Class B Postal
Resume:
Hub Group Trucking
Oak Brook, IL 60523
**-**-**** *:04:11PM CDT
IntelliApp
Thank you for your interest in Hub Group Trucking. 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.
Hub Group Trucking participates in E-Verify to verify the employment eligibility of all persons hired to work in the United States. For more information click below. E-Verify E-Verify-Spanish Right to Work
Right to
Work-Spanish
Personal Information
Referral Code: driverwave_intermodal_columbus
Name Mohamed S. Abdutalib, Sr.
Residence 3 years or longer (If No,
previous addresses shown below)
Yes
Current Address 3140 Fayburrow Drive
Address 2 3140 Fayburrow Drive
City, State/Province Zip/Postal Reynoldsburg, OH 43068 Country United States
Residence 3 years or longer (If No,
previous addresses shown below)
Yes
SSN/SIN 4019
Date of Birth
Primary Phone 614-***-****
Cell Phone 614-***-****
Preferred method of contact Cell Phone
Best time to contact you Any
Email adta7v@r.postjobfree.com
County of Residence USA
1
Yes, I agree to receive information
concerning future opportunities or
promotions from Hub Group Trucking by
email or other commercial electronic
communications.
Yes
Would you like to receive communication
from Hub Group Trucking 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 Hub
Group Trucking's service provider receives
in real time and logs your text messages
with Hub Group Trucking.
Yes
Company Questions
Owner Operator
worklist
GENERAL INFORMATION
If you have spoken to a recruiter please
select their name
What type of driving position are you
applying to?
Company Driver
Are you legally eligible for employment in
the United States?
Yes
Are you employed now? Yes
How long since leaving last employment?
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:
Do you have a current TWIC card? No
Expiration date:
Please enter the names of any relatives
employed here:
None
Have you ever been known by any other
name?
No
2
Enter name:
How did you hear about us? Email
Who referred you (enter driver's name or
truck number)? Make sure if you were
referred that the driver who referred you is
listed or else no referral bonus will be paid.
None
DRIVING EXPERIENCE
For each class of equipment, enter type of equipment (van, reefer, tank, etc.), start and end dates, and approximate number of total miles. If no experience in a class, enter
"NONE".
Class B experience None
Tractor and Semi-Trailer 09/15/2020 to 10/30/2022
Tractor - Two Trailers None
Flatbed None
Which safe driving awards do you hold and
from whom?
Do you have Intermodal experience? Yes
Do you have at least 1 year Tractor Trailer
experience?
Yes
Have you worked or been employed by
more than 5 Carriers in the past 3 Years?
No
Have you been convicted of a moving
violation in the past 12 months?
No
What size T-shirt do you wear? 2XL
EDUCATION
List highest grade completed: College - 4
List last school attended (name, city, and
state):
Zagazeeg Unversity, Cairo Eygpt
Licenses
License Number 864
Licensing Authority OH
Country United States
License Class Class A
License Expiration Date 02-24-2023
Physical Expiration Date 02-24-2017
Current License Yes
Commercial Driver License Yes
3
Endorsements None
Employment / Unemployment
TAHA LLC
Company TAHA LLC
Start Date 11-2022
End Date 11-2022
Address 3140 Fayburrow Dr
City, State/Province Zip/Postal Reynoldsburg, OH 43068 Country United States
Phone 614-***-****
Position Held Owner operator
Reason for leaving? For a better 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 Oh, In, Ky, IL, IA, Mn, AR, TX
Miles driven weekly 1500-2000
Pay Range (cents/mile) !
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
TAHA LLC
Company TAHA LLC
Start Date 10-2022
End Date 10-2022
4
Address 3140 Fayburrow Dr
City, State/Province Zip/Postal Reynoldsburg, OH 43068 Country United States
Phone 614-***-****
Position Held Owner operator
Reason for leaving? Better 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 Oh, MI, KY, IN, TN, IL, ME, AR, TX
Miles driven weekly 2000-2500
Pay Range (cents/mile) ?
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
TAHA LLC
Company TAHA LLC
Start Date 09-2022
End Date 09-2022
Address 3140 Fayburrow Drive
City, State/Province Zip/Postal Reynoldsburg, OH 43068 Country United States
Phone 614557541
Position Held Owner operator
Reason for leaving? For better job
Were you terminated/discharged/laid off? No
Is this your current employer? Yes
5
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 Oh, In, Ky, Mi, IL, MS, AR, TX
Miles driven weekly 1500-2000
Pay Range (cents/mile) 1.8
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Egzit Corporation
Company Egzit Corporation
Start Date 07-2022
End Date 08-2022
Address 9 S 220 Frontage Road
City, State/Province Zip/Postal Willowbrook, IL 60527 Country United States
Phone 630-***-****
Position Held Company driver
Reason for leaving? I have my own tractor, I want to be owner operator
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
Yes
6
Did you perform any safety sensitive
functions in this job, regulated by DOT, and
subject to drug and alcohol testing?
Areas Driven Oh,IL, AR,TX, TN
Miles driven weekly 1500-2000
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Egzit Corporation
Company Egzit Corporation
Start Date 05-2022
End Date 06-2022
Address 9 S 220 Frontage Road
City, State/Province Zip/Postal Willowbrook, IL 60527 Country United States
Phone 630-***-****
Position Held
Reason for leaving? Still working there
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 Midwest
Miles driven weekly 1500-2000
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
7
Trailer length 53 feet or more
TAHA LLC
Company TAHA LLC
Start Date 09-2021
End Date 04-2022
Address 3140 Fayburrow Dr
City, State/Province Zip/Postal Reynoldsburg, OH 43068 Country United States
Phone 614-***-****
Position Held Owner operator
Reason for leaving? For better 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 Oh, Pa, Wv, Nj, Va, IL, Ky, In, Tn, Ms, Ar, Tx, Mz
Miles driven weekly 1500-2000
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Knight transportation
Company Knight transportation
Start Date 05-2021
End Date 08-2021
Address 4275 westward Ave.
City, State/Province Zip/Postal Columbus, OH 43228 8
Country United States
Phone 614-***-****
Position Held Company truck driver
Reason for leaving? For better 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?
No
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
Us Freightline
PLEASE DO NOT CONTACT
Company Us Freightline
Start Date 11-2020
End Date 04-2021
Address 2041 Fairgrove Ave
City, State/Province Zip/Postal Hamilton, OH 45011 Country United States
Phone 513-***-****
Fax 623-***-****
Position Held Driver
Reason for leaving? Low pay
Were you terminated/discharged/laid off? No
Is this your current employer? Yes
9
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
Trailer length
Schneider National
Company Schneider National
Start Date 09-2020
End Date 10-2020
Address 3101 S Packerland Dr
City, State/Province Zip/Postal Green Bay, WI 54313 Country United States
Phone 920-***-****
Fax 215-***-****
Position Held Driver
Reason for leaving? Low pay
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
10
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 Tractor-Trailer
Most common trailer
Trailer length
Unemployment
Start Date 07-2020
End Date 08-2020
Comment
Columbus Coach and Limousine
Company Columbus Coach and Limousine
Start Date 04-2017
End Date 06-2020
Address 3034 Lamb Ave
City, State/Province Zip/Postal Columbus, OH 43219 Country United States
Phone 614-***-****
Position Held Driver
Reason for leaving? CDL A
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 Ohio
11
Miles driven weekly 1500-2000
Pay Range (cents/mile)
Most common truck driven Other
Most common trailer Other
Trailer length Other
Yellow Cab of Columbus
Company Yellow Cab of Columbus
Start Date 02-2009
End Date 03-2017
Address 1989 Camaro Ave, Columbus, OH
City, State/Province Zip/Postal Columbus, OH 43207 Country United States
Phone 614-***-****
Position Held Cab Driver
Reason for leaving? For better 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?
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
12
FMCSR
Under FMCSR 391.15, are you currently
disqualified from driving a commercial
motor vehicle? [49 CFR 391.15]
No
Has your license, permit or privilege to
drive ever been suspended or revoked for
any reason? [49 CFR 391.21(b)(9)]
No
Have you ever been denied a license,
permit, or privilege to operate a motor
vehicle?[49 CFR 391.21(b)(9)]
No
Within the past two years, have you tested
positive, or refused to test, on a
pre-employment drug or alcohol test by an
employer to whom you applied, but did not
obtain, safety-sensitive transportation work
covered by DOT agency drug and alcohol
testing rules? [49 CFR 40.25(j)]
No
In the past three(3) years, have you ever
been convicted of any of the following
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
13
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
Signature
Full Name Mohamed S. Abdutalib, Sr.
IP Address 2603:6011:bd00:6
Signature Date/Time 11-01-2022 1:04 PM
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: 11-01-2022 1:04 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
14
Washington Summary of Rights Acknowledgment
By checking the box, I (a) acknowledge
that I have read and understand the
Summary of Rights Under Washington's
Fair Credit Reporting Act and have been
given the opportunity to copy/print the
Summary of Rights and (b) agree to use
an electronic signature to demonstrate my
acknowledgment. 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
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
Yes
15
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
PRIVACY NOTICE TO CALIFORNIA APPLICANTS REGARDING THE COLLECTION OF PERSONAL INFORMATION
By checking this box, I represent that I
understand and agree to the above
language.
Yes
User Requested Copy
User requested a copy to be sent to this
email address adta7v@r.postjobfree.com.
Yes
16
ACKNOWLEDGEMENT AND AUTHORIZATION FOR BACKGROUND CHECK I acknowledge receipt of the separate documents entitled DISCLOSURE REGARDING BACKGROUND INVESTIGATION and A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT and certify that I have read and understand both of those documents. I hereby authorize the obtaining of consumer reports and/or investigative consumer reports by Hub Group Trucking at any time after receipt of this authorization and throughout my employment, if applicable. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, institution, school or university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by Driver iQ a Cisive company, 4500 S. 129th East Ave., Suite 127 Tulsa, OK 74134, Phone:1-800-***-**** and/or Hub Group Trucking. I agree that a facsimile (fax), electronic or photographic copy of this Authorization shall be as valid as the original. Printed Name:
Mohamed S. Abdutalib, Sr.
Social Security #:
4019
Signed Date: 11-01-2022
Mohamed S. Abdutalib, Sr.
3140 Fayburrow Drive
3140 Fayburrow Drive
Reynoldsburg, OH 43068
Gender:
17
IMPORTANT DISCLOSURE
REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Hub Group Trucking ("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 Hub Group Trucking ("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:
Mohamed S. Abdutalib, Sr.
Signed Date: 11-01-2022
18
Consent for Limited Queries of the Federal Motor Carrier Safety Administration (FMCSA) Drug and Alcohol Clearinghouse
I hereby provide consent to Hub Group Trucking 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 Hub Group Trucking 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 Hub Group Trucking to conduct a limited query of the Clearinghouse, Hub Group Trucking 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 Hub Group Trucking indicates that drug or alcohol information exists about me in the Clearinghouse, the FMCSA will not disclose that information to Hub Group Trucking unless I give additional specific consent within the Clearinghouse. However, I understand that Hub Group Trucking 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. 11-01-2022
Mohamed S. Abdutalib, Sr. Date
19
TO BE READ AND SIGNED BY APPLICANT
It is agreed and understood that Hub Group Trucking or its agents may investigate my background, including all references, and may secure additional information about me. I release from liability Hub Group Trucking and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information. I realize before I am offered employment with Hub Group Trucking, I will be required to undergo a medical examination and substance abuse screening test, and that any offer of employment is conditioned upon successful completion of such tests. Continued employment with Hub Group Trucking may also be subject to random, for cause, reasonable suspicion or post accident alcohol and substance abuse screening tests. I release the Hub Group Trucking, its agents or employees from any and all claims or actions arising out of such alcohol and substance abuse tests.
I understand that any offer of employment is contingent upon my ability to produce documentation verifying my identity and legal authorization as required by the Immigration Reform & Control Action of 1986(IRCA). This application is active for sixty (60) days from the date it is completed, or until the specific position opening for which it was submitted is closed, whichever is earlier. Subsequent to the preceding consideration period, I must submit a new application to be considered for this, or any other position. This certifies that this application was completed by me, and that all entries on it and information on it are true and complete to the best of my knowledge.
Printed Name: Mohamed S. Abdutalib, Sr.
Social Security #: 4019
Signed Date: 11-01-2022
Signed:
20
DISCLOSURE REGARDING BACKGROUND INVESTIGATION
Hub Group Trucking ("the Company") may obtain information about you from a third party consumer reporting agency for employment purposes.
Contact this candidate