Driver Information
Resume:
SKILLS & EXPERIENCE
Skills Summary:
**/** **** *** *** Lifting: 1-15lbs 15-25lbs 25-50lbs
Airbrakes Moffet
Boom Truck Oversize Load
Chains OTR
City Delivery Pole Trailer
CDL A B (circle one) Pups
Class C Qualcom
Combo Unit Truck Refer Trailer
Concrete Mixer Roll-Off
Container Shuttle Driver
Conventional Types Single Unit Truck
Defensive Driving Sleeper Cabs
Dispatch Office Smith System
Doubles Standard Dump Truck
Dump Truck Straps
Endorsements H T N X P (circle one) Supervisor
Flatbed Trailer Tankers
Forklift Tarps
Full Trailer Triples
Garbage Truck Truckload
Heavy Equipment Vans
Interstate Warehouse
Intrastate Winter Driving
Jockey/Switcher
Experience Summary:
PLEASE LIST ALL EXPERIENCE WITH COMPUTER SOFTWARE/PROGRAMMING LANGUAGES. PLEASE RATE EACH LANGUAGE ON A SCALE OF 1-5; WITH 1 MEANING WEAKEST AND 5 MEANING STRONGEST: LIST SPECIAL EQUIPMENT OR TECHNICAL MATERIALS YOU CAN WORK WITH (OTHER THAN THOSE ALREADY SHOWN) TO BE READ AND SIGNED BY APPLICANT
I certify that all the information I have provided on this application is true and complete to the best of my knowledge. I understand that omitting requested information or giving false information on my application, in my interview(s), or in the process of my pre-employment evaluation may result in rejection of my application or termination, if I am hired.
I authorize investigation of all statements in this application as may be necessary in arriving at an employment decision. I understand that if employed, I will be required to abide by all company policies, standards, and regulations. I understand that this application does not represent an offer of, or contract for, employment. I understand that employment with this company is “at will,” and that no guarantee of job exists. If employed, I may terminate employment at any time for any reason, and the company may terminate my employment at any time, for any reason. This application and any other related Road Dog Drivers paperwork is the sole property of Road Dog Drivers and no completed paperwork will be distributed to the applicant prior, during or after employment. Signature Da
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MOTOR VEHICLE DRIVERS
CERTIFICATIONS OF VIOLATIONS / ANNUAL REVIEW DRIVING RECORD MOTOR CARRIER INSTRUCTIONS: Each motor carrier shall at least once every 12 months, require each driver it employs to prepare and furnish it with a list of all violations of motor vehicle traffic laws and ordinances (other than violations involving only parking) of which the driver has been convicted, or on account which he/she has forfeited bond or collateral during the preceding 12 months (Section 391.27). Drivers who have provided information required by Section 383-30 need not repeat that information on this form.
DRIVER REQUIREMENTS: Each driver shall furnish the list as required by the motor carrier above. If the driver has not been convicted of, or forfeited bond collateral on account of any violation which must be listed, he/she shall so certify (Section 291.27). COMPLETED BY DRIVER – CERTIFICATION OF VIOLATIONS
NAME OF DRIVER (PRINT):
SSN: DATE OF BIRTH:
HOME TERMINAL (CITY AND STATE):
DRIVER’S LICENSE # /
STATE:
EXPIRATION DATE
I certify that the following is a true and complete list of traffic violations required to be listed (other than those I have provided under Part 383) for which I have been convicted or forfeited bond or collateral during the past 12 months. If you have had no violations, check the following box: If no violations are listed above, I certify that I have not been convicted or forfeited bond of collateral on account of any violator
(other than those I have provided under Part 383) required to be listed during the past 12 months. Date of Certification: Driver’s Signature: COMPLETED BY MOTOR CARRIER – ANNUAL REVIEW OF DRIVING RECORD MOTOR CARRIER INSTRUCTIONS: Review the Certification of Violations listed above and other information described in Section 391.25 of the Federal Motor Carrier Safety Regulations. Complete the information requested below. I have hereby reviewed the driving record of the above-named driver in accordance with Section 391.25 and find that he/she (check one):
Meets minimum requirements for safe driving.
Is disqualified to drive a motor vehicle pursuant to Section 391.15
Does not adequately meet satisfactory safe driving performance. Action taken with driver:
Reviewed By: Signature Date:
Road Dog Drivers Representative (Print Name)
Road Dog Drivers – Transportation Division
DATE OFFENSE LOCATION TYPE OF VEHICLE
OPERATED
DocuSign Envelope ID: 99C8BB07-6E70-4969-82AF-3F2ED98F4025 07071955
driving in bike ln personal
san jose
02/28/2020
6/4/2018
union city,ca
547883118
02/2016
N0456888
Elmer Garcia
DocuSign Envelope ID: 99C8BB07-6E70-4969-82AF-3F2ED98F4025 Elmer Garcia
6/4/2018
DocuSign Envelope ID: 99C8BB07-6E70-4969-82AF-3F2ED98F4025 Elmer Garcia N0456888
6/4/2018
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