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Click here or scroll down to respond to this candidateCandidate's Name 03-21-2024 9:41:09AM CDTIntelliAppSave time and effort on all future truck driver job applications 1. Complete this application once, we save your data, at no cost to you 2. When you fill out an application in the future, Street Address % of it will be filled in for you 3. All you need to update is any data that has changed since you last saved it 4. New applications can be done in minutes instead of hours It is that simple. Over half of the drivers in the US already have an application on file with us.Personal InformationReferral Code: pulse_appName Ryan WoodardResidence 3 years or longer (If No, previousaddresses shown below)YesCurrent Address 1674 Burrsville RdCity, State/Province Zip/Postal Brick, NJ 08724Country United StatesResidence 3 years or longer (If No, previousaddresses shown below)YesSSN/SIN 1749Date of BirthPrimary Phone PHONE NUMBER AVAILABLECell Phone PHONE NUMBER AVAILABLEPreferred method of contact Primary PhoneBest time to contact you AnyEmail EMAIL AVAILABLEWhat type of position are you seeking? Owner Operator LicensesLicense Number 832Licensing Authority NJCountry USLicense Class Class ALicense Expiration Date 11-13-20271DOT Medical Card Expiration Date 05-15-2026Current License YesCommercial Driver License YesEndorsements NoneEmployment / UnemploymentKira express llcCompany Kira express llcStart Date 02-2020End Date 03-2024AddressCity, State/Province Zip/Postal Brick, NJCountry United StatesPhonePosition HeldReason for leaving? Closed downWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motor vehicle? YesWere you subject to the Federal Motor Carrieror Transport Canada Safety Regulations whileemployed/contracted by thisemployer/contractor?YesDid you perform any safety sensitive functionsin this job, regulated by DOT, and subject todrug and alcohol testing?YesAreas Driven USAMiles driven weeklyMost common truck driven Tractor-TrailerMost common trailer VanTrailer length 53 feet or moreWider Group IncCompany Wider Group IncStart Date 06-2019End Date 07-20202AddressCity, State/Province Zip/Postal Willowbrook, ILCountry United StatesPhonePosition Held Owner operatorReason for leaving? Was lied to about payWere you terminated/discharged/laid off? NoIs this your current employer? YesMay we contact this employer at this time? YesDid you operate a commercial motor vehicle? YesWere you subject to the Federal Motor Carrieror Transport Canada Safety Regulations whileemployed/contracted by thisemployer/contractor?NoDid you perform any safety sensitive functionsin this job, regulated by DOT, and subject todrug and alcohol testing?NoAreas DrivenMiles driven weeklyMost common truck driven Tractor - TrailerMost common trailer VanTrailer lengthKreilkamp Trucking, Inc.Company Kreilkamp Trucking, Inc.Start Date 06-2015End Date 05-2019Address Hwy 175City, State/Province Zip/Postal Allenton, WICountry United StatesPhone PHONE NUMBER AVAILABLEPosition Held class a our driverReason for leaving? went Owner operatorWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motor vehicle? Yes3Were you subject to the Federal Motor Carrieror Transport Canada Safety Regulations whileemployed/contracted by thisemployer/contractor?YesDid you perform any safety sensitive functionsin this job, regulated by DOT, and subject todrug and alcohol testing?YesAreas DrivenMiles driven weeklyMost common truck driven Tractor - TrailerMost common trailerTrailer lengthHarvest house bakeryCompany Harvest house bakeryStart Date 01-2003End Date 02-2015AddressCity, State/Province Zip/Postal Howell, NJCountry United StatesPhonePosition HeldReason for leaving? Got my cdlWere you terminated/discharged/laid off? NoIs this your current employer? NoMay we contact this employer at this time? YesDid you operate a commercial motor vehicle? YesWere you subject to the Federal Motor Carrieror Transport Canada Safety Regulations whileemployed/contracted by thisemployer/contractor?NoDid you perform any safety sensitive functionsin this job, regulated by DOT, and subject todrug and alcohol testing?YesAreas DrivenMiles driven weeklyMost common truck driven Tractor-TrailerMost common trailer VanTrailer length4Trucking SchoolStart Date 03-2015End Date 05-2015School Smith and SolomonAddressAddress 2City, State/Province Lakewood, NJCountry United StatesPhoneDid you graduate? YesWere you subject to the Federal Motor Carrieror Transport Canada Safety Regulations whileattending this truck school?NoDid you perform any safety sensitive functionsat this truck school, regulated by DOT, andsubject to drug and alcohol testing?YesGPAHours of Instruction 160Border Crossing NoLog Books YesFederal Motor Carrier Regulations NoHazardous Materials NoEducationSchool Name smith and solomandStart Date 06-2015End Date 08-2015City, State/Province Lakewood, NJCountry United StatesWhat did you study? cdl schoolPhoneGraduation Date 08-20155FMCSRUnder FMCSR 391.15, are you currentlydisqualified from driving a commercial motorvehicle? [49 CFR 391.15]NoHas your license, permit or privilege to driveever been suspended or revoked for anyreason? [49 CFR 391.21(b)(9)]NoHave you ever been denied a license, permit, orprivilege to operate a motor vehicle?[49 CFR391.21(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 ever beenconvicted of any of the following offenses: [49CFR 391.15]:Driving a commercial motor vehiclewith a blood alcohol concentration("BAC") of .04 percent or moreDriving under the influence of alcohol,as prescribed by state lawRefusal to undergo drug and alcoholtesting as required by any jurisdictionfor the enforcement of Federal MotorCarrier Safety Act regulationsDriving a commercial motor vehicleunder the influence of any 21 C.F.R.1308.11 Schedule I identifiedcontrolled substance, an amphetamine,a narcotic drug, a formulation of anamphetamine, or a derivative of anarcotic drugTransportation, possession, or unlawfuluse of a 21 C.F.R. 1308.11 Schedule Iidentified controlled substance,amphetamines, narcotic drugs,formulations of an amphetamine, orderivatives of narcotic drugs while youwere on duty driving for a motorcarrierLeaving the scene of an accident whileoperating a commercial motor vehicleOr any other felony involving the useof a commercial motor vehicleNo6Vehicle Accident RecordWere you involved in any accidents/incidents with any vehicle in the last 5 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 Ryan WoodardIP Address PHONE NUMBER AVAILABLESignature Date/Time 03-21-2024 9:41 AMBy 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: 03-21-2024 9:41 AMSigned:User Requested CopyUser requested a copy to be sent to this emailaddress kiraexpress2@gmail.com.Yes7 |
