015AddressCity, State/Province Zip/Postal Atlanta, GACountry United StatesPhoneFax PHONE NUMBER AVAILABLEPosition Held DriverReason for leaving? Conflict of interestWere you terminated/discharged/laid off? NoIs 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?Yes13Did you perform any safety sensitivefunctions in this job, regulated by DOT,and subject to drug and alcohol testing?YesAreas DrivenMiles driven weeklyPay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailerTrailer lengthJ B Hunt Transport, Inc.Company J B Hunt Transport, Inc.Start Date 01-2012End Date 02-2012Address 615 J B Hunt Corporate DrCity, State/Province Zip/Postal Lowell, AR 72745Country United StatesPhonePosition Held DriverReason for leaving? better opportunityWere you terminated/discharged/laid off? NoIs 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 DrivenMiles driven weeklyPay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailer14Trailer lengthUnemploymentStart Date 12-2011End Date 01-2012Comment took a month vacationPilgrim PrideCompany Pilgrim PrideStart Date 08-2007End Date 12-2011AddressCity, State/Province Zip/Postal Douglas, GACountry United StatesPhone PHONE NUMBER AVAILABLEFax PHONE NUMBER AVAILABLEPosition Held DriverReason for leaving? Got bought out by other company Were you terminated/discharged/laid off? NoIs 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 DrivenMiles driven weeklyPay Range (cents/mile)Most common truck driven Tractor-TrailerMost common trailerTrailer lengthUnemploymentStart Date 01-200715End Date 02-2007Comment Finding a nursing home for my dadTrucking SchoolStart Date 01-1994End Date 02-1994School All State Career SchoolAddressAddress 2City, State/Province Chester, PACountry United StatesPhoneDid you graduate? YesWere you subject to the Federal MotorCarrier or Transport Canada SafetyRegulations while attending this truckschool?YesDid you perform any safety sensitivefunctions at this truck school, regulated byDOT, and subject to drug and alcoholtesting?YesGPAHours of Instruction 180Border Crossing YesLog Books YesFederal Motor Carrier Regulations YesHazardous Materials YesMotor Vehicle Record1. Has any license, permit or privilege everbeen denied, suspended or revoked forany reason?No2. Have you ever been convicted of drivingduring license suspension or revocation, ordriving without a valid license or an expiredlicense, or are any charges pending?No3. Have you ever been convicted for anyalcohol or controlled substance relatedNo16offense while operating a motor vehicle, orare any charges pending?4. Have you ever been convicted forpossession, sale or transfer of an illegalsubstance (including but not limited to,marijuana, amphetamines, or derivativesthereof) while on duty, or are any chargespending?No5. Have you ever been convicted ofreckless driving, careless driving orcareless operation of a motor vehicle, orare any charges pending?No6. Have you ever tested positive, orrefused to test on a pre-employment drugor alcohol test by an employer to whomyou applied, but did not obtainsafety-sensitive transportation workcovered by DOT agency drug and alcoholtesting rules in past three years, or haveyou ever tested positive or refused to teston any DOT-mandated drug or alcoholtest?NoVehicle Accident RecordWere you involved in any accidents/incidents with any vehicle in the last 5 years (even if not at fault)?Type of Accident / Incident InjuryDate of Accident / Incident 08-2018Hazmat Accident / Incident NoWas the vehicle towed away? NoCityState/Province TNWere you in a commercial vehicle? YesIf yes, was this a Department ofTransportation recordable accident?YesWere you at fault? NoWere you ticketed? NoDescription Was in stop traffic. And 2 or 3 cars hit each other and one hit my landing gear..17Traffic Convictions \ ViolationsHave you had any moving violations or traffic convictions in the past 5 years? Violation Date 05-2018Charge / Description Failure to Obey SignalViolation State/Province GAIn Commercial Vehicle YesFined? YesLicense Suspended?License Revoked?Perform Community Service?Other Penalty?Fine Amount (if any):Comments: Failure to obey traffic control deviceTraffic Convictions \ ViolationsHave you had any moving violations or traffic convictions in the past 5 years? Violation Date 05-2017Charge / Description SpeedingMPH Over Limit: 11Violation State/Province GAIn Commercial Vehicle YesFined? YesLicense Suspended?License Revoked?Perform Community Service?Other Penalty?Fine Amount (if any):Comments:Criminal RecordHave you ever been convicted of a crime? NoDo you have any deferred prosecutions? NoDo you have criminal charges pending? No18Have you ever pled "guilty" to, beenconvicted of, or pled "no contest" to afelony?NoIf you have any felony convictions, do youcurrently hold a minister's permit to enteror exit Canada?NoHave you, within the last five years, pled"guilty" to, been convicted of, hadprosecution deferred in connection with, orpled "no contest" to a misdemeanor?NoSignatureFull Name Luis Anibal MartinezIP Address PHONE NUMBER AVAILABLESignature Date/Time 04-09-2024 2:53 PMBy clicking next, I agree that my electronic signature will be applied to my application. An electronic signature is as legally binding as an ink signature. This 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: 04-09-2024 2:53 PMSigned: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.YesAdditional Consent or CertificationBy 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 asYes19legally binding as an ink signature.FCRA 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 myconsent. An electronic signature is aslegally binding as an ink signature.YesClearinghouse 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.YesUser Requested CopyUser requested a copy to be sent to thisemail address lulmsquared@gmail.com.Yes20DISCLOSURE AND RELEASEIn connection with your employment or application for employment (including contract for services) through Candidate's Name , consumer reports(Investigative Consumer Reports in California) may be requested from Asurint. These reports may include the following types of information: names and dates of previous employers, reasons for termination of employment, work experience, accidents, academic history, professional credentials and drug/alcohol use. Such reports may contain public record information concerning your driving record, workers' compensation claims, credit, bankruptcy proceedings, criminal records, etc. from federal, state and other agencies that maintain such records; as well as information from Asurint concerning previous driving record requests made by others from such state agencies and state provided driving records. We also will obtain driving/accident and safety inspection history records maintained by the Federal Motor Carrier Safety Administration ("FMCSA"). You have the right to make a request to Asurint, upon proper identification, to request the nature and substance of all information in its files on you at the time of your request, including the explaining of any coded information, the sources of information and the recipients of any reports on you that Asurint has previously furnished within the past two year period preceding your request (3 years in California). I AUTHORIZE, WITHOUT RESERVATION, ASURINT, FMCSA AND ANY OTHER PARTY OR AGENCY CONTACTED BY ASURINT TO FURNISH THE ABOVE MENTIONED INFORMATION. THIS AUTHORIZATION DOES NOT APPLY TO DRUG AND ALCOHOL INFORMATION CONTAINED UNDER PART I.I hereby consent to your obtaining the above information from Asurint, and I agree that such information which Asurint has or obtains in my employment history (not DOT drug and alcohol information without a specific consent by me) with you if I am hired, will be supplied by Asurint to other companies which subscribe to Asurint. I hereby authorize procurement of consumer reports as set forth above. If hired or contracted, this authorization for reports covered by this release only shall remain on file and shall serve as an ongoing authorization for you to procure consumer reports at any time during my employment or contract period. I consent to you obtaining the above information from FMCSA. I understand that the FMCSA maintains sole control over that data and you cannot change or alter such information. If I dispute any information maintained by FMCSA, I must personally contact the FMCSA by accessing the DataQs System at: https://dataqs.fmcsa.dot.gov.Printed Name:Luis Anibal MartinezSocial Security #:5689Signed Date: 04-09-2024Luis Anibal Martinez217 Central Lake CirGriffin, GA 30224PHONE NUMBER AVAILABLEGender:21Consent for Limited Queries of the Federal Motor Carrier Safety Administration (FMCSA) Drug and Alcohol ClearinghouseI hereby provide consent to Candidate's Name 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. 04-09-2024Luis Anibal Martinez Date22TO BE READ AND SIGNED BY APPLICANTThis certifies that this application was completed by me, and that all entries on it and information on it are true and complete to the best of my knowledge.Printed Name: Luis Anibal MartinezSocial Security #: 5689Signed Date: 04-09-2024Signed:END OF APPLICATION23IMPORTANT NOTICE REGARDING BACKGROUND REPORTS FROM THE PSP ONLINE SERVICE1. In connection with your application for employment with Candidate's Name 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 consenting to 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 |
