Information Truck

Location:

Texas

Posted:

June 14, 2015

Contact this candidate

Resume:

Heyl Truck Lines, Inc. **-**-**** *:**:**PM CDT

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

Akron, IA 51001

800-***-****

IntelliApp

Thank you for your interest in Heyl Truck Lines, Inc. 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

Name Kevin Michael Roundtree

Residence 3 years or longer (If No, No

previous addresses shown below)

Address 9550 N Wayside Dr

Address 2 Apt 1307

City, State/Province Zip/Postal Houston, TX 29934

Country United States

Addresses Over last 3 years Address 1

9550 N Wayside Dr

Houston, TX 29934

United States

05-2015 to 06-2015

Address 2

417 Family Drive

Pineland, SC 29934

United States

04-2009 to 05-2015

SSN/SIN 9164

Date of Birth

Primary Phone 843-***-****

Cell Phone 803-***-****

Preferred method of contact Primary Phone

Best time to contact you Any

Email ********@*****.***

Yes, I want to receive information and Yes

communications from Heyl Truck Lines,

Inc. concerning future opportunities or

promotions.

Yes, I want to receive text messages from Yes

Heyl Truck Lines, Inc.. *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

Position applied for: Company Driver

If Owner Operator, enter make/model of

truck, year, and number of original miles:

Do you have the right to work in the United Yes

States?

Can you provide proof of age? Yes

Do you have a current DOT physical? Yes

List the expiration date, the doctor's name 8/4/2015

and address, and the period qualified for (2

yr., 1 yr., 90 day)

Do you have a current TWIC card (US No

ports)?

Expiration date?

Do you have a current US or Canadian Yes

Passport (not required for US drivers)?

Enter issuing country and expiration date? 2022

Do you have a current FAST card (not No

required for US drivers)?

Expiration date?

How many jobs have you had in the last 3 3

years?

Have you worked for Heyl Trucking Lines No

before?

Please list location, start and end dates,

rate of pay, position, and reason for

leaving:

Have you ever been known by any other No

name?

Enter name

If you were referred to Heyl by an N/A

employee, enter the employee's name; if

you read about Heyl in a publication, enter

the publication's name; if you read about

Heyl in a Newspaper, enter the

Newspaper's name, city, and state; if you

read about Heyl on a sign, enter the sign's

location; if you read about Heyl on the

Internet, enter the web site; if none of the

above, describe how you heard about

Heyl:

Is there any reason you might be unable to No

perform the functions of the job for which

you have applied?

Please explain:

If you have a Canadian License or Class,

please indicate your Canadian Class here:

How many traffic violations have you had 2

in the last 3 years?

DRIVING EXPERIENCE

How long have you had a Class A CDL or 5 or more years

Canadians Class 1?

Straight Truck Yes

Tractor and Semi-trailer Yes

Refrigerated Yes

Van Yes

Flatbed Yes

Tanker Yes

OTR Yes

Regional Yes

Local Yes

Mountain No

Winter Yes

Other No

Select primary area you operated in for the Southeast

last five years

Show special courses on training that will

help you as a driver:

Show any trucking, transportation or other

experience that may help in your work for

this company:

List any additional courses and training:

EDUCATION

List highest grade completed: Grade 12

List last school attended (name, city, and Miami Northwestern

state):

ADDITIONAL COMMENTS

Please enter any information you would

like to add, or any additional explanation

pertinent to this position:

Licenses

License Number 950

State/Province SC

Country United States

License Class Class A

License Expiration Date 02-13-2019

Physical Expiration Date 09-03-2014

Current License Yes

Commercial Driver License Yes

Endorsements

Tanker Endorsement Yes

HAZMAT Endorsement No

X Endorsement No

Doubles Triples Endorsement Yes

Other Endorsement Yes

Employment / Unemployment

Jax Logistics

Company Jax Logistics

Start Date 04-2015

End Date 06-2015

Address 2432 W Peoria Ave

City, State/Province Zip/Postal Phoenix, AZ 48089

Country United States

Phone

Reason for leaving? Still working

Were you terminated/discharged/laid off? No

Is this your current employer? Yes

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 Texas

Miles driven weekly 2500-3000

Pay Range (cents/mile)

Most common truck driven Day Cab

Most common trailer Van

Trailer length 53 feet or more

JAX Logistics Dedicated Services, Inc.

Company JAX Logistics Dedicated Services, Inc.

Start Date 04-2015

End Date 05-2015

Address 2432 W Peoria Ave

Address 2 Suite 1091

City, State/Province Zip/Postal Phoenix, AZ 85029

Country United States

Phone 623-***-****

Position Held Shuttle Driver

Reason for leaving? Need job with Benefit

Were you terminated/discharged/laid off? No

Is this your current employer? Yes

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 Texas

Miles driven weekly 2000-2500

Pay Range (cents/mile)

Most common truck driven Day Cab Conventional

Most common trailer Van

Trailer length 53 feet or more

lkq corp

Company lkq corp

Start Date 02-2015

End Date 03-2015

Address 60 Telfair Place

City, State/Province Zip/Postal Savannah, GA 31408

Country United States

Phone 912-***-****

Position Held Driver

Reason for leaving? Temp Position

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 Ga

Miles driven weekly 2500-3000

Pay Range (cents/mile)

Most common truck driven Day Cab Conventional

Most common trailer Van

Trailer length 53 feet or more

Unemployment

Start Date 08-2014

End Date 01-2015

Comment

Unemployment

Start Date 08-2014

End Date 12-2014

Comment Seeking Employment

McCormick Trucking

Company McCormick Trucking

Start Date 07-2014

End Date 07-2014

Address 625 S. Church St

City, State/Province Zip/Postal Murfreesboro, TN 37130

Country United States

Phone 615-***-****

Fax 615-***-****

Position Held Tractor Trailer

Reason for leaving? Still working

Were you terminated/discharged/laid off? No

Is this your current employer? Yes

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 Florida

Miles driven weekly 500-1000

Pay Range (cents/mile)

Most common truck driven Day Cab Conventional

Most common trailer Van

Trailer length 45 to 52 feet

Universal Am Can

Company Universal Am Can

Start Date 02-2013

End Date 06-2014

Address

City, State/Province Zip/Postal Warren, MI

Country United States

Phone 800-***-****

Reason for leaving? stable work

Were you terminated/discharged/laid off? No

Is this your current employer? Yes

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 southeastern

Miles driven weekly 3000-3500

Pay Range (cents/mile)

Most common truck driven Conventional Tractor

Most common trailer Van

Trailer length 53 feet or more

Universal Am Can

Company Universal Am Can

Start Date 02-2013

End Date 02-2014

Address

City, State/Province Zip/Postal Warren, MI

Country United States

Phone 800-***-****

Reason for leaving? stable work

Were you terminated/discharged/laid off? No

Is this your current employer? Yes

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 southeastern

Miles driven weekly 3000-3500

Pay Range (cents/mile)

Most common truck driven Conventional Tractor

Most common trailer Van

Trailer length 53 feet or more

Unemployment

Start Date 02-2011

End Date 01-2013

Comment Unemployment

Martin Brower Company

Company Martin Brower Company

Start Date 06-2004

End Date 01-2011

Address 1112 Collins Dr

City, State/Province Zip/Postal Kissimmee, FL

Country United States

Phone

Reason for leaving? medical

Were you terminated/discharged/laid off? Yes

Termination Explanation Laid off

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 florida,Ga

Miles driven weekly 1500-2000

Pay Range (cents/mile)

Most common truck driven Day Cab

Most common trailer Reefer Trailer

Trailer length 45 to 52 feet

Trucking School

Start Date 11-1992

End Date 03-1993

School Miami Lakes Educational Center

City, State/Province Miami Lakes, FL

Country United States

Phone 305-***-****

Did you graduate? Yes

Were you subject to the Federal Motor Yes

Carrier or Transport Canada Safety

Regulations while attending this truck

school?

Did you perform any safety sensitive Yes

functions at this truck school, regulated by

DOT, and subject to drug and alcohol

testing?

GPA

Hours of Instruction 200

Border Crossing No

Log Books Yes

Federal Motor Carrier Regulations Yes

Hazardous Materials Yes

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), 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 3 years (even

if not at fault)?

Type of Accident / Incident Non-Injury

Date of Accident / Incident 01-2013

State/Province SC

Were you in a commercial vehicle? No

If yes, was this a Department of

Transportation recordable accident?

Were you at fault? Yes

Were you ticketed? Yes

Description I was rear ended and push into other car's

Traffic Convictions \ Violations

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

Violation Date 09-2013

Charge / Description Speeding

MPH Over Limit:

Violation State/Province WV

In Commercial Vehicle Yes

Fined? Yes

License Suspended?

License Revoked?

Perform Community Service?

Other Penalty?

Fine Amount (if any):

Comments:

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 FCRA

Statement of Rights.

Pre-Employment Screening Program Important Notice

I acknowledge that I have read and Yes

understand the above Important Notice of

Rights and also have been given the

opportunity to copy/print the notice.

User Requested Copy

User requested a copy to be sent to this Yes

email address ********@*****.***.

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 Kevin Michael Roundtree

Social Security Number 9164

Date of Birth

IP Address 73.136.183.83

Signature Date/Time 06-13-2015 1:38 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: 06-13-2015 1:38 PM

Signed:

TO BE READ AND SIGNED BY APPLICANT

I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other releated

matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only

if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and

other persons from all liability in responding to inquiries and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in

discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.

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 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.

Printed Name: Kevin Michael Roundtree

9550 N Wayside Dr

Kevin Michael Roundtree

Apt 1307

Social Security #: Houston, TX 29934

9164 843-***-****

Gender:

Signed Date: 06-13-2015

IMPORTANT NOTICE REGARDING BACKGROUND REPORTS FROM THE PSP

ONLINE SERVICE

1. In connection with your application for employment with Heyl Truck Lines, Inc. ("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.

The Prospective Employer cannot obtain background reports from FMCSA unless you consent in writing.

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

2. I authorize Heyl Truck Lines, Inc. ("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 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

suitability as an employee.

3. 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 am challenging 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.

4. Please note: 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 FMCSR

violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report.

I have read the above Notice Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this consent form,

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: Kevin Michael Roundtree

9550 N Wayside Dr

Kevin Michael Roundtree

Apt 1307

Social Security #: Houston, TX 29934

9164 843-***-****

Gender:

Signed Date: 06-13-2015

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

Kevin Michael Roundtree

06-13-201*-****

X X

9550 N Wayside Dr

Date Social Security Number

Apt 1307

Houston, TX 29934

843-***-****

Gender:

X Kevin Michael Roundtree X

Print Name (First, MI, Last) Signature

I, the above mentioned signer, hereby authorize Jax Logistics

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

testing/training records to Heyl Truck Lines, Inc.

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 Heyl Truck Lines, Inc., or to HireRight for the sole purpose of

transmitting such records to Heyl Truck Lines, Inc.. 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 Heyl Truck Lines, Inc. or HireRight to review involves tests required by DOT. If any carrier

(company/school) listed above furnishes Heyl Truck Lines, Inc. 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

Kevin Michael Roundtree

06-13-201*-****

X X

9550 N Wayside Dr

Date Social Security Number

Apt 1307

Houston, TX 29934

843-***-****

Gender:

X Kevin Michael Roundtree X

Print Name (First, MI, Last) Signature

I, the above mentioned signer, hereby authorize lkq corp