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Exp. Class A CDL Comm. Driver

Location:
Jacksonville, FL
Salary:
20.00 hr
Posted:
January 09, 2022

Contact this candidate

Resume:

Trillium Driver Solutions

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

Corporate Office

Kalamazoo, MI 49048

**-**-**** *:34:11PM CST

IntelliApp

Thank you for your interest in Trillium Driver Solutions. 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. We consider applicants for all positions without regard for race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status. All employees are subject to Form I-9 Employment Eligibility Verification and Social Security Number Verification upon hire. Personal Information

Referral Code: 538

Name Mary Kathleen Caldwell

Residence 3 years or longer (If No,

previous addresses shown below)

Yes

Current Address 1432 Rose Hill Dr. West

City, State/Province Zip/Postal Jacksonville, FL 32221 Country United States

Residence 3 years or longer (If No,

previous addresses shown below)

Yes

SSN/SIN 5938

Date of Birth

Primary Phone 904-***-****

Cell Phone 904-***-****

Preferred method of contact Cell Phone

Best time to contact you Any

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

Yes, I agree to receive electronic

communications directly related to my

potential future, current, or past

employment with Trillium. Communications

may include but are not limited to:

information regarding W-2 mailings,

pertinent safety information,

communications regarding work

schedule/location changes and

documentation needed for employment.

You may opt out at any time from future

communications by responding STOP to

any electronic communication.

Yes

Yes, I agree to receive electronic

communications regarding future

opportunities, referral bonus incentives,

and other promotions from Trillium. You

may opt out at any time from future

communications by responding STOP to

any electronic communication.

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 Trillium

Driver Solutions's service provider

receives in real time and logs your text

messages with Trillium Driver Solutions.

Yes

Company Questions

GENERAL INFORMATION

What type of driving position are you

applying for?

Local

On what date will you be available for

work?

12/15/2021

What are your salary requirements? 18.00

Are you familiar with Federal Motor Carrier

Safety Regulations?

Yes

Do you have experience using an

Electronic Logging Device for Hours of

Service compliance?

Yes

Do you have reliable transportation? Yes

Distance willing to travel to a job site one

way: (Miles and/or Hours)

20

Are you prevented from lawfully becoming

employed in this country because of VISA

or Immigration status?

No

Are you currently legally authorized to

work in the United States for any employer

without restrictions and without requiring

immigration sponsorship?

Yes

Are you currently on layoff status and

subject to recall?

No

Are you currently employed? Yes

What date did your last employment end?

Yes

Can you read, speak, and write English

sufficiently to converse with the general

public, understand highway traffic signs

and signals, respond to official inquiries,

and make entries on reports and records?

Is there any reason you might be unable to

perform the essential functions of the job

for which you are applying?

No

Have you ever applied for a position at

Trillium?

Yes

When did you apply? To long to remember

Have you ever worked for Trillium before? Yes

Enter start and end dates, location,

position, and reason for leaving:

Don't remember work dates, Jacksonville

company driver. Went to work full times.

Do you have a current TWIC card? No

Expiration date:

Do you have a "Fast" pass? No

Do you currently possess a valid and

unexpired passport that would allow you to

drive between the U.S. and Canadian

borders (if required by the position being

applied for)?

No

Who referred you? Self

Emergency Contact #1 (list name,

address, and phone):

Ralph Feathers

1432 Rose Hill Dr W

Jacksonville Fl 32221

904-***-****

Emergency Contact #2 (list name,

address, and phone):

Lew Myers

901-***-****

Logistic Manager

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 Yes 09/2014 to 02/2015

Drove 750 miles

Tractor and Semi-Trailer 08/2004-10/2021

1 1/2 million miles.

Tractor - Two Trailers None

Other Yard Spotter 03/2011-11/2014

Which safe driving awards do you hold

and from whom?

None

EDUCATION

List highest grade completed: Grade 10

List last school attended (name, city, and

state):

Treadwell HS Memphis Tn

PROFESSIONAL REFERENCES FAMILIAR WITH YOUR WORK

List name, address, city, state, phone number, and title: First Reference: Ralph Feathers

1432 Rose Hill Dr W

Jacksonville Fl 32221 Spouse & Team

Driver

904-***-****

Second Reference: Lew Myers

Logistics Manager

901-***-****

Third Reference:

Licenses

License Number 970

State/Province FL

Country United States

License Class Class A

License Expiration Date 03-17-2022

Physical Expiration Date 07-06-2020

Current License Yes

Commercial Driver License Yes

Endorsements None

Employment / Unemployment

WalMart #5005

Company WalMart #5005

Start Date 11-2021

End Date 11-2021

Address Wilson Blvd

City, State/Province Zip/Postal Jacksonville, FL 32246 Country United States

Phone

Position Held Digital Order Filler

Reason for leaving? Still 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?

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 subject to drug and

alcohol testing?

Areas Driven

Miles driven weekly

Most common truck driven

Most common trailer

Trailer length

Unemployment

Start Date 10-2021

End Date 10-2021

Comment

White Lines Express, Ltd

Company White Lines Express, Ltd

Start Date 08-2021

End Date 09-2021

Address 9000 General Dr.

City, State/Province Zip/Postal Plymouth, MO 48170 Country United States

Phone 800-***-****

Position Held Company Driver

Reason for leaving? Too many miles each 12 hr shift/trucks were too old

Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? Yes

Yes

Did you operate a commercial motor

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

Miles driven weekly 2500-3000

Most common truck driven Day Cab

Most common trailer Van

Trailer length 53 feet or more

Unemployment

Start Date 06-2021

End Date 07-2021

Comment Unemployed due to previous company

going bankrupt.

Davis Mail Service Inc

Company Davis Mail Service Inc

Start Date 04-2021

End Date 06-2021

Address 6819 elkmont drive

City, State/Province Zip/Postal Jacksonville, FL 32226 Country United States

Phone 904-***-****

Fax 904-***-****

Position Held Company Driver

Reason for leaving? Son passed away needed a break 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 All Florida territory

Miles driven weekly 500-1000

Most common truck driven Day Cab

Most common trailer Van

Trailer length 53 feet or more

Postal Fleet Services

PLEASE DO NOT CONTACT

Company Postal Fleet Services

Start Date 07-2020

End Date 03-2021

Address P.o. box 3108

Address 2 St augustine fl 32085

City, State/Province Zip/Postal St Augustine, FL 32085 Country United States

Phone

Position Held Company driver

Reason for leaving? Company went out of business

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

Miles driven weekly 1500-2000

Most common truck driven Cabover Tractor

Most common trailer Van

Trailer length 53 feet or more

Unemployment

Start Date 05-2020

End Date 06-2020

Comment

Pat Salmon & Sons-Jacksonville, Fl 3

Company Pat Salmon & Sons-Jacksonville, Fl 3

Start Date 07-2019

End Date 05-2020

Address 1509 Pickettville Rd.

City, State/Province Zip/Postal Jacksonville, FL 32290 Country United States

Phone 904-***-****

Position Held Class A Driver

Reason for leaving? Wanted to forward my experience with a new company

Were you terminated/discharged/laid off? Yes

Termination Explanation Conflict at Job.Wanted to go to a better company.

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 1000-1500

Most common truck driven Day Cab

Most common trailer Van

Trailer length 53 feet or more

Jones & Jones Trucking LLC

PLEASE DO NOT CONTACT

Company Jones & Jones Trucking LLC

Start Date 09-2018

End Date 06-2019

Address 93 Dorsa St

City, State/Province Zip/Postal Linden, NJ

Country United States

Phone 973-***-****

Position Held Truck Driver

Reason for leaving? Route was discontinued

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

Miles driven weekly 500-1000

Most common truck driven Day Cab Conventional

Most common trailer Van

Trailer length 53 feet or more

JLW Trucking LLC

Company JLW Trucking LLC

Start Date 08-2018

End Date 09-2018

Address 3969 Clearbrook cove rd

City, State/Province Zip/Postal Jacksonville, FL 32221 Country United States

Phone 904-***-****

Position Held Line hauling

Reason for leaving? Need to have a job that keeps me closer to home

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 2500-3000

Most common truck driven Tractor-Trailer

Most common trailer Dry Van

Trailer length 40 feet or more

EMT Transport

Company EMT Transport

Start Date 11-2017

End Date 08-2018

Address Beaver St

City, State/Province Zip/Postal Jacksonville, FL 32209 Country United States

Phone 904-***-****

Position Held Dedicated

Reason for leaving? Still working-fill in-want to go back to shuttle

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 0-500

Most common truck driven Tractor-Trailer

Most common trailer Dry Van

Trailer length 40 feet or more

Unemployment

Start Date 09-2017

End Date 10-2017

Comment Unemployed

Pat Salmon & Sons

Company Pat Salmon & Sons

Start Date 03-2017

End Date 08-2017

Address 4711 E McCain

City, State/Province Zip/Postal N Little Rock, AR 3264 Country United States

Phone 501-***-****

Fax 501-***-****

Position Held Dedictated

Reason for leaving? Involuntary Separtion

Were you terminated/discharged/laid off? Yes

Termination Explanation Lady slide into the ICC Bar on trailer. No injuries. No citations

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 Dry Van

Trailer length 40 feet or more

Unemployment

Start Date 01-2017

End Date 02-2017

Comment Unemployed

Unemployment

Start Date 09-2015

End Date 12-2016

Comment Unemployed due to Workers

Compensation Injury which required

shoulder surgery

Swift Transportation

Company Swift Transportation

Start Date 12-2014

End Date 09-2015

Address

City, State/Province Zip/Postal Phoenix, AZ

Country United States

Phone 800-***-****

Position Held Company drvr

Reason for leaving? Hurt on the 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

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 Dry Van

Trailer length 40 feet or more

Unemployment

Start Date 10-2014

End Date 12-2014

Comment Unemployed

Lazer Spot, Inc.

Company Lazer Spot, Inc.

Start Date 06-2011

End Date 10-2014

Address 6525 Shiloh Rd.

Address 2 SUite 900

City, State/Province Zip/Postal Alpharetta, GA 30005 Country United States

Phone 678-***-****

Fax 678-***-****

Position Held Yard Spotter

Reason for leaving? Discharged

Were you terminated/discharged/laid off? Yes

Termination Explanation Discharged due to incorrect information 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 0-500

Most common truck driven Yard Horse

Most common trailer Van

Trailer length 53 feet or more

Southern Cal Transportation

Company Southern Cal Transportation

Start Date 07-2009

End Date 08-2011

Address 150 41st Ave W

City, State/Province Zip/Postal Birmingham, AL

Country United States

Phone 800-***-****

Fax 205-***-****

Position Held Company Team Driver

Reason for leaving? Husband fell ill on truck.

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 Dry Van

Trailer length 40 feet or more

Owner operator-Self & Spouse

Company Owner operator-Self & Spouse

Start Date 07-2008

End Date 07-2009

Address 8303 Holly Hill Cv

Address 2 JACKSONVILLE

City, State/Province Zip/Postal Jacksonville, FL 32221 Country United States

Phone 904-***-****

Position Held Team Driver with Spouse

Reason for leaving? Got to expensive to run. Fuel got to high. 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 All 48 states

Miles driven weekly 3500+

Most common truck driven Tractor-Trailer

Most common trailer Reefer Trailer

Trailer length 53 feet or more

Severt Transport

Company Severt Transport

Start Date 01-2008

End Date 07-2009

Address Beaver St

Address 2 JACKSONVILLE

City, State/Province Zip/Postal Jacksonville, FL 32221 Country United States

Phone

Position Held Company team driver

Reason for leaving? Company went out of business

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 3000-3500

Most common truck driven Tractor - Trailer

Most common trailer Reefer Trailer

Trailer length 53 feet or more

Covenant Transport

Company Covenant Transport

Start Date 08-2004

End Date 03-2005

Address 400 Birmingham

City, State/Province Zip/Postal Chattanooga, TN 37419 Country United States

Phone 423-***-****

Fax 423-***-****

Position Held Company Driver

Reason for leaving? Mother passed away

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 Van

Trailer length 53 feet or more

Trucking School

Start Date 04-2004

End Date 04-2004

School Commercial Trucker Inc

City, State/Province Tupelo, MS

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 3.2

Hours of Instruction 60

Border Crossing Yes

Log Books Yes

Federal Motor Carrier Regulations Yes

Hazardous Materials Yes

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

No

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

Vehicle Accident Record

Were you involved in any accidents/incidents with any vehicle in the last 3 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

READ THIS SECTION CAREFULLY BEFORE ANSWERING THE NEXT QUESTIONS: CRIMINAL BACKGROUND - STATE, CITY, AND COUNTY-SPECIFIC NOTICES: Do not answer the question below unless: (1) you are applying for a position for which a state or local agency is otherwise required by state or federal law to conduct a conviction history background check; (2) you are applying for a position with a criminal justice agency, as defined by Section 13101 of the California Penal Code; (3) you are applying for position as a Farm Labor Contractor, as described in Section 1685 of the California Labor Code; or (4) you are apply for a position where an employer or an agent thereof is required by any state, federal, or local law to conduct criminal background checks for employment purposes or to restrict employment based on criminal history. For purposes of this paragraph, federal law shall include rules or regulations promulgated by a self-regulatory organization as defined in Section 3(a)(26) of the Securities Exchange Act of 1934, as amended by the 124 Stat. 1652 (Public Law 111-203), pursuant to the authority in section 19(b) of the Securities Exchange Act of 1934, as amended by 124 Sta. 1652 (Public Law 111-203). California Applicants: Do not Identify convictions under California Health & Safety Code Section 11357(b) or (c), 11360(b) (formerly subdivision (c) of section 11360), 11364, 11365, or 11550, related to marijuana offenses that occurred two (2) or more years before the date of this application. Also, do not identify any conviction for which the record has been judicially ordered sealed, expunged or statutorily eradicated, any misdemeanor conviction for which probation has been successfully completed or otherwise discharged and the case has been judicially dismissed, or any referral to or participation in a pre-trial or post-trial diversion program. California - San Francisco, CA Applicants: Do not answer the question below unless it is required by federal or state law. Do not disclose a conviction that has been expunged or made inoperative, any juvenile justice conviction, or a conviction more than seven years old unless required to do so by state or federal law. California - Los Angeles, CA Applicants: Do not answer the question below. Connecticut Applicants: Applicants for employment are not required to disclose the existence of any arrest, criminal charge, or conviction for which the records have been erased in accordance with the provisions of Connecticut State Law. Records subject to erasure are records pertaining to a finding of delinquency or that a child was a member of a family with service needs, an adjudication as a youthful offender, a criminal charge that has been dismissed or nulled (not prosecuted), a criminal charge for which a person has been found guilty, or a conviction for which a person received an absolute pardon. Any person whose criminal records have been erased in accordance with the provisions of Connecticut State Law shall be deemed to have never been arrested within the meaning or Connecticut General Statutes and may so swear by oath. Do not answer the question below unless (1) the employer is required to ask about your criminal record by state or federal law; or (2) a security or fidelity bond is required for the position for which you are applying.

Georgia Applicants: Do not identify records of crimes for which you were a "first offender" and were exonerated and discharged without a court adjudication or guilt. Hawaii Applicants: You are NOT required to respond to questions about your conviction records until after the Company has made you a conditional offer of employment. At that time, the Company may and will inquire about and consider your conviction records from the previous 10 years that bear a rational relationship to job(s) for which you are applying.

Illinois Applicants: Do not answer the question below unless (1) you are applying for a position for which the employer is required by state or federal law to exclude from employment applicants with criminal convictions; (2) you are applying for a position for which a standard fidelity bond or equivalent is required and you have been convicted of a specified offense that would disqualify you from obtaining such a bond; or (3) you are applying for a position that requires you to be licensed under the Emergency Medical Services (EMS) Systems Act.

Illinois - Cook County, IL Applicants: Do not answer the question below unless: (1) you are applying for a position for which the employer is required by state or federal law to exclude from employment applicants with criminal convictions; (2) you are applying for a position for which a standard fidelity bond or equivalent is required and you have been convicted of a specified offense that would disqualify you from obtaining such a bond;

Illinois - Chicago, IL Applicants: Do not answer the question below unless (1) you are applying for a position for which the employer is required by state or federal law to exclude from employment applicants with criminal convictions; (2) you are applying for a position for which a standard fidelity bond or equivalent is required and you have been convicted of a specified offense that would disqualify you from obtaining such a bond; or (3) you are applying for a position that requires you to be licensed under the Emergency Medical Services (EMS) Systems Act.

Kentucky Applicants: Do not identify misdemeanor convictions more than five (5) years old as of the date of this application.

Maryland Applicants: UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUlLTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.

Maryland - Baltimore, MD Applicants: Do not answer the question below unless (1) you are applying for a position for which the employer is required by state or federal law to inquire about your criminal history; or (2) you are applying for a position at a facility or with an employer that provides programs, services, or direct care to minors or vulnerable adults.

Maryland - Montgomery County, MD Applicants: Do not answer the question below unless (1) the question is expressly authorized by federal, state, or county law or regulation; or (2) you are applying for a position with an employer that provides programs, services, or direct care to minors or vulnerable adults; or (3) you are applying for a position that requires a federal government security clearance. Maryland - Prince George's County, MD Applicants: Do not answer the question below unless (1) you are applying for a position for which the employer is authorized by state or federal law to exclude from employment those applicants with criminal convictions; (2) you are applying for a position with any County public safety agency, or to positions, in the judgement of the County, have access to confidential or proprietary or personal information, money or items of value, or involve emergency management;

(3) you are applying to a position that provides programs, services or direct care to minors or vulnerable adults.

Massachusetts Applicants: You are NOT required to provide information regarding your conviction records until the interview stage of the hiring process. At that time, the Company may and



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