Branda Hood’s Employment Application
Application Date: 10/3/2022
Job Title: Class B Truck Driver - Bulk
Job Location: 1900 East Warren Ave, Detroit, MI
Personal Information
First Name: Branda
Last Name: Hood
Email: adui2d@r.postjobfree.com
Contact Information
Cell Phone: 313-***-****
Address: 15606 Eastwood
City: Detroit
State: MI
Postal Code: 48205
Application Questions
Have you lived at your current residence for the past three years or more? Yes If no, please provide your previous address(es) to equal the past 3 years. n/a If you were referred by an employee, what is the employee's name? No Job Title: Bus Driver
Employer Name: Trinity transportation
City: Detroit
Currently Employed? Yes
Start Date: 10-10-2022
End Date: 10-3-2022
Were you subject to the FMCSRs** while employed? **The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: (1) weighs or has a GVWR or 10,001 pounds or more, (2) is designed or used to transport more than 8 passengers (including the driver), OR (3) is of any size and is used to transport hazardous materials in a quantity requiring placarding. Yes
Was your job designated as a Safety-Sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirement as required by 49 CFR part 40? Yes Current Compensation: $25 hourly
Desired Compensation - Currency: USD
Amount: n/a
Frequency: hourly
Job Title: Driver
Employer Name: Trinity
Country: United States
State: MI
City: n/a
Currently Employed? n/a
Start Date: 10-3-2022
End Date: 10-3-2022
Were you subject to the FMCSRs** while employed? **The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: (1) weighs or has a GVWR or 10,001 pounds or more, (2) is designed or used to transport more than 8 passengers (including the driver), OR (3) is of any size and is used to transport hazardous materials in a quantity requiring placarding. n/a
Was your job designated as a Safety-Sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirement as required by 49 CFR part 40? n/a Job Title: n/a
Employer Name: n/a
Country: n/a
State: n/a
City: n/a
State or Province: n/a
Currently Employed? n/a
Start Date: n/a
End Date: n/a
Were you subject to the FMCSRs** while employed? **The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: (1) weighs or has a GVWR or 10,001 pounds or more, (2) is designed or used to transport more than 8 passengers (including the driver), OR (3) is of any size and is used to transport hazardous materials in a quantity requiring placarding. n/a
Was your job designated as a Safety-Sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirement as required by 49 CFR part 40? n/a How many years of experience do you have as a CDL driver? 0-2 Do you have a HAZMAT endorsement? No but can get one Please provide details of your Accident Record for the past 3 years: No Please list your traffic violations and/or forfeitures for the past 3 years (other than parking violations): No Please list your current valid CDL license information here. (License State, License No., Class and Expiration Date): Yes 02/13/26
Is there anything else you would like to tell us about your experience/background? No Do you have any restrictive covenants, i.e., a confidentiality agreement, nondisclosure agreement, non-solicitation agreement or noncompetition agreement in connection with any prior employment, or any other agreement or obligation that may restrict your ability to work at Vesco Oil? No I hereby certify that the information that I have provided in this employment application is true and correct to the best of my knowledge, and that I have not withheld information from this application that would, if disclosed, affect this application unfavorably. It is understood and agreed upon that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from Vesco Oil Corporation, if I have been employed, and I agree to hold Vesco Oil Corporation harmless in the event of my dismissal based thereon. I authorize investigation of all statements contained herein and to do background checks to give you all information concerning my previous employment and any pertinent information my previous employers may have, confidential or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you. I realize that under certain legal provisions, pre-employment drug testing and a background check, including a criminal history check, could be a condition of my employment. I also acknowledge that Vesco Oil Corporation may require drug testing at a subsequent time without notice. I also recognize that I could be offered employment subject to appropriate medical examination and that such a report could nullify my ultimate employment by this employer. I agree to submit to physical examination if required. In compliance with Public Law 91-508 (the Fair Credit Reporting Act), as amended by Public Law 104-208 (the Consumer Credit Reporting Reform Act of 1996) and applicable state law, this notice is to inform you that a motor vehicle record report may be obtained in connection with your application for employment with Vesco Oil Corporation.My electronic signature on this application also hereby authorizes Vesco Oil to conduct a pre-employment limited query of the FMCSA Commercial Driver’s License Drug and Alcohol Clearinghouse (Clearinghouse) to determine whether drug or alcohol violation information about me exists in the Clearinghouse. My electronic signature also authorizes an annual review of the FMCSA Drug and Alcohol Clearinghouse as required by the FMCSA Regulation 382.701. This review will be a limited query in the scope as required by the regulations on an annual basis to determine that I did not violate a drug and alcohol program with another company. This authorization will be in effect for the duration of my employment with Vesco Oil.In addition, I hereby authorize release of information from my Department of Transportation regulated drug and alcohol testing records by my previous employers for any position designated as a safety sensitive function in any DOT regulated mode, subjected to Alcohol and controlled substance testing required by 49 CFR, part 40. This release is in accordance with DOT Regulation 49 CFR Part 40, Section 40.25. I understand that DOT related information to be released by my previous employer is limited to the following DOT-regulated testing items: Alcohol tests with a result of 0.04 or higher;Verified positive drug tests;Refusals to be tested;Other violations of DOT agency drug and alcohol testing regulations;Information obtained from previous employers of a drug and alcohol rule violation;Documentation, if any, of completion of the return-to-duty process following a rule violation. I also hereby authorize release of information from my Department of Transportation driving and safety records by my previous employers listed on this application position that are subject to the Federal Motor Carrier Safety Regulations
(FMCSR's). This release is in accordance with DOT Regulation 49 CFR Part 391.23. The information to be released will include my driving safety history and the items identified in accordance with DOT Regulation 49 CFR 391.23. I also agree the above stated information may also be released to the employer’s authorized background check vendor.I understand my employment will be at will. This means that I may terminate my employment relationship with Vesco Oil at any time and for any reason, and likewise, Vesco Oil may terminate my employment at any time and for any reason or for no reason at all. I also agree to abide by all the rules and policies of Vesco Oil Corporation if employment is obtained under this application. Acceptance: Yes
Check the box below if you would like to receive text messages from the company regarding your status in the hiring process. Data rates may apply. I am happy to receive text messages from Vesco Oil Corporation. By checking this box, you acknowledge and consent to terms of the privacy policy which applies to the applicant tracking service being offered by Paycor on behalf of Vesco Oil Corporation. The privacy policy offers an explanation of how and why your data will be collected, how it will be used and disclosed, how it will be retained and secured, and what legal rights are associated with that data (including the rights of access, correction, and deletion). The policy also describes legal and contractual limitations on these rights. The specific rights and obligations of individuals living and working in different areas may vary by jurisdiction. I have read and agree to this statement