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
Emergency Contact #2 (list name,
address, and phone):
Lew Myers
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
Second Reference: Lew Myers
Logistics Manager
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