Cumberland Driver

Location:

Cumberland, MD

Posted:

March 30, 2022

Contact this candidate

Resume:

Jacobson Transportation Company, Inc.

**** ** ***** **.

Clive, IA 50325

800-***-****

**-**-**** *:09:06AM CDT

IntelliApp (Ab)

Applicant opted out of D&A release authorization for the following individual employers / educational institutions.

Friends Aware Inc

Thank you for your interest in Jacobson Transportation Company, Inc. 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.

To Applicant: READ THE FOLLOWING INFORMATION CAREFULLY BEFORE SUBMITTING THIS APPLICATION

The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. Federal law alsoprohibits discrimination on the basis of age with respect to certain individuals. The laws of most States also prohibit some or all of the abovetypes of discrimination as well as some additional types such as discrimination based on ancestry, marital status or physical or mentalhandicap or disability. Federal law obligates us to provide reasonable accommodations to the known disabilities of applicants employees,unless to do so would pose an undue hardship. Please let us know if you need an accommodation to complete the application process, to takeany required tests, or to perform any essential elements of the position sought. You will be considered for employment without regard to any prohibitedbasis of discrimination under state or federal law.

Personal Information

Referral Code: cdllife-Martinsburg-textblast

Name Donald Paul Boyer

Residence 3 years or longer (If No,

previous addresses shown below)

Yes

Current Address 11124 Ore Street Northeast

City, State/Province Zip/Postal Cumberland, MD 21502 Country United States

Residence 3 years or longer (If No,

previous addresses shown below)

Yes

SSN/SIN 9552

Date of Birth

Primary Phone 301-***-****

Cell Phone 301-***-****

Preferred method of contact Primary Phone

Best time to contact you Any

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

Yes, I agree to receive information

concerning future opportunities or

promotions from Jacobson Transportation

Company, Inc. by email or other

commercial electronic communications.

Yes

Would you like to receive communication

from Jacobson Transportation Company,

Inc. via text message?

By participating, you consent to receive

text messages sent by an automatic

telephone dialing system, which may

contain recruiting/advertising messages.

Consent to these terms is not a condition

of being hired, contracted, or leased. You

may opt out at any time by texting STOP to

unsubscribe. You also agree that

Jacobson Transportation Company, Inc.'s

service provider receives in real time and

logs your text messages with Jacobson

Transportation Company, Inc..

Yes

Company Questions

GENERAL INFORMATION

I provide consent to receive auto-dialed or

pre-recorded calls or texts on behalf of

Jacobson Transportation Companies, Inc. I

have also been informed of the

consequences of consent and I agree to

receive such calls or texts at the mobile

number I have provided.

Yes

How did you hear about us? Facebook

Please provide additional detail on how

you heard about us:

Facebook

What kind of job are you looking for? Company Driver Please provide additional details on the job

you are applying for:

Somewhat local

If you have already spoken with a recruiter,

please select their name:

Have you worked for XPO Logistics or any

of its affiliates previously?

Affiliates: 3PD, Bounce Logistics, New

Breed, CGL, Jacobson Trans., Menlo,

Con-Way Freight, Con-Way Inc., Pacer

International, Express-1, Kelron,

Continental Freight. Please list names and

dates:

Do you have a TWIC Card? No

How many moving violations have you had

in the past 3 years?

Have you had any preventable accidents

in the past 3 years?

How many preventable accidents have you

had in the past 3 years?

Please describe each accident. Include

date, location, any injuries or fatalities, and

whether any vehicle was towed.

Have you ever been convicted of reckless

driving, careless driving or careless

operation of a motor vehicle, or are any

charges pending?

What year?

Have you refused a drug/alcohol test or

tested positive within the past three years?

Name of Driving School? N/A

Truck School City N/A

Truck School State / Province Maryland

Still in Driving School? No

Please enter graduation date: N/A

Licenses

Please enter all licenses held within the last three (3) years. License Number 751

State/Province MD

Country United States

License Class Class A

License Expiration Date 09-30-2025

Physical Expiration Date 09-20-2022

Current License Yes

Commercial Driver License Yes

Endorsements

Tanker Endorsement Yes

HAZMAT Endorsement No

X Endorsement No

Doubles Triples Endorsement No

Other Endorsement No

Employment / Unemployment

Friends Aware Inc

Company Friends Aware Inc

Start Date 09-2016

End Date 03-2022

Address

City, State/Province Zip/Postal Cumberland, MD

Country

Phone 301-***-****

Position Held Maintenance/Driver

Reason for leaving? Money

Were you terminated/discharged/laid off?

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?

Did you perform any safety sensitive

functions in this job subject to drug and

alcohol testing?

States Driven 1

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven Bus

Most common trailer

Trailer length

Queen city carriets

Company Queen city carriets

Start Date 10-1997

End Date 08-2012

Address 1212industrial blvd

City, State/Province Zip/Postal Cumberland, MD 21502 Country United States

Phone 301-***-****

Position Held Tractor trailer driver

Reason for leaving? Out of business

Were you terminated/discharged/laid off? Yes

Termination Explanation Laid off out of business

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 Md. Wv.Pa.Oh.Ind. I'll.

Miles driven weekly 2000-2500

Pay Range (cents/mile)

Most common truck driven Conventional Tractor

Most common trailer Van

Trailer length 53 feet or more

N/a

Company N/a

Start Date Unknown

End Date Unknown

Address

City, State/Province Zip/Postal MD

Country

Phone

Position Held

Reason for leaving?

Were you terminated/discharged/laid off?

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?

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

FMCSR

Under FMCSR 391.15, are you currently

disqualified from driving a commercial

motor vehicle? [49 CFR 391.15]

Has your license, permit or privilege to

drive ever been suspended or revoked for

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)]

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)]

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

•

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

Signature

Full Name Donald Paul Boyer

IP Address 207.255.221.93

Signature Date/Time 03-17-2022 5:09 AM

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. 7

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. Signed Date: 03-17-2022 5:09 AM

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

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 and 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

Yes

consent. An electronic signature is as

legally binding as an ink signature.

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

ADDITIONAL DISCLOSURES FOR DOT REMOTE APPLICANTS

By my check of this box, I represent that I

understand and agree to the above

Yes

BACKGROUND CHECK AUTHORIZATION FOR DOT REMOTE APPLICANTS By my check of this box, I represent that I

understand and agree to the above

Yes

User Requested Copy

User requested a copy to be sent to this

email address ***********@*****.***.

Yes

BACKGROUND CHECK

AUTHORIZATION FOR DOT REMOTE APPLICANTS

To the extent permitted by applicable law, I hereby consent to and authorize Jacobson Transportation Company, Inc., and/or its parents (including XPO Logistics, Inc.), subsidiaries, affiliates, other related entities, successors, and/or assigns

(the "Company"), to procure consumer report(s), criminal background check(s), and/or investigative consumer report(s)

(as defined by applicable California state law), on my background from a consumer reporting agency ("CRA") or from an investigative consumer reporting agency ("ICRA"), as described in the Background Check Disclosure for DOT Remote Applicants, the Additional Disclosures for DOT Remote Applicants, and the California State Law Disclosures

(Non-Credit) (all of which I have received separately from the Company). I have reviewed and understand the information, statements, and notices in the Background Check Disclosure for DOT Remote Applicants, the Additional Disclosures for DOT Remote Applicants, and the California State Law Disclosures (Non-Credit), as well as this Background Check Authorization for DOT Remote Applicants. Except as otherwise prohibited by applicable law, I consent to and authorize the Company to share this information with Company's current or prospective clients, customers, others with a need to know, and/or their agents for business reasons (e.g., to place me in certain employment positions, jobs, work sites, etc.).

I hereby authorize Jacobson Transportation Company, Inc., and/or its parents (including XPO Logistics, Inc.), subsidiaries, affiliates, other related entities, successors, and/or assigns (the "Company") to do a complete background investigation including all information related to my alcohol and controlled substances testing (including pre-employment test results, random test results, reasonable suspicion test results, and post-accident test results) and training records conducted under the Federal Highway Administration (FHWA) 49 CFR Parts 40, 382 or 391. I authorize the release of any information, including all information related to my alcohol and controlled substance testing

(including pre-employment test results, random test results, reasonable suspicion test results, and post-accident test results) conducted under the Federal Highway Administration (FHWA) 49 CFR Parts 40, 382 or 391. Printed Name:

Donald Paul Boyer

Social Security #:

9552

Signed Date: 03-17-2022

Donald Paul Boyer

11124 Ore Street Northeast

Cumberland, MD 21502

301-***-****

Gender:

IMPORTANT DISCLOSURE

REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Jacobson Transportation Company, Inc. ("Prospective Employer"), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA).

When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report. When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act. Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication.

Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report. The Prospective Employer cannot obtain background reports from FMCSA without your authorization. AUTHORIZATION

If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below: I authorize Jacobson Transportation Company, Inc. ("Prospective Employer") to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am authorizing the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.

I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication. I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, I understand all inspections, with or without violations, will appear on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report. I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above. Printed Name:

Donald Paul Boyer

Signed Date: 03-17-2022

Consent for Limited Queries of the Federal Motor Carrier Safety Administration (FMCSA) Drug and Alcohol Clearinghouse

I hereby provide consent to Jacobson Transportation Company, Inc. to conduct a limited query of the FMCSA Commercial Driver's License Drug and Alcohol Clearinghouse to determine whether drug or alcohol violation information about me exists in the Clearinghouse. I understand this consent shall remain on file and shall serve as ongoing consent for Jacobson Transportation Company, Inc. to conduct multiple limited queries of the Clearinghouse at any time during my employment or contract period without asking me for additional consent.

I understand that if I refuse to provide consent for Jacobson Transportation Company, Inc. to conduct a limited query of the Clearinghouse, Jacobson Transportation Company, Inc. is required to prohibit me from performing safety-sensitive functions, including operating a commercial motor vehicle.

I understand that if the limited query conducted by Jacobson Transportation Company, Inc. indicates that drug or alcohol information exists about me in the Clearinghouse, the FMCSA will not disclose that information to Jacobson Transportation Company, Inc. unless I give additional specific consent within the Clearinghouse. However, I understand that Jacobson Transportation Company, Inc. will be required to conduct a full query of the Clearinghouse within 24 hours after a limited query indicates that drug or alcohol information exists and that if I do not grant consent within the Clearinghouse for that full query I will be removed from performing safety-sensitive functions, including operating a commercial motor vehicle. 03-17-2022

Donald Paul Boyer Date

ADDITIONAL DISCLOSURES FOR DOT REMOTE APPLICANTS

Minnesota applicants/employees only: You have the right to request a complete and accurate disclosure of the nature and scope of any consumer report from HireRight, 14002 E. 21st Street, Suite 1200, Tulsa, OK 74134, Phone 800-***-****. New York applicants/employees only: Upon request, you will be informed whether or not a consumer report was requested, and if such report was requested, informed of the name and address of the CRA that furnished the report. Your written request should be made to Company at XPO Logistics, Attn: Recruiting Department, 3811 Dixon, Des Moines, IA 5013. You may also contact the Company at HireRight, 14002 E. 21st Street, Suite 1200, Tulsa, OK 74134, Phone 800-***-****.

[PLEASE SEE BELOW FOR ADDITIONAL DISCLOSURES THAT MAY APPLY TO YOU] CALIFORNIA

STATE LAW DISCLOSURES

(Non-Credit)

For California applicants/employees only: Under California law, an “investigative consumer report” is a consumer report in which information on a consumer’s character, general reputation, personal characteristics, or mode of living is obtained through any lawful means. In connection with your application for employment and/or continued employment (i.e., for employment purposes) with Jacobson Transportation Company, Inc., and/or its parents (including XPO Logistics, Inc.), subsidiaries, affiliates, other related entities, successors, and/or assigns (the “Company”). The Company may obtain an investigative consumer report (as defined under California law). With respect to any investigative consumer report from an investigative consumer reporting agency

(“ICRA”), Company may investigate the information contained in your employment application and other background information about you, including but not limited to obtaining a criminal record report, obtaining information about your character, general reputation, personal characteristics and mode of living, verifying references, work history, your social security number, your educational achievements, licensure, certifications, driving records, and other information about you, including interviewing people who are knowledgeable about you. The results of this report may be used as a factor in making employment decisions. The source of any investigative consumer report (as this term is defined under California law and as explained more fully above) will be HireRight, 14002 E. 21st Street, Suite 1200, Tulsa, OK 74134, www.hireright.com, Phone 800-***-**** . Information regarding HireRights’s privacy practices can be found at HireRight, 14002 E. 21st Street, Suite 1200, Tulsa, OK 74134, www.hireright.com, Phone 800-***-****. Under California Civil Code section 1786.22, you are entitled to a visual inspection of files maintained on you by an ICRA, as follows: In person, if you appear in person and furnish proper identification, during normal business hours and on reasonable notice. A copy of your file shall also be available to you for a fee not to exceed the actual costs of duplication services provided; 1.

By certified mail, if you make a written request, with proper identification, for copies to be sent to a specified addressee. An ICRA complying with requests for certified mailings under the California Code shall not be liable for disclosures to third parties caused by mishandling of mail after such mailings leave the ICRA; 2.

A summary of all information contained in your files and required to be provided by the California Code shall be provided to you by telephone, if you have made a written request, with proper identification for telephone disclosure, and the toll charges, if any, for the telephone call are prepaid by you or charged directly to you. 3.

“Proper Identification” means information generally deemed sufficient to identify you, which includes documents such as a valid driver’s license, social security account number, military identification card, and credit cards. Only if you cannot identify yourself with such information may the ICRA require additional information concerning your employment and personal or family history in order to verify your identity.

The ICRA will provide trained personnel to explain any information furnished to you and will provide a written explanation of any coded information contained in files maintained on you. This written explanation will be provided whenever a file is provided to you for visual inspection.

You may be accompanied by one other person of your choosing, who must furnish reasonable identification. An ICRA may require you to furnish a written statement granting permission to the ICRA to discuss your file in such person’s presence. Printed Name:

Donald Paul Boyer

Social Security #:

9552

Signed Date: 03-17-2022

Donald Paul Boyer

11124 Ore Street Northeast

Cumberland, MD 21502

301-***-****

BACKGROUND CHECK AUTHORIZATION FOR DOT REMOTE APPLICANTS To the extent permitted by applicable law, I hereby consent to and authorize Jacobson Transportation Company, Inc., and/or its parents (including XPO Logistics, Inc.), subsidiaries, affiliates, other related entities, successors, and/or assigns (the

“Company”), to procure consumer report(s), criminal background check(s), and/or investigative consumer report(s) (as defined by applicable California state law), on my background from a consumer reporting agency (“CRA”) or from an investigative consumer reporting agency (“ICRA”), as described in the Background Check Disclosure for DOT Remote Applicants, the Additional Disclosures for DOT Remote Applicants, and the California State Law Disclosures (Non-Credit) (all of which I have received separately from the Company). I have reviewed and understand the information, statements, and notices in the Background Check Disclosure for DOT Remote Applicants, the Additional Disclosures for DOT Remote Applicants, and the California State Law Disclosures (Non-Credit), as well as this Background Check Authorization for DOT Remote Applicants. Except as otherwise prohibited by applicable law, I consent to and authorize the Company to share this information with Company’s current or prospective clients, customers, others with a need to know, and/or their agents for business reasons (e.g., to place me in certain employment positions, jobs, work sites, etc.).

I hereby authorize Jacobson Transportation Company, Inc., and/or its parents (including XPO Logistics, Inc.), subsidiaries, affiliates, other related entities, successors, and/or assigns (the “Company”) to do a complete background investigation including all information related to my alcohol and controlled substances testing (including pre-employment test results, random test results, reasonable suspicion test results, and post-accident test results) and training records conducted under the Federal Highway Administration

(FHWA) 49 CFR Parts 40, 382 or 391. I authorize the release of any information, including all information related to my alcohol and controlled substance testing (including pre-employment test results, random test results, reasonable suspicion test results, and post-accident test results) conducted under the Federal Highway Administration (FHWA) 49 CFR Parts 40, 382 or 391. Printed Name:

Donald Paul Boyer

Social Security #:

9552

Signed Date: 03-17-2022

Donald Paul Boyer

11124 Ore Street Northeast

Cumberland, MD 21502

301-***-****

BACKGROUND CHECK

AUTHORIZATION FOR DOT REMOTE APPLICANTS

(the "Company"), to procure consumer report(s), criminal background check(s), and/or investigative consumer report(s)

(as defined by applicable California state law), on my background from a consumer reporting agency ("CRA") or from an

Contact this candidate