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Truck Driver-Delivery Driver

Location:
Avon, IN
Salary:
Open
Posted:
September 10, 2022

Contact this candidate

Resume:

Arnold Transportation Services

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

Grand Prairie, TX 75050

800-***-****

**-**-**** **:21:31PM CDT

IntelliApp

Personal Information

Referral Code: careersintrucks

Name Joyce A Jackson

Residence 3 years or longer (If No,

previous addresses shown below)

Yes

Current Address 5126 E.co. Rd. 100 N.

City, State/Province Zip/Postal Avon, IN 46123

Country United States

Residence 3 years or longer (If No,

previous addresses shown below)

Yes

SSN/SIN 6708

Date of Birth

Primary Phone 317-***-****

Cell Phone 317-***-****

Preferred method of contact Primary Phone

Best time to contact you Afternoon

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

Yes, I agree to receive information

concerning future opportunities or

promotions from Arnold Transportation

Services by email or other commercial

electronic communications.

Yes

Would you like to receive communication

from Arnold Transportation Services 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 Arnold

Transportation Services's service provider

receives in real time and logs your text

messages with Arnold Transportation

Services.

Yes

1

Company Questions

Arnold is a forced dispatch company and

may require driving during nightime hours.

Do you have any issues with running

forced or at night?

No

Is there anything that would prevent you

from dispatching after orientation or

reporting to work as scheduled?

No

Is there anything that you have planned in

the next 90 days that would require time

off that is not earned hometime?

No

Please Explain

Will you have a rider on the truck while

employed with Arnold?

Yes

Do you have experience driving a Manuel

shift tractor trailer?

Yes

EMPLOYMENT/POSITION

Type of employment applying for: Company Driver

OTR experience: 24 months

Type of Tractor/Trailer experience: OTR

Number of tickets in the last 7 years: One

How did you hear about us? Web

Please describe in detail. For example, if

Word of Mouth, list their name. If Other,

indicate the recruiter, website. etc. you

heard about us from:

Emergency Contact ELIZABETH BURRIS 317-***-****

OWNER OPERATORS, please complete truck information: Year:

Make:

Model:

Monthly Truck Payment Amount:

Empty Gross Weight:

Wheel Base:

5th Wheel Height:

Stack Height:

2

Licenses

Enter all licenses you have held in the last 5 years. License Number 278

State/Province IN

Country United States

License Class Class A

License Expiration Date 05-17-2017

Physical Expiration Date 01-20-2016

Current License Yes

Commercial Driver License Yes

Endorsements

Tanker Endorsement No

HAZMAT Endorsement No

X Endorsement No

Doubles Triples Endorsement No

Other Endorsement No

Employment / Unemployment

Unemployment

Start Date 01-2020

End Date 09-2021

Comment COVID 19, My parents needed taken care

of thru the pandemic.

Time Definite Services Transportation

Company Time Definite Services Transportation

Start Date 07-2019

End Date 01-2020

Address

City, State/Province Zip/Postal Sumterville, FL

Country United States

Phone 847-***-****

Fax 847-***-****

Position Held

Reason for leaving? WORK ACCIDENT

3

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

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Reefer Trailer

Trailer length 53 feet or more

Hogan Leasing

Company Hogan Leasing

Start Date 05-2019

End Date 07-2019

Address

City, State/Province Zip/Postal Kansas City, MO

Country United States

Phone 314-***-****

Fax 918-***-****

Position Held COMPANY DRIVER

Reason for leaving? I DIDNT LIKE SLIP SEATING

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

Yes

4

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Yes

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Van

Trailer length 53 feet or more

Unemployment

Start Date 04-2019

End Date 05-2019

Comment UNEMPLOYED

Marten Transport, Ltd

Company Marten Transport, Ltd

Start Date 02-2019

End Date 03-2019

Address 129 Marten Street

City, State/Province Zip/Postal Mondovi, WI 54755

Country United States

Phone 800-***-****

Fax 800-***-****

Position Held Company Driver

Reason for leaving? Difference of opinions DM

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 Yes

5

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven Illinois Ohio INDIANA

Miles driven weekly 1000-1500

Pay Range (cents/mile)

Most common truck driven Conventional Tractor

Most common trailer Reefer Trailer

Trailer length 53 feet or more

Hirschbach Motor Lines Inc.

PLEASE DO NOT CONTACT

Company Hirschbach Motor Lines Inc.

Start Date 10-2018

End Date 02-2019

Address 18355 US HWY 20 West

City, State/Province Zip/Postal East Dubuque, IL 61025 Country United States

Phone 402-***-****

Fax 402-***-****

Position Held Company Driver

Reason for leaving? Too be home every night

Were you terminated/discharged/laid off? No

Is this your current employer? Yes

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 Midwest

Miles driven weekly 1000-1500

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

6

Most common trailer Reefer Trailer

Trailer length 53 feet or more

USXpress

PLEASE DO NOT CONTACT

Company USXpress

Start Date 09-2018

End Date 10-2018

Address 4080 Jenkins Road

City, State/Province Zip/Postal Chattanooga, TN 37421 Country United States

Phone 800-***-****

Fax 423-***-****

Position Held

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? 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

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Reefer Trailer

Trailer length 53 feet or more

Schneider

PLEASE DO NOT CONTACT

Company Schneider

Start Date 01-2018

7

End Date 09-2018

Address 911 Glory Rd

City, State/Province Zip/Postal Green Bay, WI 54304 Country United States

Phone 920-***-****

Fax 215-***-****

Position Held DRIVER DEDICATED

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? 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

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Dry Van

Trailer length 40 feet or more

Unemployment

Start Date 05-2011

End Date 12-2017

Comment PERSONAL CARE GIVER

venture logistics

Company venture logistics

Start Date 04-2011

End Date 05-2011

Address 1101 Harding Court

City, State/Province Zip/Postal Indianapolis, IN 46217 8

Country United States

Phone 317-***-****

Position Held driver

Reason for leaving? personal issues

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

Pay Range (cents/mile)

Most common truck driven Conventional Tractor

Most common trailer Van

Trailer length 53 feet or more

Unemployment

Start Date 12-2010

End Date 04-2011

Comment caregiver

Werner Enterprises (Past Drivers Only)

Company Werner Enterprises (Past Drivers Only)

Start Date 05-2010

End Date 12-2010

Address P.O. Box 45308

City, State/Province Zip/Postal Omaha, NE 68145-0308 Country United States

Phone 800-***-****

Position Held

Reason for leaving? Money

9

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

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Reefer Trailer

Trailer length 53 feet or more

Unemployment

Start Date 06-2007

End Date 05-2010

Comment caregiver

Air-serv

Company Air-serv

Start Date 05-2005

End Date 06-2007

Address 3331 Millbranch

City, State/Province Zip/Postal Memphis, TN 38116

Country United States

Phone 901-***-****

Fax 901-***-****

Position Held

Reason for leaving? Moved to Georgia

Were you terminated/discharged/laid off? No

Is this your current employer? No

Yes

10

May we contact this employer at this time?

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

Pay Range (cents/mile)

Most common truck driven Bus - Straight

Most common trailer Other

Trailer length Other

Trucking School

Start Date 05-2010

End Date 05-2010

School GEORGIA DRIVING ACADEMY

City, State/Province Geogia, GA

Country United States

Phone 770-***-****

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 3.5

Hours of Instruction 180

Border Crossing Yes

Log Books Yes

Federal Motor Carrier Regulations Yes

11

Hazardous Materials Yes

Education

School Name Georgia Driving ACedemy

Start Date 05-2009

End Date 05-2009

City, State/Province Conyers, GA

Country United States

What did you study? Truck Driving School

Phone

Graduation Date 05-2009

Motor Vehicle Record

1. Has any license, permit or privilege ever

been denied, suspended or revoked for

any reason?

Yes

Date 05-2011

Comment DUI PERSONNEL VEHICLE

2. Have you ever been convicted of driving

during license suspension or revocation, or

driving without a valid license or an expired

license, or are any charges pending?

No

3. Have you ever been convicted for any

alcohol or controlled substance related

offense while operating a motor vehicle, or

are any charges pending?

No

4. Have you ever been convicted for

possession, sale or transfer of an illegal

substance (including but not limited to,

marijuana, amphetamines, or derivatives

thereof) while on duty, or are any charges

pending?

No

5. Have you ever been convicted of

reckless driving, careless driving or

careless operation of a motor vehicle, or

are any charges pending?

No

6. Have you ever 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

No

12

testing rules in past three years, or have

you ever tested positive or refused to test

on any DOT-mandated drug or alcohol

test?

Vehicle Accident Record

Were you involved in any accidents/incidents with any vehicle in the last 7 years (even if not at fault)?

Type of Accident / Incident Non-Injury

Date of Accident / Incident 04-2019

Hazmat Accident / Incident No

Was the vehicle towed away? No

City

State/Province IN

Were you in a commercial vehicle? No

If yes, was this a Department of

Transportation recordable accident?

Were you at fault? No

Were you ticketed? No

Description I WAS REARENDED BY ANOTHER

DRIVER IN PERSONAL VEHICLE

Criminal Record

Have you ever been convicted of a crime? No

Do you have any deferred prosecutions? No

Do you have criminal charges pending? No

Have you ever pled "guilty" to, been

convicted of, or pled "no contest" to a

felony?

No

If you have any felony convictions, do you

currently hold a minister's permit to enter

or exit Canada?

No

Have you, within the last five years, pled

"guilty" to, been convicted of, had

prosecution deferred in connection with, or

pled "no contest" to a misdemeanor?

No

13

Signature

Full Name Joyce A Jackson

IP Address 99.73.78.130

Signature Date/Time 09-28-2021 10:21 PM

By clicking next, I agree that my electronic signature will be applied to my application. An electronic signature is as legally binding as an ink signature. This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. Signed Date: 09-28-2021 10:21 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

Statement

All persons shall have the opportunity to

obtain employment without discrimination

because of race, creed, color, national

origin, ancestry, sex, age, or disability. All

information is kept confidential.

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

14

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

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

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

User Requested Copy

User requested a copy to be sent to this

email address

***************@*****.***.

Yes

15

Arnold Transportation Services

Consumer Reports: I hereby authorize Arnold Transportation Services to obtain one or more consumer reports containing information regarding my employment history, driving record and arrest/conviction record in connection with this application and, if I am hired or qualified to: 1) obtain additional consumer reports in connection with this application and 2) obtain additional consumer reports in connection with the continuation of my employment or qualification.

Employment References: I hereby authorize and consent to the previous employer listed above to provide Arnold Transportation Services with all information regarding my performance, safety performance, character, and conduct while in their employ and I hereby release my prior employers from any liability for providing such information. Alcohol and Drug Testing: I hereby authorize and consent to the previous employer listed above to Arnold Transportation Services, to obtain from my prior employers and pre-employment during the three (3) year period preceding the date of this application, information about me regarding alcohol tests with a concentration of result of 0.04 or greater, positive drug test results, refusals to be tested (including verified adulterated or substituted drug test results), other violations of Federal Motor Carrier Safety Administration drug or alcohol regulations and, if applicable, completion of return-to-duty requirements following violation of a DOT drug or alcohol regulation. I hereby authorize and consent to the previous employer listed above to Arnold Transportation Services, in person, telephone, in writing or by any other method of transmission ensuring confidentiality. I hereby authorize Arnold Transportation Services to release such information to any employee of Arnold Transportation Services whose duties require them to assess this application or to make any recommendations or decisions with respect to it. DISCLOSURE AND RELEASE

DISCLOSURE AND AUTHORIZATION FOR RELEASE OF INFORMATION FOR EMPLOYMENT PURPOSES 49 CFR PART 391.23, DOT DRUG AND ALCOHOL TESTING

In accordance with DOT Regulation 49 CFR Part 391.23 and 49 CFR Part 40, each as applicable, I hereby authorize release of my DOT-regulated drug and alcohol testing records by the DOT-regulated employer(s) listed below to Arnold Transportation Services, HireRight Solutions, Inc., Driver iQ/Carco Group, Inc., or another consumer reporting or other agency ("Agency") for the purpose of the Agency transmitting such records to Arnold Transportation Services. I understand that information/documents released pursuant to this section is limited to the following DOT-regulated testing items, including pre-employment testing results, occurring during the previous three (3) years: (i) alcohol tests with a result of 0.04 or higher; (ii) verified positive drug tests; (iii) refusals to be tested (including adulterated and/or substituted tests); (iv) other violations of DOT drug and alcohol testing regulations (i.e., violations of 49 CFR 382 Subpart B); (v) information obtained from previous employers of a drug and alcohol rule violation; and (vi) any documentation of completion of the return-to-duty process following a rule violation. If the company listed herein furnishes Arnold Transportation Services or the Agency with information concerning items (i) through (vi) above, I also authorize such company to furnish the following information, if applicable: (i) dates of my negative drug and/or alcohol tests and/or tests with results below 0.04 during the previous three (3) years; and (ii) the name and phone number of any substance abuse professional who evaluated me during the previous three (3) years. By my signature above, I also certify the information I provided on and in connection with this form is true, accurate, and complete. I agree that this form, in original, faxed, photocopied or electronic (including electronically signed) form will be valid for any background reports that may be required by or on behalf Arnold Transportation Services or the Agency. Printed Name:

Joyce A Jackson

Social Security #:

6708

Signed Date: 09-28-2021

Joyce A Jackson

5126 E.co. Rd. 100 N.

Avon, IN 46123

317-***-****

Gender:

16

IMPORTANT DISCLOSURE

REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Arnold Transportation Services ("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 Arnold Transportation Services ("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:

Joyce A Jackson

Signed Date: 09-28-2021

17

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

I hereby provide consent to Arnold Transportation Services 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 Arnold Transportation Services 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 Arnold Transportation Services to conduct a limited query of the Clearinghouse, Arnold Transportation Services 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 Arnold Transportation Services indicates that drug or alcohol information exists about me in the Clearinghouse, the FMCSA will not disclose that information to Arnold Transportation Services unless I give additional specific consent within the Clearinghouse. However, I understand that Arnold Transportation Services 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.

09-28-2021

Joyce A Jackson Date

18

TO BE READ AND SIGNED BY APPLICANT

SPECIFIC JOB TITLE: Commercial Motor Vehicle Driver, Truckload JOB SUMMARY OR PURPOSE: To transport and deliver freight by driving diesel-powered tractor, trailer combinations long distances. JOB DESCRIPTION:

1. Hook and unhook trailers from the tractor itself and crank lever to raise and lower landing gear on the semi-trailer. 2. Load and unload trailer, either individually or with assistance of dock workers, either with or without mechanical freight handling equipment. 3. Perform frequent lifting, pulling, pushing, and carrying of freight. 4. Securing of freight may be required through strapping or other methods. Inspect



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