RoadOne IntermodaLogistics
One Kellaway Drive
Randolph, MA 02368
**-**-**** *:45:50PM CST
IntelliApp
Thank you for your interest in RoadOne IntermodaLogistics. To apply for a driving position, please complete our online information form for qualification. Incomplete information will delay the processing of your form 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: craigslist_benjamin
Name Rene Antoinette Porte
Residence 3 years or longer (If No,
previous addresses shown below)
Yes
Current Address 16200 Vermont Ave. A 210
City, State/Province Zip/Postal Paramount, CA 90723 Country United States
Residence 3 years or longer (If No,
previous addresses shown below)
Yes
SSN/SIN 5191
Date of Birth
Primary Phone 562-***-****
Cell Phone 424-***-****
Preferred method of contact Cell Phone
Best time to contact you Night
Email ad5x4u@r.postjobfree.com
Company Questions
GENERAL INFORMATION
What position are you applying for? Company Driver If you selected "Fleet Driver" above,
please list the Fleet Owner's name and
phone number:
What location are you applying for? Chino, CA
1
If you have spoken to a recruiter, please
select their name:
Are you legally eligible for employment in
the United States?
Yes
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: 04/25/2025
Please enter the names of any relatives
employed here:
None
Have you ever been known by any other
name?
No
Enter name:
Are you working now? Yes
How long has it been since you last
worked?
Do you use a Smart Phone? Yes
What type: Apple
How did you hear about Roadone? Website
If "Newspaper Ad", please enter the name
of the paper
If "Contractor", please enter the name of
the contractor
If "Flyer", please tell us where you picked it
up
If "RoadOne Driver", please enter their
name
Is there any reason you might be unable to
perform the functions of the job for which
you have applied?
No
Please explain
In case of Emergency, notify (list name,
address, and phone):
Brandon Porte
1133 Mahanna Ave
Long Beach, Ca 99813
DRIVING EXPERIENCE
For each class of equipment, if you select "YES", provide start and end dates, and approximate number of total miles. If you have no experience in a class, select "NO". If 2
you have "OTHER" experience, please include as much detail concerning equipment type, dates, and approximate number of miles.
Straight Truck Yes
Start Date 06-1-2014
End Date 4-15-2015
Approximate number of miles 500 miles a week
Tractor and Semi-Trailer Yes
Start Date 07-18-2013
End Date 1-16-2018
Approximate number of miles 500 miles a week
Tractor - Two Trailers No
Start Date
End Date
Approximate number of miles
Other None
Which safe driving awards do you hold and
from whom?
EQUIPMENT (OWNER/OPERATORS ONLY)
Equipment Description (Tractor):
Type:
Year:
Make:
Model:
Color:
VIN:
EDUCATION
List highest grade completed: College - 2
List last school attended (name, city, and
state):
Premier Truck Drivers
PERSONAL REFERENCES
List name, address, city, state, phone number, and relationship: First Reference: Douglas CAWTHORNE
Second Reference: Mischelle Andres
3
Licenses
License Number 646
State/Province CA
Country United States
License Class Class A
License Expiration Date 05-12-2023
Physical Expiration Date 01-24-2021
Current License Yes
Commercial Driver License Yes
Endorsements None
Employment / Unemployment
O'Neil Logistics
Company O'Neil Logistics
Start Date 10-2021
End Date 12-2021
Address 7228 Scout Ave
City, State/Province Zip/Postal Bell Gardens, CA
Country United States
Phone 310-***-****
Position Held Port driver
Reason for leaving? Open
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 Port/ OTR
4
Miles driven weekly 500-1000
Most common truck driven Tractor-Trailer
Most common trailer Container
Trailer length 32 to 44 feet
Unemployment
Start Date 05-2021
End Date 09-2021
Comment
Next Trucking
Company Next Trucking
Start Date 09-2019
End Date 04-2021
Address 2383 Utah Ave Ste#108
City, State/Province Zip/Postal El Segundo, CA 90245 Country United States
Phone 855-***-****
Position Held Truck Driver
Reason for leaving? Laid off
Were you terminated/discharged/laid off? Yes
Termination Explanation Company laid off the most recent employees, however I did get a job offer a
month later.
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 Ports
Miles driven weekly 0-500
Most common truck driven Tractor-Trailer
5
Most common trailer Container
Trailer length 32 to 44 feet
TransForce, Inc.
Company TransForce, Inc.
Start Date 06-2019
End Date 08-2019
Address 5520 Cherokee Avenue
Address 2 Suite 200
City, State/Province Zip/Postal Alexandria, VA 22312 Country United States
Phone 800-***-****
Fax 866-***-****
Position Held Truck driver
Reason for leaving? Temp Agency Employment
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 Port/Ontario
Miles driven weekly 500-1000
Most common truck driven Tractor-Trailer
Most common trailer Container
Trailer length 45 to 52 feet
Transforce
Company Transforce
Start Date 05-2019
End Date 05-2019
Address 11625 Telegraph Rd
6
City, State/Province Zip/Postal Santa Fe Springs, CA Country United States
Phone
Position Held CDL Driver
Reason for leaving? Staffing 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 Los Angeles
Miles driven weekly 0-500
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Unemployment
Start Date 01-2019
End Date 04-2019
Comment unemployed
Price Transfer
Company Price Transfer
Start Date 01-2016
End Date 01-2019
Address 2790 Del Amo Blvd
City, State/Province Zip/Postal Rancho Dominguez, CA Country United States
Phone 310-***-****
Position Held Truck driver
Reason for leaving? Need more pay
7
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 Ports Of Los Angeles
Miles driven weekly
Most common truck driven Tractor-Trailer
Most common trailer Container
Trailer length 45 to 52 feet
Transforce Staffing
Company Transforce Staffing
Start Date 08-2015
End Date 01-2016
Address 11627 Telegraph Rd suite 125
City, State/Province Zip/Postal Santa Fe Springs, CA 90670 Country United States
Phone 562-***-****
Position Held Truck driver (port)
Reason for leaving? New job
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
Yes
8
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 Tractor-Trailer
Most common trailer Container
Trailer length 45 to 52 feet
Western Express Inc
Company Western Express Inc
Start Date 07-2015
End Date 08-2015
Address 731 centennial pl
City, State/Province Zip/Postal Nashville, TN 37201 Country United States
Phone 615-***-****
Fax 714-***-****
Position Held Truck Driver
Reason for leaving? No money/ 200.00 wk
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 Conventional Tractor
Most common trailer Van
Trailer length 53 feet or more
9
Unemployment
Start Date 06-2015
End Date 07-2015
Comment unemployed
Good People
Company Good People
Start Date 04-2015
End Date 05-2015
Address 16260 Paramount Blvd# E
City, State/Province Zip/Postal Paramount, CA 90723 Country United States
Phone 562-***-****
Position Held truck driver
Reason for leaving? still on call
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 Reefer Trailer
Trailer length 53 feet or more
Penske
Company Penske
Start Date 06-2014
End Date 04-2015
Address Corporate Ofc
10
City, State/Province Zip/Postal Reading, PA
Country United States
Phone 800-***-****
Fax 610-***-****
Position Held driver
Reason for leaving? cut finger/discharged
Were you terminated/discharged/laid off? Yes
Termination Explanation cut finger which required a bandage. I did not report it,on the same day. I filled out
injury report the next day. co-worker told
District Manager. 1 week later I was
dismissed, for not reporting the same day
of injury.
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 Conventional Tractor
Most common trailer Van
Trailer length 53 feet or more
Unemployment
Start Date 04-2014
End Date 05-2014
Comment Unemployed
Select Staffing
Company Select Staffing
Start Date 03-2014
End Date 04-2014
Address 16260 Paramount #E
11
City, State/Province Zip/Postal Paramount, CA 90723 Country United States
Phone 562-***-****
Position Held warehouse worker
Reason for leaving? end of assignment
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?
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
Start Date 01-2014
End Date 03-2014
Comment Unemployed
Celadon Trucking Services
Company Celadon Trucking Services
Start Date 11-2013
End Date 01-2014
Address 9503 E 33rd Street
City, State/Province Zip/Postal Indianapolis, IN 46235 Country United States
Phone 800-***-****
Fax 317-***-****
Position Held Driver
12
Reason for leaving? conflict of interest w/ unreasonable trainer 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 Conventional Tractor
Most common trailer Van
Trailer length 53 feet or more
Unemployment
Start Date 10-2013
End Date 11-2013
Comment unemployed
CR England Truck Driving School
Company CR England Truck Driving School
Start Date 07-2013
End Date 09-2013
Address 4701 W 2100 South
City, State/Province Zip/Postal Salt Lake City, UT 84120 Country United States
Phone 801-***-****
Fax 801-***-****
Position Held driver
Reason for leaving? probation incident
Were you terminated/discharged/laid off? Yes
Termination Explanation Upon fueling at the company's terminal, trainer started to fuel, I left to the restroom,
13
upon returning my trainer was sitting in the
truck, finished fueling, he told me we have
a load and need to leave immediately, I
canceled my 30 min break to go back on
duty, when suddenly I pulled forward, and
noticed to hose was in the fuel tank, I then
go out snap the hose back on apparatus,
and macro 50 the incident. My trainer was
removed from truck,they sent me back to
hotel, I was told I was going on with an
another trainer, They told me 5 days later,
I did not pass probationary period for this
particular incident.
Mira Loma, Ca
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 Conventional Tractor
Most common trailer Reefer Trailer
Trailer length 53 feet or more
Unemployment
Start Date 11-2010
End Date 06-2013
Comment unemployed
Unemployment
Start Date 08-2011
End Date 05-2013
Comment LBCC
Unemployment
Start Date 12-2009
End Date 12-2011
14
Comment
Apple One
PLEASE DO NOT CONTACT
Company Apple One
Start Date 01-2006
End Date 11-2009
Address 3900 Kilroy Way ste #180
City, State/Province Zip/Postal Long Beach, CA 900806 Country United States
Phone 566-***-****
Position Held warehouse worker
Reason for leaving? temp employment
Were you terminated/discharged/laid off? Yes
Termination Explanation temp job only
Is this your current employer? No
May we contact this employer at this time? No
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
Start Date 01-2005
End Date 01-2006
Comment Unemployment
Target Corporation
Company Target Corporation
15
Start Date 08-2004
End Date 01-2005
Address 141 Lakewood center Mall
City, State/Province Zip/Postal Lakewood, CA 90712 Country United States
Phone 562-***-****
Position Held sales floor
Reason for leaving? seasonal
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
Start Date 10-2003
End Date 07-2004
Comment unemployment
Deliveries Today
Company Deliveries Today
Start Date 11-1997
End Date 07-2003
Address 110 Pine Street
City, State/Province Zip/Postal Long Beach, CA 900802 Country United States
16
Phone 800-***-****
Position Held driver
Reason for leaving? inoperable vehicle
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
Trucking School
Start Date 04-1991
End Date 06-1991
School MTA Truck Driving School
Address
Address 2
City, State/Province Corona,ca, CA
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
Yes
17
DOT, and subject to drug and alcohol
testing?
GPA 3.0
Hours of Instruction 180
Border Crossing No
Log Books Yes
Federal Motor Carrier Regulations Yes
Hazardous Materials Yes
Education
School Name Quality Drivers
Start Date 11-2013
End Date 11-2013
City, State/Province Indianapolis, IN
Country United States
What did you study? truck driving
Phone 317-***-****
Graduation Date 11-2013
Education
School Name LBCC
Start Date 01-2011
End Date 06-2013
City, State/Province Long Beach, CA
Country United States
What did you study? Human Services
Phone 562-***-****
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
No
18
any reason? [49 CFR 391.21(b)(9)]
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
·
Leaving the scene of an accident
while operating a commercial motor
vehicle
·
Or any other felony involving the
use of a commercial motor vehicle
·
No
19
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 Non-Injury
Date of Accident / Incident 09-2015
Hazmat Accident / Incident No
Was the vehicle towed away? Yes
City Long Beach
State/Province CA
Were you in a commercial vehicle? Yes
If yes, was this a Department of
Transportation recordable accident?
No
Were you at fault? No
Were you ticketed? No
Description Tire blow out
Traffic Convictions \ Violations
Have you had any moving violations or traffic convictions in the past 3 years? No Violations
Signature
Full Name Rene Antoinette Porte
IP Address 2603:8000:1e02:d
Signature Date/Time 12-15-2021 2:45 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 this information sheet was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. I further acknowledge that I have been informed that the above information may be used, and my prior employers/lessees may be contacted by this company or it's agent for the purpose of investigating my background, as required by 391.23 (or other regulations as they may apply) of the Federal Motor Carrier Safety Regulations, including my rights of rebuttal to information that may be provided by either my previous or current employers/lessee and authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at a qualification decision. (Generally inquiries regarding medical history will be made only if and after a conditional offer of lease or employment has been extended.) I hereby release employers/lessees, schools, health care providers and other persons from all liability in responding to inquire and releasing information in 20
connection with my information sheet.
In the event of qualification, I understand that false or misleading information given in my information sheet or interview(s) may result in terminations. I understand, also, that I am required to abide by all rules and regulations of the Company. Signed Date: 12-15-2021 2:45 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
CALIFORNIA DISCLOSURE REGARDING BACKGROUND CHECKS DOCUMENT By checking the box, I 1) agree to use an
electronic signature to demonstrate my
consent, 2) agree that an electronic
signature is as legally binding as an ink
signature, and 3) acknowledge that I have
read and understood this California
Disclosure Regarding Background Checks
document.
Yes
Massachusetts Criminal Policy and Record Correction Acknowledgment By checking the box, I (a) acknowledge
that I have read and understand the
Company?s Massachusetts Criminal
Record Policy and Information Concerning
the Process in Correcting a Criminal
record and have also been given the
opportunity copy/print both, and (b) agree
to use an electronic signature to
demonstrate my consent. An electronic
signature is as legally binding as an ink
signature.
Yes
21
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
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
California Consumer Copy Request
If you live or work in California, Minnesota,
or Oklahoma, please check this box if
you'd like to receive a copy of a consumer
report if one is obtained.
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
Additional Consent or Certification
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
22
consent. An electronic signature is as
legally binding as an ink signature.
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
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
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
ALCOHOL AND DRUG POLICY CERTIFICATION
By checking this box, I represent that I
understand and agree to the above
Alcohol and Drug Policy Certification.
Yes
23
User Requested Copy
User requested a copy to be sent to this
email address ad5x4u@r.postjobfree.com.
Yes
24
DISCLOSURE AND AUTHORIZATION REGARDING
BACKGROUND INVESTIGATION FOR EMPLOYMENT PURPOSES
RoadOne IntermodaLogistics (the "Company") may request from a consumer reporting agency and for employment-related purposes, a "consumer report(s)" (commonly known as "background reports") containing background information about you in connection with your employment, or application for employment, or engagement for services (including independent contractor or volunteer assignments, as applicable).
HireRight, LLC ("HireRight") or Asurint will prepare or assemble the background reports for the Company. HireRight is located and can be contacted at 3349 Michelson Drive, Suite 150, Irvine, CA 92612, 800-***-****, www.hireright.com. Asurint may be contacted by mail at Compliance Dept, PO Box 14730, Cleveland, Ohio 44114 or by telephone at 800-***-**** or by email at ad5x4u@r.postjobfree.com. Their website is https://www.asurint.com/candidates. The background report(s) may contain information concerning your character, general reputation, personal characteristics, mode of living, or credit standing. The types of background information that may be obtained include, but are not limited to: criminal history; litigation history; motor vehicle record and accident history; social security number verification; address and alias history; credit history; verification of your education, employment and earnings history; professional licensing, credential and certification checks; drug/alcohol testing results and history;