Arnold Transportation Services
Grand Prairie, TX 75050
**-**-**** **: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
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