Trucking class A & Warehouse work Exp. Pulling,Stageing&Invent 26 YR
Resume:
Hub Group Trucking
Oak Brook, IL 60523
**-**-**** *:46:35PM 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: pulse_app
Name Albert Michael Bazarte
Residence 3 years or longer (If No,
previous addresses shown below)
Yes
Current Address Boulder Hwy LasVegas,NV. 89121
Residence 3 years or longer (If No,
previous addresses shown below)
Yes
SSN/SIN 9590
Date of Birth
Primary Phone 856-***-****
Cell Phone 856-***-****
Preferred method of contact Cell Phone
Best time to contact you Any
Email *********@*****.***
County of Residence Camden
Yes, I agree to receive information
concerning future opportunities or
Yes
1
promotions from Hub Group Trucking by
email or other commercial electronic
communications.
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? No
How long since leaving last employment? 2 months
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? Yes
Expiration date: 04/16/2025
Please enter the names of any relatives
employed here:
Have you ever been known by any other
name?
No
Enter name:
2
How did you hear about us? Careerbuilder
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.
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 Van,Ref.,Flatbed. 3yr. 40,000 ml. Tractor and Semi-Trailer Van,Ref.,Flatbed. 25yr. 2000,000 ml. Tractor - Two Trailers N/A
Flatbed Flatbed 5yr. 375,000 ml.
Which safe driving awards do you hold
and from whom?
N/A
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? Large
EDUCATION
List highest grade completed: Grade 12
List last school attended (name, city, and
state):
Pitman High School Pitman,NJ.Va
Licenses
License Number 859
State/Province NV
Country United States
License Class Class A
License Expiration Date 12-28-2029
Physical Expiration Date 11-22-2023
Current License Yes
Commercial Driver License Yes
Endorsements
3
Tanker Endorsement Yes
HAZMAT Endorsement No
X Endorsement No
Doubles Triples Endorsement Yes
Other Endorsement No
Employment / Unemployment
Unemployment
Start Date 07-2022
End Date 08-2022
Comment
Unemployment
Start Date 07-2022
End Date 07-2022
Comment
CEVA
Company CEVA
Start Date 03-2022
End Date 06-2022
Address 6275 S.Pearl st. #1400
City, State/Province
Zip/Postal
Lasvegas, NV
Country United States
Phone 775-***-****
Position Held Driver
Reason for leaving? Schedule reason's
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 Yes
4
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 LasVegas,NV. - Fontana,Ca.
Miles driven weekly 2000-2500
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Unemployment
Start Date 02-2022
End Date 03-2022
Comment
Ruan(flower baking acct.
Company Ruan(flower baking acct.
Start Date 01-2022
End Date 02-2022
Address 501 Conestoga Way
City, State/Province
Zip/Postal
Henderson, NV 89002
Country United States
Phone 702-***-****
Position Held Driver
Reason for leaving? I had come down with a very bad flew time out I felt bad 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
5
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 Henderson,NV. To Fontana,Ca.Round trip dedicated Miles driven weekly 2000-2500
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Unemployment
Start Date 04-2020
End Date 12-2021
Comment Was collecting Covid-19 pandemic benefits/ PEUC SunLand distribution
Company SunLand distribution
Start Date 02-2020
End Date 03-2020
Address 5916 Waverly rd.
City, State/Province
Zip/Postal
Lake Wales, FL 33859
Country United States
Phone 863-***-****
Position Held Driver
Reason for leaving? Covid-19 got bad work PerthAmboy term.closeNYC case% riseing
Were you
terminated/discharged/laid
off?
No
Is this your current
employer?
No
May we contact this
employer at this time?
Yes
Yes
6
Did you operate a
commercial motor vehicle?
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 FL.,SC.,NC.,VA.,MD.,PA.,NJ.,DEL.,NY.,CT. Miles driven weekly 1000-1500
Most common truck driven Tractor-Trailer
Most common trailer Reefer Trailer
Trailer length 53 feet or more
ASL TRANSPORTATION GROUP INC
Company ASL TRANSPORTATION GROUP INC
Start Date 09-2019
End Date 01-2020
Address
City, State/Province
Zip/Postal
Williamstown, NJ 08094
Country United States
Phone 856-***-****
Position Held
Reason for leaving? AC Moore contract ending. Things are slowing down. 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
7
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 NJ. PA. Del. MD. VA. NC. SC.
Miles driven weekly 2000-2500
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length
Center Line
Company Center Line
Start Date 07-2019
End Date 08-2019
Address
City, State/Province
Zip/Postal
Colton, CA
Country United States
Phone 909-***-****
Fax 714-***-****
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?
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
8
Did you perform any safety
sensitive functions in this job,
regulated by DOT, and
subject to drug and alcohol
testing?
Areas Driven NJ. Pa. Del. Md.
Miles driven weekly 0-500
Most common truck driven Tractor-Trailer
Most common trailer Liftgate
Trailer length
Center Line
Company Center Line
Start Date 12-2018
End Date 06-2019
Address
City, State/Province
Zip/Postal
Colton, CA
Country United States
Phone 909-***-****
Fax 714-***-****
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?
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
Yes
9
testing?
Areas Driven Connecticut,NewYork,NewJersey,Pennsylvania,Del.Md. Miles driven weekly 1000-1500
Most common truck driven Tractor-Trailer
Most common trailer Reefer Trailer
Trailer length
Center Line
Company Center Line
Start Date 12-2018
End Date 06-2019
Address
City, State/Province
Zip/Postal
Santa Ana, CA 92701
Country United States
Phone 714-***-****
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?
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 Ct. NY. NJ. Pa. Del. Md.
Miles driven weekly 1000-1500
Most common truck driven Tractor-Trailer
10
Most common trailer Reefer Trailer
Trailer length
Postal Transport
Company Postal Transport
Start Date 06-2018
End Date 11-2018
Address
City, State/Province
Zip/Postal
Hurffville, NJ 08080
Country United States
Phone 856-***-****
Position Held
Reason for leaving? Wanted a more consistent schedule and more hours. 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 NJ., PA., Del., MD., VA.
Miles driven weekly 1500-2000
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length
Postaltransport
Company Postaltransport
11
Start Date 11-2017
End Date 05-2018
Address
City, State/Province
Zip/Postal
Hurffville, NJ 08080
Country United States
Phone 856-***-****
Position Held
Reason for leaving? Some weeks work is not always available. 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 NJ,NY,Del,Md,Va.
Miles driven weekly 1500-2000
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length
Swift transportation
PLEASE DO NOT CONTACT
Company Swift transportation
Start Date 07-2017
End Date 10-2017
Address
12
City, State/Province
Zip/Postal
Phoenix, AZ 85043
Country United States
Phone 800-***-****
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 NE Regional dedicated
Miles driven weekly 1500-2000
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length
A-One Trucking
Company A-One Trucking
Start Date 01-2017
End Date 06-2017
Address
City, State/Province
Zip/Postal
Berlin, NJ 08009
Country United States
Phone 856-***-****
13
Position Held
Reason for leaving? Still employed their
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 NJ.NY. It's mostly NY.city
Miles driven weekly 500-1000
Most common truck driven Conventional Tractor
Most common trailer Flatbed
Trailer length
Alert Motor Freight
Company Alert Motor Freight
Start Date 11-2016
End Date 01-2017
Address
City, State/Province
Zip/Postal
Mt.laurel, NJ 08054
Country United States
Phone 856-***-****
Position Held
Reason for leaving? Extremely slow never had a whole week Were you
terminated/discharged/laid
off?
No
14
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 Md.De.Nj.Pa.Ny.
Miles driven weekly 1000-1500
Most common truck driven Conventional Tractor
Most common trailer Van
Trailer length
Unemployment
Start Date 08-2016
End Date 10-2016
Comment Was not working until I went back to work with Alert Motor Freight on 11/2016
Elite Express
Company Elite Express
Start Date 07-2015
End Date 07-2016
Address
City, State/Province
Zip/Postal
Pennsauken, NJ 08110
Country United States
Phone 856-***-****
Position Held
Reason for leaving? Not happy with yard operations Were you
terminated/discharged/laid
No
15
off?
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 Md.De.Pa.Nj.Ny.Ct.
Miles driven weekly 1000-1500
Most common truck driven Conventional Tractor
Most common trailer Reefer Trailer
Trailer length
Champion Truck Lines
Company Champion Truck Lines
Start Date 01-2015
End Date 07-2015
Address
City, State/Province
Zip/Postal
Marlton/camden, NJ 08053
Country United States
Phone 856-***-****
Position Held
Reason for leaving? Elite Exp. offerd job makeing much more money Were you
terminated/discharged/laid
off?
No
Is this your current
employer?
No
May we contact this
employer at this time?
Yes
16
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 Me.Nh.Mass.RiNj.Ny.Pa.De.Md.
Miles driven weekly 1000-1500
Most common truck driven Conventional Tractor
Most common trailer Container
Trailer length
Alert Motor Freight
Company Alert Motor Freight
Start Date 07-2012
End Date 01-2015
Address
City, State/Province
Zip/Postal
Mt.laurel, NJ 08054
Country United States
Phone 856-***-****
Position Held
Reason for leaving? Last 3 months things turned very slow. 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
17
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 Md.De.Pa.Nj.Ny.Ct.a lot of LI.NY.
Miles driven weekly 1000-1500
Most common truck driven Conventional Tractor
Most common trailer Van
Trailer length
Stack Transportation /Brennan
Company Stack Transportation /Brennan
Start Date 01-2010
End Date 07-2012
Address
City, State/Province
Zip/Postal
Burlington, NJ 08016
Country United States
Phone 609-***-****
Position Held
Reason for leaving? To much unpaid layover for loads that did not materialize
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
18
Did you perform any safety
sensitive functions in this job,
regulated by DOT, and
subject to drug and alcohol
testing?
Areas Driven Ny.Nj.Pa.De.Md.
Miles driven weekly 1500-2000
Most common truck driven Conventional Tractor
Most common trailer Van
Trailer length
CCT Transportation
Company CCT Transportation
Start Date 05-2008
End Date 01-2010
Address
City, State/Province
Zip/Postal
Hulmeville,/cinniminson, PA 19047
Country United States
Phone 800-***-****
Position Held
Reason for leaving? Was all broker loads pay rate was low 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
19
Areas Driven De.Pa.Nj.Ny.Ct.
Miles driven weekly 1000-1500
Most common truck driven Conventional Tractor
Most common trailer Van
Trailer length
Summit transportation
Company Summit transportation
Start Date 04-2003
End Date 05-2008
Address
City, State/Province
Zip/Postal
Pennsauken, NJ 08109
Country United States
Phone 856-***-****
Position Held
Reason for leaving? Summit closed and merged with CCT transport 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 Sc.Nc.Va.Md.De.Pa.Nj.Ny.
Miles driven weekly 2500-3000
Most common truck driven Conventional Tractor
Most common trailer Van
20
Trailer length
Trucking School
Start Date 10-1991
End Date 12-1991
School New England Tractor Trailer Training
Address
Address 2
City, State/Province Philadelphia, PA
Country United States
Phone
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 5
Hours of Instruction 100
Border Crossing Yes
Log Books Yes
Federal Motor Carrier Regulations Yes
Hazardous Materials Yes
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 No
21
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)]
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
22
Traffic Convictions \ Violations
Have you had any moving violations or traffic convictions in the past 3 years? No Violations
Signature
Full Name Albert Michael Bazarte
IP Address 174.57.93.207
Signature Date/Time 08-16-2022 2:46 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: 08-16-2022 2:46 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
New Jersey Summary of Rights Acknowledgment
By checking the box, I (a) acknowledge
that I have read and understand the
Summary of Rights Under New Jersey's
Fair Credit Reporting Act and also 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
Yes
23
signature.
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) Yes
24
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.
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 *********@*****.***.
Yes
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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:
Albert Michael Bazarte
Social Security #:
9590
Signed Date: 08-16-2022
Albert Michael Bazarte
Laurel Rd.
Clementon, NJ 08021
Gender:
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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
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