Delivery Experience Non-Cdl
Resume:
Applicant Name: Kelly Johanna Novoa
Company Name: Amazon Logistics, Inc.
Company Address: 410 Terry Ave N Seattle, WA 98109-5210 Submitted Date/Time: April 15, 2023 02:49 PM (CDT) 1.PERSONAL INFORMATION
Applicant Details
Last Name: Novoa
First Name: Kelly
Middle Name: Johanna
Birth Date: October 01, 1976
Identification Country USA
SSN/SIN/Other Identification Number: ***-**-****
Phone Number: 470-***-****
Email Address: ad5c3p@r.postjobfree.com
Current Residency Details
Current Address: 1047 Haley Woods Ct
Country: USA
State/Province: Georgia
County: Gwinnett
City/Municipality: Lawrenceville
Zip Code/Postal Code: 30043
Residence From: Oct 2020 to Apr 2023
Previous Residency Details
Current Address: Arbor Dr
Country: USA
State/Province: Georgia
County: Gwinnett
City/Municipality: Duluth
Zip Code/Postal Code: 30096
Residence From: Jul 2018 to Oct 2020
2. EMPLOYMENT HISTORY
This position is non-CDL; you will be required to provide 3 years of employment history below. Current or Most Recent Employer /Company Name /Truck Driving School /Self Employment Are you currently employed? Yes
Employer/Company Name: S&S Distribution Driver
Phone Number: 404-***-****
Address: 5000 Lanier Islands Pkwy Buford GA
Country: USA
State/Province: Georgia
City: Buford
Zip Code/Postal Code: 30518
Position Held: Driver
From: Apr 2023 to Apr 2023
Reason for Leaving: Still Employed
Were you subject to the FMCSRs while employed? Yes Was your job designated as a safety-sensitive
function in any DOT-regulated mode subject to the
drug and alcohol testing requirements of 49 CFR
Part 40?
Yes
Employer 2
Employer/Company Name: Amazon Flex
Phone Number: 888-***-****
Address: Online app
Country: USA
State/Province: Georgia
City: Atlanta
Zip/Postal Code: 30041
Position Held: Driver and delivery
From: Jul 2019 to Apr 2023
Reason for Leaving: Took Different Job
Were you subject to the FMCSRs while employed? Yes Was your job designated as a safety-sensitive
function in any DOT-regulated mode subject to the
drug and alcohol testing requirements of 49 CFR
Part 40?
Yes
Employer 3
Employer/Company Name: Top gun
Phone Number: 404-***-****
Address: 5000 Lanier Islands Pkwy Buford, GA 30518 United States
Country: USA
State/Province: Georgia
City: Buford
Zip/Postal Code: 30518
Position Held: Driver
From: May 2020 to Nov 2021
Reason for Leaving: Laid-Off
Were you subject to the FMCSRs while employed? Yes Was your job designated as a safety-sensitive
function in any DOT-regulated mode subject to the
drug and alcohol testing requirements of 49 CFR
Part 40?
Yes
3. EXPERIENCE AND QUALIFICATIONS
Driving Experience
Commercial Driving experience in the last 3 years: No Accident Details
In the last 3 years, have you been in an Accident? No Traffic Conviction and/or Forfeitures Details
In the last 3 years, have you had any traffic
convictions and/or forfeitures?:
No
Current License Information
Current State/Province of Residence: Georgia
Current License Number: 071108542
License Class: CDL - C
Expiration Date: 10/01/2028
Other Information
Have you ever been denied a license, permit, or
privilege to operate a motor vehicle? No More
Information:
No
More Information:
Has any license, permit or privilege ever been
suspended or revoked?
No
More Information:
CDL Endorsements: None
More Information:
CDL Restrictions: None
More Information:
4. UPLOAD RELATED DOCUMENTS
Below are the documents that have been uploaded
Document Type Document Title
Driver’s License (Front) 3764D676-F536-49DF-B970-83B54A901CC3.Pdf Driver’s License (Back) 1A875B10-BFE7-41CD-93D2-413C2ABF45F0.Pdf Medical Certificate image.Pdf
5. FORMS
Below are the disclosure documents that have been uploaded Document Section Document Name
Disclosures & Authorizations Disclosure Regarding Background Investigation Disclosures & Authorizations Disclosure Regarding Investigative Background Investigation
Disclosures & Authorizations Acknowledgement and Authorization for Background Check
Disclosures & Authorizations Summary of Rights Under the Fair Credit Reporting Act
DOT Documents Safety Performance History Request FMCSA Non- Ordering
DOT Documents Safety Performance History Request FMCSA Non- Ordering
DOT Documents Safety Performance History Request FMCSA Non- Ordering
I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23 (d) and (e). I understand that I have the right to:
* Review information provided by current previous employers;
* Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and
* Have a rebuttal statement attached to the alleged erroneous information if the previous employer(s) and I cannot agree on the accuracy of the information.
Applicant Certification
By clicking this box, I certify 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. This application is being completed for: Amazon Logistics, Inc. 410 Terry Ave N Seattle, WA 98109-5210 ACKNOWLEDGEMENT FOR ELECTRONIC SIGNATURE
Your Name: Kelly Johanna Novoa
Your SSN's Last Four Numbers: 9447
* I acknowledge that my name and my (SSN/Last four SSN) which is displayed above, is accurate, and by checking the Acceptance Box, and by clicking on the “Next Document” Button below, I am electronically signing the above document.
* I understand that my electronic signature will be binding as though I had physically signed this document by hand. I agree that a printout of this authorization may be accepted with the same authority as the original. Signature:
Date: 4/15/2023
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