United States Lease Purchase
Resume:
AmeriFreight Systems, LLC
Bensenville, IL 60106
847-***-**** x3
**-**-**** *:01:14PM CDT
IntelliApp
Thank you for your interest in AmeriFreight Systems, LLC. This transportation company is in compliance with all Federal and State laws. Consideration of qualified applicants is made without regard to the applicant's sex, race, national origin, marital status, age, religion, or non-job related disability.
Personal Information
Name Jonathan Maurice Dasher
Residence 3 years or longer (If No,
previous addresses shown below)
Yes
Current Address 14102 176th St E
City, State/Province Zip/Postal Puyallup, WA 98374 Country United States
Residence 3 years or longer (If No,
previous addresses shown below)
Yes
SSN/SIN 3029
Date of Birth
Primary Phone 912-***-****
Email ad0pbl@r.postjobfree.com
Yes, I agree to receive information
concerning future opportunities or
promotions from AmeriFreight Systems,
LLC by email or other commercial
electronic communications.
Yes
Would you like to receive communication
from AmeriFreight Systems, LLC via text
message?
By participating, you consent to receive
text messages sent by an automatic
telephone dialing system, which may
contain recruiting/advertising messages.
Consent to these terms is not a condition
of being hired, contracted, or leased. You
may opt out at any time by texting STOP to
unsubscribe. You also agree that
AmeriFreight Systems, LLC's service
provider receives in real time and logs your
text messages with AmeriFreight Systems,
LLC.
Yes
1
Company Questions
GENERAL INFORMATION
What position are you applying for? Company Driver If you answered "Owner Operator" or
"Fleet Owner", select yes.
No
EQUIPMENT (OWNER/OPERATORS ONLY)
Equipment Description (Tractor):
Type:
Year:
Make:
Model:
Color:
VIN:
Weight
Mileage
Fifth Wheel Height
What location are you applying for? Illinois
Are you legally eligible for employment in
the United States?
Yes
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
before?
No
Enter start and end dates, location,
position, and reason for leaving:
Do you have a current TWIC card? Yes
Expiration date: 12-04-2023
Please enter the names of any relatives
employed here:
Have you ever been known by any other
name?
No
Enter name:
How did you hear about us? Other
If "Driver Referral", please enter the
driver's name
If "Other", please explain Ex Employer
2
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 4years
Flatbed 7 months
Tractor and Semi-Trailer 13years
Tractor - Two Trailers N/A
Other Log Trailer Containers
Which safe driving awards do you hold and
from whom?
N/A
EDUCATION
List highest grade completed: College - 2
List last school attended (name, city, and
state):
Georgia Southern University
PERSONAL REFERENCES
List name, address, city, state, phone number, and relationship: First Reference: Glenn Cobb +1-912-***-****
Second Reference: Millen +1-206-***-****
Licenses
License Number 63B
Licensing Authority WA
Country US
License Class Class A
License Expiration Date 08-25-2028
Physical Expiration Date 01-27-2024
Current License Yes
Commercial Driver License Yes
Endorsements
Tanker Endorsement Yes
HAZMAT Endorsement No
X Endorsement No
Doubles Triples Endorsement No
Other Endorsement No
3
Licenses
License Number 377
Licensing Authority GA
Country United States
License Class Class A
License Expiration Date 08-25-1974
Physical Expiration Date 02-16-2018
Current License Yes
Commercial Driver License Yes
Endorsements
Tanker Endorsement Yes
HAZMAT Endorsement No
X Endorsement No
Doubles Triples Endorsement No
Other Endorsement No
Employment / Unemployment
Unemployment
Start Date 08-2023
End Date 08-2023
Comment
Unemployment
Start Date 07-2023
End Date 07-2023
Comment
Mg Transport
Company Mg Transport
Start Date 10-2022
End Date 06-2023
Address 20604 60th Ave W
City, State/Province Zip/Postal Lynwood, WA 98036
Country United States
Phone
Fax 206-***-****
4
Position Held
Reason for leaving? Owner Selling Company
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
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven Coast To Coast
Miles driven weekly 2500-3000
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Bwg Enterprises Inc/ Dba Grant Rental Inc
Company Bwg Enterprises Inc/ Dba Grant Rental
Inc
Start Date 05-2022
End Date 11-2022
Address 14102 176ST E
City, State/Province Zip/Postal Puyallup, WA 98374 Country United States
Phone 206-***-****
Position Held Driver
Reason for leaving? N/A
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
vehicle?
Yes
Yes
5
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?
Yes
Areas Driven WA
Miles driven weekly 1000-1500
Most common truck driven Class B Vehicle
Most common trailer Van
Trailer length 31 feet or less
Nomad Trans
PLEASE DO NOT CONTACT
Company Nomad Trans
Start Date 04-2022
End Date 04-2022
Address
City, State/Province Zip/Postal Schaumburg, IL
Country United States
Phone
Position Held
Reason for leaving? Have not been paid in 2 weeks. After putting a week in the
Were you terminated/discharged/laid off? No
Is this your current employer? No
May we contact this employer at this time? No
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven Midwest Eastern Southern Regional
Miles driven weekly 1000-1500
6
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Unemployment
Start Date 03-2022
End Date 03-2022
Comment
Unemployment
Start Date 02-2022
End Date 02-2022
Comment
Hugo Hunter
Company Hugo Hunter
Start Date 01-2022
End Date 01-2022
Address 1631 Midtown Place
City, State/Province Zip/Postal Raleigh, NC
Country United States
Phone 919-***-****
Position Held Drove for Owner
Reason for leaving? Never paid detention owed
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
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Most common truck driven Tractor-Trailer
7
Most common trailer
Trailer length
TRUCKSTAR
Company TRUCKSTAR
Start Date 09-2021
End Date 12-2021
Address 6201 KNOLL VALLEY DR.
City, State/Province Zip/Postal Willowbrook, IL 60527 Country United States
Phone 630-***-****
Position Held Owner Operator Drove For Owner
Reason for leaving? Resigned rate issues
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
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
TRUCKSTAR
Company TRUCKSTAR
Start Date 10-2020
End Date 08-2021
Address 6201 KNOLL VALLEY DR.
City, State/Province Zip/Postal Willowbrook, IL 60527 Country United States
8
Phone 630-***-****
Position Held Driver
Reason for leaving? Buying a Tractor
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
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
Mesilla Valley Transportation
Company Mesilla Valley Transportation
Start Date 10-2020
End Date 11-2020
Address 9525 Escobar
City, State/Province Zip/Postal El Paso, TX 79907
Country United States
Phone 915-***-****
Position Held Driver
Reason for leaving?
Were you terminated/discharged/laid off?
Is this your current employer? No
May we contact this employer at this time? Yes
Did you operate a commercial motor
vehicle?
Yes
9
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Most common truck driven
Most common trailer
Trailer length
Hill Hauling
Company Hill Hauling
Start Date 10-2020
End Date 10-2020
Address
City, State/Province Zip/Postal Vidalia, GA 30474
Country United States
Phone
Position Held Driver
Reason for leaving? Looking for a change
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
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Most common truck driven Tractor-Trailer
Most common trailer
10
Trailer length
Hill Hauling
Company Hill Hauling
Start Date 06-2020
End Date 09-2020
Address
City, State/Province Zip/Postal Vidalia, GA 30474
Country United States
Phone
Position Held
Reason for leaving? Equipment Issues
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
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
Troupe Trucking, LLC
Company Troupe Trucking, LLC
Start Date 07-2019
End Date 05-2020
Address
City, State/Province Zip/Postal Swainsboro, GA
Country United States
Phone 404-***-****
11
Position Held Laborer/Driver
Reason for leaving? Work load got low
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
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
Middle Georgia Transportation Group
Company Middle Georgia Transportation Group
Start Date 11-2018
End Date 06-2019
Address 706 Second Avenue
City, State/Province Zip/Postal Vidalia, GA 30474
Country United States
Phone
Position Held Driver
Reason for leaving? Company Closed
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
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Yes
12
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?
Yes
Areas Driven
Miles driven weekly
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
Troupe Trucking, LLC
Company Troupe Trucking, LLC
Start Date 08-2017
End Date 10-2018
Address
City, State/Province Zip/Postal Savannah, GA
Country United States
Phone
Position Held Laborer/Driver
Reason for leaving? Currently employed/Lifetime Employee 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
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
13
California Cartage Express
Company California Cartage Express
Start Date 08-2016
End Date 07-2017
Address 6056 Commerce Ct
City, State/Province Zip/Postal Savannah, GA 31408 Country United States
Phone 912-***-****
Fax 912-***-****
Position Held Driver
Reason for leaving? Currently Employed
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
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
Unemployment
Start Date 07-2016
End Date 08-2016
Comment
KS Harvesters, INC
Company KS Harvesters, INC
Start Date 02-2016
End Date 07-2016
14
Address
City, State/Province Zip/Postal Vidalia, Ga, GA 30474 Country United States
Phone
Position Held Driver
Reason for leaving? Long hours very low pay
Were you terminated/discharged/laid off? Yes
Termination Explanation Logging was not for Me.
Is this your current employer? No
May we contact this employer at this time? Yes
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Most common truck driven Day Cab
Most common trailer
Trailer length
A&J Transport
Company A&J Transport
Start Date 01-2013
End Date 02-2016
Address
City, State/Province Zip/Postal Stockbridge, GA
Country United States
Phone 678-***-****
Position Held Driver
Reason for leaving? Not enough benefits
Were you terminated/discharged/laid off? No
Is this your current employer? No
15
May we contact this employer at this time? Yes
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
Abilene Motor Express
Company Abilene Motor Express
Start Date 06-2012
End Date 12-2012
Address 1700 Willis Rd
City, State/Province Zip/Postal Richmond, VA 23234 Country United States
Phone 804-***-****
Fax 804-***-****
Position Held Driver
Reason for leaving? Citation
Were you terminated/discharged/laid off? Yes
Termination Explanation Received a Failure to Maintain Control Citation
Is this your current employer? No
May we contact this employer at this time? Yes
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
16
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
CCA
Company CCA
Start Date 02-2010
End Date 05-2012
Address Ooo
City, State/Province Zip/Postal Alamo, GA 30415
Country United States
Phone 912-***-****
Position Held Correctional Officer
Reason for leaving? Changed Profession
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
vehicle?
No
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
Most common truck driven
Most common trailer
Trailer length
Unemployment
17
Start Date 06-2006
End Date 01-2010
Comment lost my job, received unemployment
Trucking School
Start Date 09-2003
End Date 10-2003
School America's Driving Force
Address
Address 2
City, State/Province Forest Park Ga, GA
Country United States
Phone
Did you graduate? Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while attending this truck
school?
Yes
Did you perform any safety sensitive
functions at this truck school, regulated by
DOT, and subject to drug and alcohol
testing?
Yes
GPA 3.0
Hours of Instruction 100
Border Crossing No
Log Books Yes
Federal Motor Carrier Regulations Yes
Hazardous Materials Yes
Education
School Name Southeastern Technical College
Start Date 08-2014
End Date 06-2015
City, State/Province Vidalia, GA
Country United States
What did you study? Radiologic Technology
18
Phone
Graduation Date
FMCSR
Under FMCSR 391.15, are you currently
disqualified from driving a commercial
motor vehicle? [49 CFR 391.15]
No
Has your license, permit or privilege to
drive ever been suspended or revoked for
any reason? [49 CFR 391.21(b)(9)]
Yes
Please provide additional detail, including the dates of the suspension(s)/revocation(s): Civil Matters CS
Have you ever been denied a license,
permit, or privilege to operate a motor
vehicle?[49 CFR 391.21(b)(9)]
No
Within the past two years, have you tested
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? [49 CFR 40.25(j)]
Yes
Please provide additional detail about what happened: 01/2022 Family Passed Depression
Date of last positive or refusal: 02-10-2023
In the past three(3) years, have you ever
been convicted of any of the following
offenses: [49 CFR 391.15]:
Driving a commercial motor vehicle
with a blood alcohol concentration
("BAC") of .04 percent or more
·
Driving under the influence of
alcohol, as prescribed by state law
·
Refusal to undergo drug and
alcohol testing as required by any
jurisdiction for the enforcement of
Federal Motor Carrier Safety Act
regulations
·
Driving a commercial motor vehicle
under the influence of any 21
C.F.R. 1308.11 Schedule I
identified controlled substance, an
amphetamine, a narcotic drug, a
formulation of an amphetamine, or
·
No
19
a derivative of a narcotic drug
Transportation, possession, or
unlawful use of a 21 C.F.R.
1308.11 Schedule I identified
controlled substance,
amphetamines, narcotic drugs,
formulations of an amphetamine, or
derivatives of narcotic drugs while
you were on duty driving for a
motor carrier
·
Leaving the scene of an accident
while operating a commercial motor
vehicle
·
Or any other felony involving the
use of a commercial motor vehicle
·
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
Signature
Full Name Jonathan Maurice Dasher
IP Address 2601:603:b81:50f
Signature Date/Time 08-15-2023 2:01 PM
By signing my application below, I agree to use an electronic signature to demonstrate my consent. An electronic signature is as legally binding as an ink signature. 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: 08-15-2023 2:01 PM
Signed:
20
Federal FCRA Summary of Rights Acknowledgment
By checking this box, I (a) acknowledge
that I have read and understand the
federal FCRA Summary of Rights and
have been given the opportunity to
copy/print the Summary of Rights and (b)
agree to use an electronic signature to
demonstrate my consent. An electronic
signature is as legally binding as an ink
signature.
Yes
Washington Summary of Rights Acknowledgment
By checking the box, I (a) acknowledge
that I have read and understand the
Summary of Rights Under Washington's
Fair Credit Reporting Act and have been
given the opportunity to copy/print the
Summary of Rights and (b) agree to use
an electronic signature to demonstrate my
acknowledgment. An electronic signature
is as legally binding as an ink signature.
Yes
PSP Disclosure and Authorization
By checking the box, I (a) acknowledge
that I have read and understand the PSP
Disclosure and Authorization and also
have been given the opportunity to
copy/print it, and (b) agree to use an
electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
Yes
FCRA Disclosure
By checking the box, I (a) acknowledge
that I have read and understand the above
and also have been given the opportunity
to copy/print it, and (b) agree to use an
electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
Yes
FCRA Authorization
By checking the box, I (a) acknowledge
that I have read and understand the above
and also have been given the opportunity
Yes
21
to copy/print it, and (b) agree to use an
electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
Employment Verification Acknowledgment and Release (DOT Drug and Alcohol) By checking the box, I (a) acknowledge
that I have read and understand the above
and also have been given the opportunity
to copy/print it, and (b) agree to use an
electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
Yes
Clearinghouse Release
By checking the box, I (a) acknowledge
that I have read and understand the above
and also have been given the opportunity
to copy/print it, and (b) agree to use an
electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
Yes
State of Washington Release of Interest
By checking the box, I (a) acknowledge
that I have read and understand the above
and also have been given the opportunity
to copy/print it, and (b) agree to use an
electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
Yes
Summary of Rights Under 15 U.S.C. Section 1681m(a) By checking the box, I (a) acknowledge
that I have read and understand the
Summary of Rights Under 15 U.S.C.
Section 1681m(a) and have been given
the opportunity to copy/print the 1681m
Summary of Rights and (b) agree to use
an electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
Yes
22
INVESTIGATIVE CONSUMER REPORT DISCLOSURE
By checking this box, I represent that I
understand and agree to the above
Investigative Consumer Report
Disclosure.
Yes
User Requested Copy
User requested a copy to be sent to this
email address
ad0pbl@r.postjobfree.com.
Yes
23
DISCLOSURE FOR CONSUMER REPORTS
In connection with your employment or owner-operator (independent contractor) application, AmeriFreight Systems, LLC may order one or more consumer report(s) (commonly known as "background reports" or "background checks") about you from one or more consumer reporting agencies. If you are hired or engaged as an owner-operator (independent contractor), additional consumer reports may be obtained in connection with and throughout your employment for employment purposes or for the legitimate business purpose of evaluating you as an owner-operator.
To the extent allowed by law, the consumer reports may include information concerning your character, general reputation, personal characteristics, mode of living, drug and alcohol test results, motor vehicle records, driving records, criminal history, public court records, employment history (including names and dates of previous employers, reason for termination of employment, work experience, and accidents), social security number validation, education, licensure, or verification of other information supplied by you. Such reports may be obtained from private and public record sources, including sanctions databases, CDLIS, former employers, public court records, and federal, state, and other government agencies that maintain such records. Printed Name:
Jonathan Maurice Dasher
Social Security #:
3029
Signed Date: 08-15-2023
Jonathan Maurice Dasher
14102 176th St E
Puyallup, WA 98374
Gender:
24
AUTHORIZATION FOR CONSUMER REPORTS
I authorize AmeriFreight Systems, LLC to obtain one or more consumer report(s) or investigative consumer report(s) about me. If hired or engaged as an owner-operator (independent contractor), I understand this authorization shall remain on file and shall serve as ongoing authorization for additional consumer reports or investigative consumer reports to be obtained from any consumer reporting agency at any time during my employment or contract period without asking me for authorization again. Printed Name:
Jonathan Maurice Dasher
Social Security #:
3029
Signed Date: 08-15-2023
Jonathan Maurice Dasher
14102 176th St E
Puyallup, WA 98374
Gender:
25
IMPORTANT DISCLOSURE
REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with AmeriFreight Systems, LLC ("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
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