BJ's Wholesale Club, Inc.
Marlborough, MA 01572
**-**-**** *:55:42AM CST
IntelliApp
Thank you for your interest in BJ's Wholesale Club, 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. In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.
Active Jobs
Job Name Tractor Trailer Driver - Orlando FL
Job Title CDL Class A Truck Driver
Personal Information
Referral Code: Appcast_ZipRecruiter
Name Michael B Santos
Current Address 4613 Suntree Blvd
City, State/Province Zip/Postal Orlando, FL 32817
Country United States
Residence 3 years or longer (If No,
previous addresses shown below)
Yes
SSN/SIN 3757
Date of Birth
Primary Phone 484-***-****
Cell Phone 484-***-****
Email adt195@r.postjobfree.com
Yes, I agree to receive information
concerning future opportunities or
promotions from BJ's Wholesale Club, Inc.
by email or other commercial electronic
communications.
Yes
Would you like to receive communication
from BJ's Wholesale Club, 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.
Yes
1
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 BJ's
Wholesale Club, Inc.'s service provider
receives in real time and logs your text
messages with BJ's Wholesale Club, Inc..
Company Questions
GENERAL INFORMATION
What location are you applying for? Orlando FL
Are you legally eligible for employment in
the United States?
Yes
Are you currently employed? Yes
What date did your last employment end?
Do you read, write, and speak English? Yes
Have you ever worked for this company
before?
No
Enter start and end dates, location,
position, and reason for leaving:
Have you ever been known by any other
name?
No
Enter name:
How did you hear about us? Indeed
If "Driver Referral", please enter the
driver's name
If "Other", please explain
DRIVING EXPERIENCE
For each class of equipment, select years of experience. If no experience in a class, select "None".
Straight Truck None
Tractor and Semi-Trailer 10+ years
Tractor - Two Trailers None
Other
2
Licenses
License Number 080
Licensing Authority FL
Country US
License Class Class A
License Expiration Date 11-08-2028
Physical Expiration Date 11-08-2023
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
John Christner Trucking (ND)
Company John Christner Trucking (ND)
Start Date 07-2022
End Date 12-2022
Address 19007 W. Hwy 33
City, State/Province Zip/Postal Sapulpa, OK 74067
Country United States
Phone 866-***-****
Position Held Truck driver
Reason for leaving? New job
Were you terminated/discharged/laid off? Yes
Termination Explanation They broke contract
Is this your current employer? No
May we contact this employer at this time? Yes
Did you operate a commercial motor
vehicle?
Yes
Yes
3
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?
Yes
Areas Driven All 48
Miles driven weekly 2500-3000
Pay Range (cents/mile) 1.20
Most common truck driven Tractor-Trailer
Most common trailer Reefer Trailer
Trailer length 53 feet or more
Premier Transportation
Company Premier Transportation
Start Date 12-2021
End Date 07-2022
Address 323 cash memorial blvd
City, State/Province Zip/Postal Forest Park, GA 30297 Country United States
Phone 404-***-****
Fax 404-***-****
Position Held Truck driver
Reason for leaving? New 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 South east
Miles driven weekly 2000-2500
4
Pay Range (cents/mile) .50
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Schneider international
Company Schneider international
Start Date 10-2021
End Date 11-2021
Address
City, State/Province Zip/Postal Atlanta, GA
Country United States
Phone
Position Held Truck driver
Reason for leaving? New 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 All 48
Miles driven weekly 2000-2500
Pay Range (cents/mile) .50
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Freymiller Inc.
Company Freymiller Inc.
Start Date 04-2021
End Date 09-2021
5
Address 8125 SW 15th Street
Address 2 Oklahoma city
City, State/Province Zip/Postal Oklahoma City, OK 73128 Country United States
Phone 405-***-****
Position Held Truck driver
Reason for leaving? New 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 All 48
Miles driven weekly 2500-3000
Pay Range (cents/mile) 1.00
Most common truck driven Tractor-Trailer
Most common trailer Reefer Trailer
Trailer length 53 feet or more
Heartland Express
Company Heartland Express
Start Date 07-2020
End Date 03-2021
Address 901 N. kansas ave
City, State/Province Zip/Postal North Liberty, IA 52317 Country United States
Phone 800-***-****
Position Held Truck driver
Reason for leaving? New job
Were you terminated/discharged/laid off? No
6
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
Miles driven weekly 2000-2500
Pay Range (cents/mile) .46
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Swift Enterprise Trucking
Company Swift Enterprise Trucking
Start Date 02-2020
End Date 06-2020
Address 2765 Michigan Ave Rd NE
City, State/Province Zip/Postal Cleveland, TN 37323 Country United States
Phone 423-***-****
Position Held Truck driver
Reason for leaving? New 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
Yes
7
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Areas Driven All 48
Miles driven weekly 2000-2500
Pay Range (cents/mile) .46
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Dart Transit trucking
Company Dart Transit trucking
Start Date 08-2019
End Date 02-2020
Address
City, State/Province Zip/Postal Sellerburg, IN
Country United States
Phone 800-***-****
Position Held Truck driver
Reason for leaving? New 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 All 48
Miles driven weekly 2000-2500
Pay Range (cents/mile) .50
Most common truck driven Tractor-Trailer
Most common trailer Van
8
Trailer length 53 feet or more
USA Truck
Company USA Truck
Start Date 10-2017
End Date 08-2019
Address 3200 industrial park road
City, State/Province Zip/Postal Van Buren, AR 72956 Country United States
Phone 479-***-****
Position Held Truck driver
Reason for leaving? New 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 All 48
Miles driven weekly 2500-3000
Pay Range (cents/mile) .46
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Colonial Freight
Company Colonial Freight
Start Date 08-2017
End Date 09-2017
Address 10924 McBride Ln
City, State/Province Zip/Postal Knoxville, TN 37932 Country United States
9
Phone 800-***-****
Position Held Truck driver
Reason for leaving? New 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 All 48
Miles driven weekly 2000-2500
Pay Range (cents/mile) 1.00 a mile
Most common truck driven Tractor-Trailer
Most common trailer Reefer Trailer
Trailer length 53 feet or more
Schneider National Carriers, Inc (D&A only)
Company Schneider National Carriers, Inc (D&A
only)
Start Date 02-2017
End Date 07-2017
Address 3101 S. Packerland Drive
City, State/Province Zip/Postal Green Bay, WI 54313 Country United States
Phone 800-***-****
Position Held Truck driver
Reason for leaving? New job
Were you terminated/discharged/laid off? No
Is this your current employer? No
May we contact this employer at this time? Yes
10
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
Miles driven weekly 2500-3000
Pay Range (cents/mile) 1.05 a mile
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
USA Truck
Company USA Truck
Start Date 05-2013
End Date 01-2017
Address 3200 industrial park road
City, State/Province Zip/Postal Van Buren, AR 72956 Country United States
Phone 888-***-****
Position Held Truck driver
Reason for leaving? New 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 All 48
11
Miles driven weekly 2500-3000
Pay Range (cents/mile) .36
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Lazer Spot, Inc.
Company Lazer Spot, Inc.
Start Date 10-2011
End Date 05-2013
Address 6525 Shiloh Road Suite 900
City, State/Province Zip/Postal Alpharetta, GA 30005 Country United States
Phone 678-***-****
Position Held Truck driver
Reason for leaving? New 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 Pennsylvania
Miles driven weekly 2000-2500
Pay Range (cents/mile) .34
Most common truck driven Day Cab
Most common trailer Reefer Trailer
Trailer length 53 feet or more
Shaffer Trucking
Company Shaffer Trucking
Start Date 04-2011
12
End Date 09-2011
Address 1415 S. 35th street
City, State/Province Zip/Postal Lincoln, NE 51501
Country United States
Phone 800-***-****
Position Held Truck driver
Reason for leaving? New job
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 All 48
Miles driven weekly 2000-2500
Pay Range (cents/mile) .34
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Burr Nunn trucking
Company Burr Nunn trucking
Start Date 02-2011
End Date 04-2011
Address 1803 Burr oak blvd
City, State/Province Zip/Postal Granger, IA 50108
Country United States
Phone 515-***-****
Position Held Truck driver
Reason for leaving? New job
Were you terminated/discharged/laid off? No
13
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
Miles driven weekly 1500-2000
Pay Range (cents/mile) .32 a mile
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Jed Trucking
Company Jed Trucking
Start Date 09-2010
End Date 01-2011
Address 25 ridge rd
City, State/Province Zip/Postal Whitehouse Station, NJ 08889 Country United States
Phone 908-***-****
Position Held Truck driver
Reason for leaving? New 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
Yes
14
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Areas Driven Pennsylvania
Miles driven weekly 2000-2500
Pay Range (cents/mile) .50
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Swift Transportation
Company Swift Transportation
Start Date 09-2009
End Date 09-2010
Address 3154 State Rd 72
City, State/Province Zip/Postal Phoenix, AZ 17038
Country United States
Phone 800-***-****
Position Held Truck driver
Reason for leaving? New 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 All 48
Miles driven weekly 2000-2500
Pay Range (cents/mile) .32 a mile
Most common truck driven Tractor-Trailer
Most common trailer Van
15
Trailer length 53 feet or more
USA Truck
Company USA Truck
Start Date 08-2008
End Date 09-2009
Address 3200 industrial park road
City, State/Province Zip/Postal Van Buren, AR 72956 Country United States
Phone 479-***-****
Position Held Truck driver
Reason for leaving? .10 a mile
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 48 states
Miles driven weekly 3000-3500
Pay Range (cents/mile) .10
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Equipto
PLEASE DO NOT CONTACT
Company Equipto
Start Date 02-2005
End Date 08-2008
Address 200 tatamy road
City, State/Province Zip/Postal Tatamy, PA 18082
16
Country United States
Phone
Position Held Painter
Reason for leaving? Company closed it's doors
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?
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, 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]
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
17
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
•
No
Vehicle Accident Record
Were you involved in any accidents/incidents with any vehicle in the last 5 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
18
Signature
Full Name Michael B Santos
IP Address 2603:9001:2803:1
Signature Date/Time 12-10-2022 9:55 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. 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: 12-10-2022 9:55 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
Massachusetts Criminal Policy and Record Correction Acknowledgment By checking the box, I (a) acknowledge
that I have read and understand the
Company?s Massachusetts Criminal
Record Policy and Information Concerning
the Process in Correcting a Criminal
record and have also been given the
opportunity copy/print both, 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
Yes
19
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.
FCRA Disclosure
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 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
20
CLASS ACTION WAIVER AGREEMENT
IN THE EVENT ANY PORTION OF THIS
CLASS ACTION WAIVER AGREEMENT
IS DEEMED UNENFORCEABLE, THE
REMAINDER OF IT WILL BE
ENFORCEABLE. DO NOT E-SIGN UNTIL
YOU HAVE CAREFULLY READ THE
ABOVE CLASS ACTION WAIVER
AGREEMENT. BY ELECTRONICALLY
SIGNING BELOW, YOU ARE AGREEING
THAT YOU HAVE CAREFULLY READ
THIS CLASS ACTION WAIVER
AGREEMENT AND AGREE TO ITS
TERMS.
Yes
1681m
By checking this box, I represent that I
understand and agree to the above
document.
Yes
INVESTIGATIVE CONSUMER REPORT DISCLOSURE
By checking this box, I represent that I
understand and agree to the above
document.
Yes
User Requested Copy
User requested a copy to be sent to this
email address adt195@r.postjobfree.com.
Yes
21
DISCLOSURE FOR CONSUMER REPORTS
In connection with your employment or owner-operator (independent contractor) application, BJ's Wholesale Club, Inc. may order one or more consumer report(s) (commonly known as "background reports" or "background checks") about you from one or more consumer reporting agencies. If you are hired or engaged as an owner-operator (independent contractor), additional consumer reports may be obtained in connection with and throughout your employment for employment purposes or for the legitimate business purpose of evaluating you as an owner-operator.
To the extent allowed by law, the consumer reports may include information concerning your character, general reputation, personal characteristics, mode of living, drug and alcohol test results, motor vehicle records, driving records, criminal history, public court records, employment history (including names and dates of previous employers, reason for termination of employment, work experience, and accidents), social security number validation, education, licensure, or verification of other information supplied by you. Such reports may be obtained from private and public record sources, including sanctions databases, CDLIS (including but not limited to CDLIS Central Site, CDLIS Master Pointer Record data and your driver record from the jurisdiction identified in the CDLIS data, in accordance with applicable state law and the Driver Privacy Protection Act), former employers, public court records, and federal, state, and other government agencies that maintain such records. Printed Name:
Michael B Santos
Social Security #:
3757
Signed Date: 12-10-2022
Michael B Santos
4613 Suntree Blvd
Orlando, FL 32817
Gender:
22
AUTHORIZATION FOR CONSUMER REPORTS
I authorize BJ's Wholesale Club, Inc. to obtain one or more consumer report(s) or investigative consumer report(s) about me. If hired or engaged as an owner-operator (independent contractor), I understand this authorization shall remain on file and shall serve as ongoing authorization for additional consumer reports or investigative consumer reports to be obtained from any consumer reporting agency at any time during my employment or contract period without asking me for authorization again. Printed Name:
Michael B Santos
Social Security #:
3757
Signed Date: 12-10-2022
Michael B Santos
4613 Suntree Blvd
Orlando, FL 32817
Gender:
23
IMPORTANT DISCLOSURE
REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with BJ's Wholesale Club, 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