Name Stephanie Renee Acosta
Residence * years or longer (If No,
previous addresses shown below)
No
Current Address *** * ********** ***
City, State/Province Zip/Postal Cameron, TX 76520 Country United States
Addresses Over last 3 years Address 1
404 N Washington Ave
Cameron, TX 76520
United States
07-2023 to 08-2023
Address 2
15141 Fm 775
Floresville, TX 78114
United States
09-2022 to 07-2023
Address 3
1011 5th St.
Floresville, TX 78114
United States
08-2018 to 08-2022
Address 4
404 N Washington
Cameron, TX 76520
United States
06-2014 to 07-2022
SSN/SIN 9777
Date of Birth 09-05-1988
Primary Phone 254-***-****
Cell Phone 254-***-****
Preferred method of contact Cell Phone
Email ad2s4r@r.postjobfree.com
GENERAL INFORMATION
What position are you applying for? Home daily
What location are you applying for? Texas
Are you legally eligible for employment in
the United States?
Yes
Are you currently employed? Yes
What date did your last employment end? Currently employed with TNI
Do you read, write, and speak English? Yes
Do you have a current TWIC card? No
Expiration date:
Please enter the names of any relatives
employed here:
N/A
Have you ever been known by any other
name?
Yes
Enter name: Stephanie Valchar
In case of Emergency, notify (list name,
address, and phone):
Richard Acosta
404 n washington ave
Cameron tx 76520
DRIVING EXPERIENCE
Straight Truck None
Tractor and Semi-Trailer 6 years
Tractor - Two Trailers None
Other Flatbed, tanker, winch,bottom drop,and
grain hopper
License Number 23635142
Licensing Authority TX
Country US
License Class Class A
License Expiration Date 09-05-2030
Physical Expiration Date 02-21-2025
Current License Yes
Commercial Driver License Yes
Endorsements Tanker
Employment / Unemployment
TNI
San Antonio TX
10-10-23 - current
OTR position 53' Dry Van
Crete Carrier Corporation
Company Crete Carrier Corporation
Start Date 07-2023
End Date 10-2023
Address 400 Northwest 56th St
City, State/Province Zip/Postal Lincoln, NE 68528
Country United States
Phone 800-***-****
Fax 402-***-****
Position Held Driver
Reason for leaving? Miles/hometime/equipment
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,
Yes
5
and subject to drug and alcohol testing?
Areas Driven 48 states
Miles driven weekly 1500-2000
Pay Range (cents/mile) 62
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Stallion Oilfield Services - Dot
Company Stallion Oilfield Services - Dot
Start Date 04-2023
End Date 06-2023
Address 950 Corbindale
City, State/Province Zip/Postal Houston, TX 77024
Country United States
Phone 713-***-****
Fax 713-***-****
Position Held Driver
Reason for leaving? Getting evicted/need more work 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 Kenedy Tx
Miles driven weekly 500-1000
Pay Range (cents/mile)
Most common truck driven Tanker
Most common trailer Tank Trailer
Trailer length 45 to 52 feet
6
J B Hunt Transport, Inc.
Company J B Hunt Transport, Inc.
Start Date 09-2021
End Date 03-2023
Address 623 N Bloomington Dr
City, State/Province Zip/Postal Lowell, AR 72745
Country United States
Phone 888-***-****
Fax 479-***-****
Position Held Yard spotter/Driver
Reason for leaving? Make more money
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 Local
Miles driven weekly 1500-2000
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Loading USA
Company Loading USA
Start Date 05-2021
End Date 08-2021
Address 6002 Patric Henry st
City, State/Province Zip/Postal San Antonio, TX 78233 Country United States
7
Phone 210-***-****
Position Held Driver
Reason for leaving? Not enough hours
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 South TX
Miles driven weekly 2000-2500
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Other
Trailer length 53 feet or more
Ceva Logistics US
Company Ceva Logistics US
Start Date 08-2020
End Date 04-2021
Address 15350 VICKERY DRIVE
City, State/Province Zip/Postal Houston, TX 77032
Country United States
Phone 210-***-****
Position Held Driver
Reason for leaving? Not running as much
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
8
vehicle?
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 Valley area
Miles driven weekly 2500-3000
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Werner Enterprises (Current Drivers Only)
Company Werner Enterprises (Current Drivers Only)
Start Date 03-2020
End Date 09-2020
Address P.O. Box 45308
City, State/Province Zip/Postal Omaha, NE 68145-0308 Country United States
Phone 800-***-****
Fax 866-***-****
Position Held Driver
Reason for leaving? Want to be closer to home
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 48 states
9
Miles driven weekly 1500-2000
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Professional Trucking Service
Company Professional Trucking Service
Start Date 01-2020
End Date 03-2020
Address 514 E Dallas
City, State/Province Zip/Postal Kermit, TX 79745
Country United States
Phone 817-***-****
Position Held Sand hauler
Reason for leaving? Family is sick need to be closer to home 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 West Texas, New Mexico
Miles driven weekly 1500-2000
Pay Range (cents/mile)
Most common truck driven Other
Most common trailer Other
Trailer length 32 to 44 feet
J.B. Hunt
Company J.B. Hunt
Start Date 10-2019
10
End Date 01-2020
Address 2 Winnco Drive
City, State/Province Zip/Postal San Antonio, TX 78218 Country United States
Phone 404-***-****
Fax 479-***-****
Position Held Driver
Reason for leaving? Want to make more money
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 Central and South Texas
Miles driven weekly 1000-1500
Pay Range (cents/mile)
Most common truck driven Day Cab
Most common trailer Van
Trailer length 53 feet or more
Fokus Trucking
Company Fokus Trucking
Start Date 08-2019
End Date 10-2019
Address 2919 Hansboro Ave
City, State/Province Zip/Postal Dallas, TX 75233
Country United States
Phone 800-***-****
Position Held Driver
Reason for leaving?
11
Was 1099 forms and had to work on own
trucks
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 Larado, Pineville Louisiana, Dallas area Miles driven weekly 1000-1500
Pay Range (cents/mile)
Most common truck driven Day Cab
Most common trailer Container
Trailer length 53 feet or more
Swift Transportation
Company Swift Transportation
Start Date 02-2018
End Date 08-2019
Address 2200 S. 75th Ave.
City, State/Province Zip/Postal Phoenix, AZ 85043
Country United States
Phone 800-***-****
Position Held Professional Driver
Reason for leaving? Present
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
Yes
12
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 South Texas
Miles driven weekly 2500-3000
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Reefer Trailer
Trailer length 53 feet or more
K&B Transportation
Company K&B Transportation
Start Date 09-2018
End Date 10-2018
Address 4700 Dakota Avenue
City, State/Province Zip/Postal South Sioux City, NE 68776 Country United States
Phone 800-***-****
Position Held Truck Driver
Reason for leaving? Company is falsifying her logs 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 Mid west
Miles driven weekly 1500-2000
Pay Range (cents/mile)
13
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 45 to 52 feet
Werner Enterprises (past Drivers Only)
Company Werner Enterprises (past Drivers Only)
Start Date 09-2017
End Date 02-2018
Address 14507 frontier road
City, State/Province Zip/Postal Omaha, NE 68138
Country United States
Phone 800-***-****
Position Held Driver
Reason for leaving? Needed something local was getting my kids back
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 West coast, Texas, Oklahoma
Miles driven weekly 2000-2500
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
C.R. England
Company C.R. England
Start Date 07-2017
End Date 09-2017
14
Address 4701 2100 S
City, State/Province Zip/Postal Salt Lake City, UT 84120 Country United States
Phone 800-***-****
Position Held Student driver
Reason for leaving? Problem with trainer/sexual assault 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 48 states
Miles driven weekly 3000-3500
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Unemployment
Start Date 02-2014
End Date 05-2017
Comment Was a house wife, then went through a
divorce.
Adecco USA
Company Adecco USA
Start Date 10-2012
End Date 02-2014
Address 400 Mann St
City, State/Province Zip/Postal Corpus Christi, TX 78401 Country United States
15
Phone 361-***-****
Position Held Traffic Control Tech
Reason for leaving? Moved to central TX
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
Pay Range (cents/mile)
Most common truck driven
Most common trailer
Trailer length
Caramellas Day Care
Company Caramellas Day Care
Start Date 08-2008
End Date 10-2012
Address 100 Cut-Off Road
City, State/Province Zip/Postal Port Aransas, TX 78373 Country United States
Phone 361-***-****
Position Held Child care teacher
Reason for leaving? Closed down owner had cancer
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 No
16
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 Other
Most common trailer
Trailer length
Trucking School
Start Date 06-2017
End Date 07-2017
School CR England
Address
Address 2
City, State/Province Dallas, TX
Country United States
Phone 469-***-****
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
Hours of Instruction 30
Border Crossing No
Log Books Yes
Federal Motor Carrier Regulations Yes
17
Hazardous Materials No
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)]
No
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)]
No
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
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
·
No
18
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)?
Type of Accident / Incident Injury
Date of Accident / Incident 01-2023
Hazmat Accident / Incident No
Was the vehicle towed away? Yes
City San Antonio
State/Province TX
Were you in a commercial vehicle? No
If yes, was this a Department of
Transportation recordable accident?
Were you at fault? No
Were you ticketed? No
Description Going straight in I 35 frontage rd and truck ran red light on N Walter's and t boned me
in my car
Vehicle Accident Record
Were you involved in any accidents/incidents with any vehicle in the last 5 years (even if not at fault)?
Type of Accident / Incident Injury
Date of Accident / Incident 03-2016
Hazmat Accident / Incident No
Was the vehicle towed away? Yes
City Cameron
State/Province TX
Were you in a commercial vehicle? No
If yes, was this a Department of
Transportation recordable accident?
Were you at fault? No
19
Were you ticketed? No
Description Headed to work and the guy was in my
lane we hit head on, I do have accident
reports if needed
Traffic Convictions \ Violations
Have you had any moving violations or traffic convictions in the past 5 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
convicted of, or pled "no contest" to a
felony?
No
If you have any felony convictions, do you
currently hold a minister's permit to enter
or exit Canada?
No
Have you, within the last five years, pled
"guilty" to, been convicted of, had
prosecution deferred in connection with, or
pled "no contest" to a misdemeanor?
No
Signature
Full Name Stephanie Renee Acosta
IP Address 2600:100a:b13a:b
Signature Date/Time 08-21-2023 10:55 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.
20
Signed Date: 08-21-2023 10:55 PM
Signed:
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
New Jersey Summary of Rights Acknowledgment
By checking the box, I (a) acknowledge
that I have read and understand the
Summary of Rights Under New Jersey's
Fair Credit Reporting Act and also 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
Yes
21
consent. An electronic signature is as
legally binding as an ink signature.
FCRA Authorization
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
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
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
INVESTIGATIVE CONSUMER REPORT DISCLOSURE
By checking this box, I represent that I
understand and agree to the above
Investigative Consumer Report
Disclosure.
Yes
Consent for Limited Queries of the FMCSA Drug and Alcohol Clearinghouse By checking this 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
Yes
22
electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
User Requested Copy
User requested a copy to be sent to this
email address
ad2s4r@r.postjobfree.com.
Yes
23
DISCLOSURE FOR CONSUMER REPORTS
In connection with your employment or owner-operator (independent contractor) application, Elite Express/TLC Companies 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:
Stephanie Renee Acosta
Social Security #:
9777
Signed Date: 08-21-2023
Stephanie Renee Acosta
15141 Fm 775
Floresville, TX 78114
Gender:
24
AUTHORIZATION FOR CONSUMER REPORTS
I authorize Elite Express/TLC Companies 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:
Stephanie Renee Acosta
Social Security #:
9777
Signed Date: 08-21-2023
Stephanie Renee Acosta
15141 Fm 775
Floresville, TX 78114
Gender:
25
IMPORTANT DISCLOSURE
REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Elite Express ("Prospective Employer"), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your