Information Truck Driver

Location:

New York, NY

Posted:

May 20, 2015

Contact this candidate

Resume:

Southwestern Motor Transport, Inc. **-**-**** **:*4:02AM CDT

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

San Antonio, TX 78218

800-***-**** x2334

IntelliApp

Thank you for your interest in Southwestern Motor Transport, 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

Referral Code: indeed

Name Rene Barriga, Sr.

Address 12758 Gambusino Ave

City, State/Province Zip/Postal El Paso, TX 79938

Country United States

SSN/SIN 5879

Date of Birth

Primary Phone 915-***-****

Cell Phone 915-***-****

Preferred method of contact Cell Phone

Best time to contact you Any

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

Company Questions

GENERAL INFORMATION

What position are you applying for? Company Driver - Local

If are a Driver for a Fleet Owner, please list

the Fleet Owners name:

What location are you applying for? El Paso, TX

Are you legally eligible for employment in Yes

the United States?

Are you currently employed? Yes

What date did your last employment end?

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? No

Expiration date:

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? jobsite

Who referred you?

In case of Emergency, notify (list name, Luis Saenz 915-***-****

address, and phone):

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 none

Tractor and Semi-Trailer none

Tractor - Two Trailers none

Other flat bed and tanker 3.6 years

Which safe driving awards do you hold and

from whom?

EQUIPMENT (OWNER/OPERATORS ONLY)

Equipment Description (Tractor):

Type:

Year:

Make:

Model:

Color:

VIN:

Weight

Mileage

Fifth Wheel Height

EDUCATION

List highest grade completed: GED

List last school attended (name, city, and preparatory 5 chihuahua mexico

state):

PERSONAL REFERENCES

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

First Reference: Luis saenz 915-***-**** brother in low

Second Reference: Fred Harley 432-***-**** friend Co

worker

Licenses

License Number 583

State/Province TX

Country United States

License Class Class A

License Expiration Date 11-08-2019

Physical Expiration Date 10-03-2016

Current License Yes

Commercial Driver License Yes

Endorsements

Tanker Endorsement Yes

HAZMAT Endorsement Yes

Hazmat Expiration Date 05-11-2017

X Endorsement No

Doubles Triples Endorsement No

Other Endorsement No

Employment / Unemployment

Rockwater Energy Solutions

Company Rockwater Energy Solutions

Start Date 11-2014

End Date 05-2015

Address 9120 w I 20

City, State/Province Zip/Postal Odessa, TX 79763

Country United States

Phone 432-***-****

Position Held vacuum truck Driver

Reason for leaving? need to go back to El Paso with my

Family

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 Odessa midland oil files

Miles driven weekly 500-1000

Pay Range (cents/mile) 17.5 haul 90 hauls w

Most common truck driven Day Cab

Most common trailer Tank Trailer

Trailer length 45 to 52 feet

saenz material handlin

Company saenz material handlin

Start Date 10-2011

End Date 10-2014

Address 12758 Gambino ave.

City, State/Province Zip/Postal El Paso, TX 79938

Country United States

Phone 915-***-****

Position Held Driver and mechanic helper

Reason for leaving? need more incom

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 Texas and nuw Mexico

Miles driven weekly 500-1000

Pay Range (cents/mile) 3.3 and %

Most common truck driven Day Cab

Most common trailer Flatbed

Trailer length 32 to 44 feet

comercializadora centro norte

Company comercializadora centro norte

Start Date 05-2005

End Date 09-2011

Address Calle 16 San Lorenzo Almecatla

City, State/Province Zip/Postal Puebla, PU 72710

Country Mexico

Phone 614-***-****

Position Held owner

Reason for leaving? Financials problems

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 No

vehicle?

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven

Most common trailer

Trailer length

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, in the past 5 years, tested No

positive, or 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?

Please explain and include date:

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 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 Rene Barriga, Sr.

Social Security Number 5879

Date of Birth

IP Address 70.195.203.33

Signature Date/Time 05-20-2015 10:44 AM

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: 05-20-2015 10:44 AM

Signed:

DISCLOSURE AND RELEASE

In connection with your employment or application of employment (including contract for services) through Southwestern Motor Transport, Inc.,

consumer reports (Investigative Consumer Reports in California) may be requested from HireRight (formerly USIS Commercial Services). These

reports may include the following types of information: names and dates of previous employers, reasons for termination of employment, work

experience, accidents, academic history, professional credentials and drug/alcohol use. Such reports may contain public record information concerning

your driving record, workers compensation claims, credit, bankruptcy proceedings, criminal records, etc. from federal, state and other agencies that

maintain such records; as well as information from HireRight concerning previous driving record requests made by others from such state agencies

and state provided driving records.

We also will obtain driving/accident and safety inspection history records maintained by the Federal Motor Carrier Safety Administration ("FMCSA").

You have the right to make a request to HireRight, upon proper identification, to request the nature and substance of all information in its files on you at

the time of your request, including the explaining of any coded information, the sources of information and the recipients of any reports on you that

HireRight has previously furnished within the past two year period preceding your request (3 years in California). HireRight may be contacted by mail at

P.O. Box 33181, Tulsa, OK 74153 or by telephone at 800-***-****. You may also bring a third party with you to view the information at the HireRight

offices if this person provides proper identification.

I AUTHORIZE, WITHOUT RESERVATION, HIRERIGHT, FMCSA AND ANY OTHER PARTY OR AGENCY CONTACTED BY HIRERIGHT TO

FURNISH THE ABOVE MENTIONED INFORMATION. THIS AUTHORIZATION DOES NOT APPLY TO DRUG AND ALCOHOL INFORMATION

CONTAINED UNDER PART I.

I hereby consent to your obtaining the above information from HireRight, and I agree that such information which HireRight has or obtains in my

employment history (not DOT drug and alcohol information without a specific consent by me) with you if I am hired, will be supplied by HireRight to

other companies which subscribe to HireRight. I hereby authorize procurement of consumer reports as set forth above.

If hired or contracted, this authorization for reports covered by this release only shall remain on file and shall serve as an ongoing authorization for you

to procure consumer reports at any time during my employment or contract period.

I consent to you obtaining the above information from FMCSA. I understand that the FMCSA maintains sole control over that data and you cannot

change or alter such information. If I dispute any information maintained by FMCSA, I must personally contact the FMCSA by accessing the DataQs

System at: https://dataqs.fmcsa.dot.gov.

Printed Name: Rene Barriga, Sr.

12758 Gambusino Ave

Rene Barriga, Sr.

El Paso, TX 79938

Social Security #: 915-***-****

5879 Gender:

Signed Date: 05-20-2015

TO BE READ AND SIGNED BY APPLICANT

I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete to the best of my

knowledge. I also agree that false or misleading information, or significant omissions will disqualify me from further consideration for

employment and will be considered justification for dismissal if discovered after employment.

I hereby authorize persons, schools, current and past employers, organizations and governmental agencies to provide the Company with

confirmation of information I have provided, and any additional information which may be relied on in arriving at an employment decision.

This authorization includes, but is not limited to, the release of: PSP scores, transcripts, salary, position, responsibilities, evaluations of

performance, driving records, and drug/alcohol testing (if applicable), etc. I also release all parties requesting or providing such information

from any and all liability or damages which may arise as a result of the dissemination of such information.

I understand that my employment may be terminated with or without cause at any time, at the discretion of either the Company or myself. I

also understand that no one has any authority on behalf of the Company to enter into any agreement contrary to any of the foregoing,

unless otherwise specifically stated in writing and signed by an authorized officer of the Company.

Printed Name: Rene Barriga, Sr. Signed Date: 05-20-2015

Social Security #: 5879

Signed:

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

Rene Barriga, Sr.

05-20-201*-****

X X

12758 Gambusino Ave

Date Social Security Number

El Paso, TX 79938

915-***-****

Gender:

Rene Barriga, Sr.

X X

Print Name (First, MI, Last) Signature

I, the above mentioned signer, hereby authorize saenz material handlin

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

testing/training records to Southwestern Motor Transport, 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 Southwestern Motor Transport, Inc., or to HireRight for the

sole purpose of transmitting such records to Southwestern Motor Transport, 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 Southwestern Motor Transport, Inc. or HireRight to review involves tests required by DOT. If

any carrier (company/school) listed above furnishes Southwestern Motor Transport, 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

Rene Barriga, Sr.

05-20-201*-****

X X

12758 Gambusino Ave

Date Social Security Number

El Paso, TX 79938

915-***-****

Gender:

Rene Barriga, Sr.

X X

Print Name (First, MI, Last) Signature

I, the above mentioned signer, hereby authorize Rockwater Energy Solutions