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Laundry, an truck driver

Location:
Cleveland, OH, 44109
Posted:
June 10, 2017

Contact this candidate

Original resume on Jobvertise

Resume:

Pace Drivers **-**-**** **:**:**PM CDT

**** ********* ****

Cleveland, OH 44109

216-***-****

IntelliApp

Thank you for your interest in Pace Drivers. 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.

In compliance with Federal and State equal employment opportunity laws, qualified

applicants are considered for all positions without regard to race, color, religion, sex,

national origin, age, marital status, veteran status, non-job related disability, or any other

protected group status.

Personal Information

Referral Code: Indeed

Name Terry Walker

Residence 3 years or longer (If No, Yes

previous addresses shown below)

Current Address 2383 Noble Rd

Address 2 2610 Idlewood

City, State/Province Zip/Postal Cleveland Hts, OH 44118

Country United States

SSN/SIN 7152

Date of Birth

Primary Phone 215-***-****

Cell Phone 215-***-****

Preferred method of contact Cell Phone

Best time to contact you Any

Email ac0r5u@r.postjobfree.com

Yes, I want to receive information and Yes

communications from Pace Drivers

concerning future opportunities or

promotions.

Yes, I want to receive text messages from Yes

Pace Drivers. *By participating, you

consent to receive text messages sent by

an automatic telephone dialing system.

Consent to these terms is not a condition

of hire. You may opt out at any time by

texting STOP to unsubscribe. Message

and Data Rates May Apply.

Company Questions

GENERAL INFORMATION

What position are you applying for? Company Driver

If you answered "Owner Operator" or No

"Fleet Owner", select yes.

EQUIPMENT (OWNER/OPERATORS ONLY)

Equipment Description (Tractor):

Type:

Year:

Make:

Model:

Color:

VIN:

Weight

Mileage

Fifth Wheel Height

What city/state are you applying for? Twinsburg

Are you legally eligible for employment in Yes

the United States?

Are you currently employed? No

What date did your last employment end? 1/25/2017

Do you read, write, and speak English? Yes

Have you ever worked for this company No

before?

Enter start and end dates, location,

position, rate of pay, and reason for

leaving:

Do you have a current TWIC card? Yes

Expiration date: 08/31/2018

Please enter the names of any relatives

employed here:

Have you ever been known by any other No

name?

Enter name:

How did you hear about us? Indeed

If "Driver Referral", please enter the

driver's name

If "Other", please explain

In case of Emergency, notify (list name, 21595 Lakeshore euclid ohio 44124. Kiya

address, and phone): Walker my daughter.

DRIVING EXPERIENCE

For each class of equipment, enter type of equipment (van, reefer, tank, etc.), start and

end dates, and approximate number of total miles. If no experience in a class, enter

"NONE".

Straight Truck For 6 months at jrl.king.over 3000 miles in

6 months.

Tractor and Semi-Trailer None

Tractor - Two Trailers None

Other Tandem garagbe trucks tandem snow plow

truck tandem dump trucks.

Which safe driving awards do you hold City of Cleveland for snow plowing an

and from whom? waste collection.

EDUCATION

List highest grade completed: Grade 12

List last school attended (name, city, and Shaw high school

state):

PERSONAL REFERENCES

List name, address, city, state, phone number, and relationship:

First Reference: Michael Nunn. Head fotman in waste

collection.city of Cleveland. 316-***-****.

Second Reference: Jacquelyn Salters.retired secretary at

ODOT.for roads and

transportation.216-***-****.

Licenses

License Number 233

State/Province OH

Country United States

License Class Class B

License Expiration Date 07-31-2018

Physical Expiration Date 08-05-2018

Current License Yes

Commercial Driver License Yes

Endorsements

Tanker Endorsement No

HAZMAT Endorsement No

X Endorsement No

Doubles Triples Endorsement No

Other Endorsement Yes

Employment / Unemployment

Unemployment

Start Date 02-2017

End Date 03-2017

Comment Looking for work.

JRL.King transportaion

Company JRL.King transportaion

Start Date 09-2016

End Date 01-2017

Address 21404 north lane.

City, State/Province Zip/Postal Bedford Hts, OH 44146

Country United States

Phone 440201938

Position Held Truck drivet

Reason for leaving? Lower pay an did not tell me was paying

the menore.

Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor Yes

vehicle?

Were you subject to the Federal Motor Yes

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive Yes

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven Ohio

Miles driven weekly 500-1000

Pay Range (cents/mile) $90.a day

Most common truck driven Class B Vehicle

Most common trailer Other

Trailer length 31 feet or less

JRL.King transportion

Company JRL.King transportion

Start Date 08-2016

End Date 01-2017

Address 21404 north lane.

City, State/Province Zip/Postal Bedford Hts, OH 44146

Country United States

Phone 440201938

Position Held Delivery truck driver

Reason for leaving? Found out he lowred my pay an did not let

me be aware was pa

Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor Yes

vehicle?

Were you subject to the Federal Motor Yes

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive Yes

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven All ohio

Miles driven weekly 1000-1500

Pay Range (cents/mile) $90. S day

Most common truck driven Class B Vehicle

Most common trailer Container

Trailer length 31 feet or less

Unemployment

Start Date 02-2014

End Date 08-2016

Comment I broke my ankle feb 02/14/2014 had

surgery an then alot of thearpy.

Motor Vehicle Record

1. Has any license, permit or privilege ever No

been denied, suspended or revoked for

any reason?

2. Have you ever been convicted of driving No

during license suspension or revocation, or

driving without a valid license or an expired

license, or are any charges pending?

3. Have you ever been convicted for any No

alcohol or controlled substance related

offense while operating a motor vehicle, or

are any charges pending?

4. Have you ever been convicted for No

possession, sale or transfer of an illegal

substance (including but not limited to,

marijuana, amphetamines, or derivatives

thereof) while on duty, or are any charges

pending?

5. Have you ever been convicted of No

reckless driving, careless driving or

careless operation of a motor vehicle, or

are any charges pending?

6. Have you ever tested positive, or No

refused to test on a pre-employment drug

or alcohol test by an employer to whom

you applied, but did not obtain

safety-sensitive transportation work

covered by DOT agency drug and alcohol

testing rules in past three years, or have

you ever tested positive or refused to test

on any DOT-mandated drug or alcohol

test?

Vehicle Accident Record

Were you involved in any accidents/incidents with any vehicle in the last 5 years (even

if not at fault)?

No Accidents

Traffic Convictions \ Violations

Have you had any moving violations or traffic convictions in the past 3 years?

No Violations

Criminal Record

Have you ever been convicted of a crime? No

Do you have any deferred prosecutions? No

Do you have criminal charges pending? No

Have you ever pled "guilty" to, been No

convicted of, or pled "no contest" to a

felony?

If you have any felony convictions, do you No

currently hold a minister's permit to enter

or exit Canada?

Have you, within the last five years, pled No

"guilty" to, been convicted of, had

prosecution deferred in connection with, or

pled "no contest" to a misdemeanor?

Federal FCRA Summary of Rights Acknowledgment

By checking this box, I acknowledge that I Yes

have read and understand the Summary of

Rights.

Drug and Alcohol Release

I agree with the above language Yes

Certification Release

I agree with the above language Yes

PSP Release

I agree with the above language Yes

User Requested Copy

User requested a copy to be sent to this Yes

email address

ac0r5u@r.postjobfree.com.

By my check of this box, I represent that I Yes

understand and agree to the above and

that I intend to execute this document by

electronic signature in checking this box.

Signature

Full Name Terry Walker

IP Address 172.58.201.66

Signature Date/Time 03-17-2017 12:58 PM

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: 03-17-2017 12:58 PM

Signed:

8

AUTHORIZATION FOR CONSUMER REPORTS

I hereby authorize Company to obtain the consumer reports described above about me.

Printed Name: Terry Walker

2383 Noble Rd

Terry Walker

2610 Idlewood

Social Security #: Cleveland Hts, OH 44118

7152 215-***-****

Gender:

Signed Date: 03-17-2017

9

IMPORTANT DISCLOSURE

REGARDING BACKGROUND REPORTS FROM THE PSP Online Service

In connection with your application for employment with Pace Drivers ("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.

AUTHORIZATION

If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below:

I authorize Pace Drivers ("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:

Terry Walker

Signed Date: 03-17-2017

OTHER DISCLOSURES, ACKNOWLEDGMENTS & AUTHORIZATIONS REGARDING

BACKGROUND INVESTIGATION FOR EMPLOYMENT PURPOSES

Disclosures

Investigative Consumer Report:

Pace Drivers (the "Company") may request an investigative consumer report about you from HireRight, Inc. ("HireRight"), a consumer

reporting agency, in connection with your employment or application for employment (including independent contractor or volunteer

assignments, as applicable). An "investigative consumer report" is a background report that includes information from personal interviews

(except in California, where that term includes background reports with or without information obtained from personal interviews), the most

common form of which is checking personal or professional references through personal interviews with sources such as your former

employers and associates, and other information sources. The investigative consumer report may contain information concerning your

character, general reputation, personal characteristics, mode of living, or credit standing. You may request more information about the

nature and scope of an investigative consumer report, if any, by contacting the Company.

Ongoing Authorization:

If the Company hires you or contracts for your services, the Company may obtain additional consumer reports and investigative consumer

reports about you without asking for your authorization again, throughout your employment or your contract period, as allowed by law.

Additional State Law Notices:

Please see the "Additional State Law Notices" for California, Massachusetts, Minnesota, New Jersey, New York, and Washington that are

provided below, as applicable. A California disclosure and summary of your rights under California Civil Code Section 1786.22, and a copy

of New York Article 23-A, are being provided to you separately.

Summary of Rights under the Fair Credit Reporting Act:

A summary of your rights under the Fair Credit Reporting Act is being provided to you separately.

San Francisco Fair Chance Ordinance Official Notice:

A copy of the San Francisco Fair Chance Ordinance Official Notice is being provided to you separately.

HireRight Privacy Policy:

Information about HireRights privacy practices is available at www.hireright.com/Privacy-Policy.aspx.

Acknowledgments & Authorization

I acknowledge that I have received and carefully read and understand the separate "Disclosure and Authorization Regarding Background

Investigation for Employment Purposes"; and the separate "Summary of Rights under the Fair Credit Reporting Act" that have been

provided to me by the Company. I also acknowledge receipt of and that I have carefully read and understand (as applicable), the separate

California Disclosure and Summary of Rights under California Civil Code Section 1786.22; the separate New York Article 23-A; and the

separate San Francisco Fair Chance Ordinance Official Notice that have been provided to me.

By my signature below, I authorize the preparation of background reports about me, including background reports that are "investigative

consumer reports" by HireRight, and to the furnishing of such background reports to the Company and its designated representatives and

agents, for the purpose of assisting the Company in making a determination as to my eligibility for employment (including independent

contractor or volunteer assignments, as applicable), promotion, retention or for other lawful employment purposes. I understand that if the

Company hires me or contracts for my services, my consent will apply, and the Company may, as allowed by law, obtain from HireRight

(or from a consumer reporting agency other than HireRight) additional background reports pertaining to me, without asking for my

authorization again, throughout my employment or contract period.

I understand that if the Company obtains a credit report about me, then it will only do so where such information is substantially related to

the duties and responsibilities of the position in which I am engaged or for which I am being evaluated.

I understand that information contained in my employment (or contractor or volunteer) application, or otherwise disclosed by me before or

during my employment (or contract or volunteer assignment), if any, may be used for the purpose of obtaining and evaluating background

reports on me. I also understand that nothing herein shall be construed as an offer of employment or contract for services.

I understand that the information included in the background reports may be obtained from private and public record sources, including

without limitation and as appropriate: government agencies and courthouses; educational institutions; and employers. Accordingly, I

hereby authorize all of the following, to disclose information about me to the consumer reporting agency and its agents: law enforcement

and all other federal, state and local government agencies and courts; educational institutions (public or private); testing agencies;

information service bureaus; credit bureaus and other consumer reporting agencies; other public and private record/data repositories;

motor vehicle records agencies; my employers; the military; and all other individuals and sources with any information about or concerning

me. The information that can be disclosed to the consumer reporting agency and its agents includes, but is not limited to, information

concerning my: employment and earnings history; education, credit, motor vehicle and accident history; drug/alcohol testing results and

history; criminal history; litigation history; military service; professional licenses, credentials and certifications; social security number

verification; address and alias history; and other information.

By my signature below, I also promise that the personal information I provide with this form or otherwise in connection with my background

investigation is true, accurate and complete, and I understand that dishonesty or material omission may disqualify me from consideration

for employment. I agree that a copy of this document in faxed, photocopied or electronic (including electronically signed) form will be valid

like the signed original. I further acknowledge that I have received additional state law notices that I have reviewed and read.

Printed Name: Terry Walker Signed Date: 03-17-2017

Social Security #: 7152

Signed:

12

Additional State Law Notices

Please also note the following:

CALIFORNIA: Pursuant to section 1786.22 of the California Civil Code, you may view the file maintained on you by the consumer

reporting agency during normal business hours. You may also obtain a copy of this file, upon submitting proper identification and paying

the actual copying costs, by appearing at the consumer reporting agency's offices in person, during normal business hours and on

reasonable notice, or by certified mail. You may also receive a summary of the file by telephone, upon submitting proper identification and

written request. The consumer reporting agency has trained personnel available to explain your file to you, including any coded

information, and will provide a written explanation of any coded information contained in your file. If you appear in person, you may be

accompanied by one other person, provided that person furnishes proper identification. "Proper identification" includes documents such as

a valid driver's license, social security account number, military identification card, and credit cards. If you cannot identify yourself with

such information, the consumer reporting agency may require additional information concerning your employment and personal or family

history to verify your identity.

HireRight, Inc. ("HireRight") will prepare the background report for the Company. HireRight is located and can be contacted at 3349

Michelson Drive, Suite 150, Irvine, CA 92612, 800-***-****. Information about HireRight's privacy practices is available at

www.hireright.com/Privacy-Policy.aspx.

MASSACHUSETTS: Upon request to the Company, you have the right to know whether the Company requested an investigative

consumer report about you and, upon written request to the Company, you have the right to receive a copy of any such report. You also

have the right to ask the consumer reporting agency (e.g., HireRight) for a copy of any such report.

MINNESOTA: You have the right in most circumstances to submit a written request to the consumer reporting agency (e.g., HireRight) for

a complete and accurate disclosure of the nature and scope of any consumer report the Company ordered about you. The consumer

reporting agency must provide you with this disclosure within 5 days after (i) its receipt of your request or (ii) the date the report was

requested by the Company, whichever date is later.

NEW JERSEY: You have the right to submit a request to the consumer reporting agency (e.g., HireRight) for a copy of any investigative

consumer report the Company requested about you.

NEW YORK: You have the right, upon written request to the Company, to be informed of whether or not the Company requested a

consumer report or an investigative consumer report about you. Shown above is the address and telephone number for HireRight, the

consumer reporting agency used by the Company. You may inspect and receive a copy of any such report by contacting that consumer

reporting agency. A copy of Article 23-A of the New York Correction Law is also provided below.

WASHINGTON STATE: If the Company requests an investigative consumer report, you have the right, upon written request made to the

Company within a reasonable period of time after your receipt of this disclosure, to receive from the Company a complete and accurate

disclosure of the nature and scope of the investigation requested by the Company. You are entitled to this disclosure within 5 days after

the date your request is received or the Company ordered the report, whichever is later. You also have the right to request a written

summary of your rights and remedies under the Washington Fair Credit Reporting Act.

Request/Consent for Information from Previous Employer(s)/Carrier(s) For Alcohol and Controlled Substances Testing

Records

And changes in Parts 390 and 391 of the FMCSA

Terry Walker

03-17-201*-****

X X

2383 Noble Rd

Date Social Security Number

2610 Idlewood

Cleveland Hts, OH 44118

215-***-****

Gender:

Terry Walker

X X

Print Name (First, MI, Last) Signature

I, the above mentioned signer, hereby authorize JRL.King transportaion

To release and forward in accordance with the following regulation, all known information pertaining to my alcohol and controlled substances

testing/training records to Pace Drivers

DISCLOSURE AND RELEASE

In accordance with DOT Regulation 49 CFR Part 391.23, I authorize the release of information from my DOT regulated drug and

alcohol testing records by the carriers (company/school) listed above to Pace Drivers, or to HireRight for the sole purpose of

transmitting such records to Pace Drivers. I authorize release of the following information concerning DOT drug and alcohol testing

violations including pre-employment tests during the past three years: (i) alcohol tests with a result of 0.04 or higher; (ii) verified

positive drug tests; (iii) refusals to be tested (including verified adulterated or substituted results); (iv) other violations of DOT drug and

alcohol testing regulations; (v) information obtained from previous employers of a drug and alcohol rule violation(s); and (vi)

documents, if any, of completion of a return-to-duty process following a rule violation. I also authorize the carriers (company/school)

listed above to release information about names and dates of previous employers, reasons for termination of employment, work

experience, accidents, academic history, professional credentials and other information.

The information that I have authorized Pace Drivers or HireRight to review involves tests required by DOT. If any carrier

(company/school) listed above furnishes Pace Drivers or HireRight with information concerning items (i) through (vi) above, I also

authorize that carrier (company/school) to release and furnish the dates of my negative drug and/or alcohol tests and/or tests with

results below 0.04 during the three-year period and the name and phone number of any substance abuse professional who evaluated

me during the past three years.

Request/Consent for Information from Previous Employer(s)/Carrier(s) For Alcohol and Controlled Substances Testing

Records

And changes in Parts 390 and 391 of the FMCSA

Terry Walker

03-17-201*-****

X X

2383 Noble Rd

Date Social Security Number

2610 Idlewood

Cleveland Hts, OH 44118

215-***-****

Gender:

Terry Walker

X X

Print Name (First, MI, Last) Signature

I, the above mentioned signer, hereby authorize JRL.King transportion

To release and forward in accordance with the following regulation, all known information pertaining to my alcohol and controlled substances

testing/training records to Pace Drivers

DISCLOSURE AND RELEASE

In accordance with DOT Regulation 49 CFR Part 391.23, I authorize the release of information from my DOT regulated drug and

alcohol testing records by the carriers (company/school) listed above to Pace Drivers, or to HireRight for the sole purpose of

transmitting such records to Pace Drivers. I authorize release of the following information concerning DOT drug and alcohol testing

violations including pre-employment tests during the past three years: (i) alcohol tests with a result of 0.04 or higher; (ii) verified

positive drug tests; (iii) refusals to be tested (including verified adulterated or substituted results); (iv) other violations of DOT drug and

alcohol testing regulations; (v) information obtained from previous employers of a drug and alcohol rule violation(s); and (vi)

documents, if any, of completion of a return-to-duty process following a rule violation. I also authorize the carriers (company/school)

listed above to release information about names and dates of previous employers, reasons for termination of employment, work

experience, accidents, academic history, professional credentials and other information.

The information that I have authorized Pace Drivers or HireRight to review involves tests required by DOT. If any carrier

(company/school) listed above furnishes Pace Drivers or HireRight with information concerning items (i) through (vi) above, I also

authorize that carrier (company/school) to release and furnish the dates of my negative drug and/or alcohol tests and/or tests with

results below 0.04 during the three-year period and the name and phone number of any substance abuse professional who evaluated

me during the past three years.



Contact this candidate