Prime, Inc.
Springfield, MO ****3
**-**-**** *:38:29PM CDT
IntelliApp
We are committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, color, religion, creed, national origin or ancestry, sex, age, physical or mental disability, veteran or military status, genetic information, sexual orientation, marital status, or any other legally recognized protected basis under federal, state or local laws, regulations or ordinances. The information collected by this application is solely to determine suitability for employment, verify identity and maintain employment statistics on applicants. Applicants with disabilities may be entitled to reasonable accommodation under the terms of the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on the Company. Please inform the Company's personnel representative if you need assistance completing any forms or to otherwise participate in the application process. Please provide complete information. An incomplete application may affect your consideration for employment.
Personal Information
Referral Code: pulse_search
Name Darren Victor Hicks
Residence 3 years or longer (If No,
previous addresses shown below)
Yes
Current Address 807 Parksville Road
City, State/Province Zip/Postal Benton, TN 37307
Country
Residence 7 years or longer (If No,
previous addresses shown below)
Yes
SSN/SIN 9574
Date of Birth
Primary Phone 423-***-****
Email adyepy@r.postjobfree.com
Did you speak with a recruiter? No
Who?
Please keep me updated about Prime Inc.
opportunities, events and offerings
through:
Both
1
Yes, I agree to receive information
concerning future opportunities or
promotions from Prime, Inc. by email or
other commercial electronic
communications.
Yes
Would you like to receive communication
from Prime, 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.
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 Prime,
Inc.'s service provider receives in real time
and logs your text messages with Prime,
Inc..
Yes
Company Questions
What name do you prefer to go by? Darren Hicks
AREA OF INTEREST
Are you interested in Prime's Student
Driver Training Program (working to get
your CDL)? (If you already have your CDL
then select 'NO')
No
Have you worked at Prime before? No
Last year worked?
Months of Tractor/Semi-Trailer Experience
that can be verified:
6
What is your preferred division? Tanker
Personal Non-related Reference
(must be non-related)
First Name: Brian
Last Name: Epperson
City: Benton
State: Tennessee
Phone: 423-***-****
Relationship to you: Friend
Known for how long: 15 years
AREA OF INTEREST 2
Personal Non-related Reference
(must be non-related)
First Name: Greg
Last Name: Price
City: Reliance
State: Tennessee
Phone: 423-***-****
Relationship to you: Friend
Known for how long: 15 years
Emergency Contact
(related or otherwise)
First Name: Cindy
Last Name: Hicks
City: Benton
State: Tennessee
Phone: 423-***-****
Relationship to you: Spouse
Known for how long: 23 years
ADDITIONAL INFORMATION
Were you referred to Prime by an active
Prime driver?
No
Who was the Prime driver that referred
you?
Do you understand you will be required to
obtain a Tanker endorsement?
Yes
What is the issue date of your current
license?
12-27-2022
Does your current license match your
current state of residence?
Yes
Please explain:
Do you have any traffic violations or tickets
pending?
No
Have you failed or refused any drug or
alcohol tests in the last 3 years?
No
Personal Non-related Reference 3
Licenses
Please enter all licenses you have held in the last 5 years License Number 869
Licensing Authority TN
Country US
License Class Class A
License Expiration Date 10-04-2025
Physical Expiration Date 08-18-2019
Current License Yes
Commercial Driver License Yes
Endorsements
Tanker Endorsement No
HAZMAT Endorsement No
Hazmat Expiration Date 09-22-2022
X Endorsement No
Doubles Triples Endorsement No
Other Endorsement No
Employment / Unemployment
Marksman Security
Company Marksman Security
Contact / Supervisor Name
Start Date 06-2023
End Date 06-2023
Address
City, State/Province Zip/Postal Ft.lauderdale, FL
Country United States
Phone 954-***-****
Fax 954-***-****
Position Held
Reason for leaving? Contract ending
Were you terminated/discharged/laid off? No
Is this your current employer? Yes
Yes
ADDITIONAL INFORMATION 4
May we contact this employer at this time?
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 subject to drug and
alcohol testing?
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven
Most common trailer
Trailer length
Marksman Security
Company Marksman Security
Contact / Supervisor Name
Start Date 05-2023
End Date 05-2023
Address
City, State/Province Zip/Postal Ft.lauderdale, FL
Country United States
Phone 954-***-****
Fax 954-***-****
Position Held Security Officer
Reason for leaving? Still presently working
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?
No
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
ADDITIONAL INFORMATION 5
Did you perform any safety sensitive
functions in this job subject to drug and
alcohol testing?
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven
Most common trailer
Trailer length
Marksman Security
Company Marksman Security
Contact / Supervisor Name
Start Date 04-2023
End Date 04-2023
Address
City, State/Province Zip/Postal Ft.lauderdale, FL
Country United States
Phone 954-***-****
Fax 954-***-****
Position Held
Reason for leaving? Presently 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?
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 subject to drug and
alcohol testing?
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
ADDITIONAL INFORMATION 6
Most common truck driven
Most common trailer
Trailer length
Marksman Security
Company Marksman Security
Contact / Supervisor Name
Start Date 01-2023
End Date 03-2023
Address
City, State/Province Zip/Postal Ft.lauderdale, FL
Country United States
Phone 954-***-****
Fax 954-***-****
Position Held
Reason for leaving? Still presently 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?
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 subject to drug and
alcohol testing?
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven
Most common trailer
Trailer length
Unemployment
Start Date 12-2022
End Date 01-2023
ADDITIONAL INFORMATION 7
Comment
Johns Manville
Company Johns Manville
Contact / Supervisor Name
Start Date 09-2022
End Date 12-2022
Address
City, State/Province Zip/Postal Etowah, TN 37331
Country United States
Phone
Position Held Production Assistant
Reason for leaving? Job wasn't for me, working in fiberglass 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 subject to drug and
alcohol testing?
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven
Most common trailer
Trailer length
Polk County Road Department
Company Polk County Road Department
Contact / Supervisor Name
Start Date 06-2022
End Date 08-2022
Address 103 Welcome Valley Road
ADDITIONAL INFORMATION 8
City, State/Province Zip/Postal Benton, TN 37307
Country United States
Phone
Position Held
Reason for leaving? Still presently 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
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Dump Truck
Most common trailer Step Deck
Trailer length
Big G Express, Inc.
Company Big G Express, Inc.
Contact / Supervisor Name
Start Date 05-2022
End Date 05-2022
Address 190 Hawkins Drive
City, State/Province Zip/Postal Shelbyville, TN 37160 Country United States
Phone 931-***-****
Fax 931-***-****
Position Held Driver
Reason for leaving? Still presently working
Were you terminated/discharged/laid off? No
ADDITIONAL INFORMATION 9
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
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length
First Fleet
Company First Fleet
Contact / Supervisor Name
Start Date 02-2022
End Date 04-2022
Address 202 Heritage Park Drive
City, State/Province Zip/Postal Murfreesboro, TN 37129 Country United States
Phone 800-***-****
Fax 888-***-****
Position Held
Reason for leaving? Still currently 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
Yes
ADDITIONAL INFORMATION 10
Regulations while employed/contracted by
this employer/contractor?
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length
FIRST FLEET INC
Company FIRST FLEET INC
Contact / Supervisor Name
Start Date 01-2022
End Date 01-2022
Address
City, State/Province Zip/Postal Murfreesboro, TN
Country United States
Phone
Position Held Driver
Reason for leaving? Still presently 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
Miles driven weekly
Pay Range (cents/mile)
ADDITIONAL INFORMATION 11
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length
Hirschbach Motor Lines Inc.
Company Hirschbach Motor Lines Inc.
Contact / Supervisor Name
Start Date 12-2021
End Date 12-2021
Address 18355 US HWY 20 West
City, State/Province Zip/Postal East Dubuque, IL 61025 Country United States
Phone 563-***-****
Position Held
Reason for leaving? Wasn't a good fit for me
Were you terminated/discharged/laid off? No
Is this your current employer? No
May we contact this employer at this time? Yes
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Conventional Tractor
Most common trailer Reefer Trailer
Trailer length
Paschall Truck Lines
PLEASE DO NOT CONTACT
Company Paschall Truck Lines
Contact / Supervisor Name
ADDITIONAL INFORMATION 12
Start Date 11-2021
End Date 12-2021
Address 3443 US Hwy 641 S
City, State/Province Zip/Postal Murray, KY 42071
Country United States
Phone 270-***-****
Fax 866-***-****
Position Held
Reason for leaving? Still presently working
Were you terminated/discharged/laid off? No
Is this your current employer? Yes
May we contact this employer at this time? No
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length
Paschall Truck Lines
Company Paschall Truck Lines
Contact / Supervisor Name
Start Date 10-2021
End Date 10-2021
Address 3443 US Hwy 641 S
City, State/Province Zip/Postal Murray, KY 42071
Country United States
Phone 270-***-****
ADDITIONAL INFORMATION 13
Fax 866-***-****
Position Held
Reason for leaving? Still 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
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Conventional Tractor
Most common trailer
Trailer length
Southeastern Farms Co-op
Company Southeastern Farms Co-op
Contact / Supervisor Name
Start Date 05-2021
End Date 09-2021
Address 216 Blue Springs Road
City, State/Province Zip/Postal Cleveland, TN
Country United States
Phone
Position Held
Reason for leaving? Seasonal position
Were you terminated/discharged/laid off? No
Is this your current employer? No
May we contact this employer at this time? Yes
ADDITIONAL INFORMATION 14
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
Tennova
Company Tennova
Contact / Supervisor Name
Start Date 03-2021
End Date 04-2021
Address 2305 Chamberlis Avenue
City, State/Province Zip/Postal Cleveland, TN 37312 Country United States
Phone
Position Held
Reason for leaving? The job wasn't what I was told it would be like
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,
ADDITIONAL INFORMATION 15
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
Marksman Security
PLEASE DO NOT CONTACT
Company Marksman Security
Contact / Supervisor Name
Start Date 12-2020
End Date 02-2021
Address
City, State/Province Zip/Postal Ft.lauderdale, FL
Country United States
Phone 954-***-****
Fax 954-***-****
Position Held
Reason for leaving? Presently working there
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?
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
ADDITIONAL INFORMATION 16
Most common trailer
Trailer length
Securitas Security Services
Company Securitas Security Services
Contact / Supervisor Name
Start Date 08-2020
End Date 11-2020
Address
City, State/Province Zip/Postal Chattanooga, TN
Country United States
Phone 414-***-****
Fax 414-***-****
Position Held
Reason for leaving? Cut back in 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?
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
DENSO Manufacturing Athens Tennessee, Inc
Company DENSO Manufacturing Athens
Tennessee, Inc
Contact / Supervisor Name
ADDITIONAL INFORMATION 17
Start Date 10-2019
End Date 07-2020
Address 2400 Denso Drive
City, State/Province Zip/Postal Athens, TN 37303
Country United States
Phone
Position Held
Reason for leaving? my job got switched
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
Securitas Security Services
Company Securitas Security Services
Contact / Supervisor Name
Start Date 05-2019
End Date 10-2019
Address
City, State/Province Zip/Postal Chattanooga, TN
Country United States
Phone 414-***-****
Fax 414-***-****
ADDITIONAL INFORMATION 18
Position Held
Reason for leaving? took the at Denso
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
Walden Security
Company Walden Security
Contact / Supervisor Name
Start Date 10-2018
End Date 04-2019
Address
City, State/Province Zip/Postal Chattanooga, TN
Country United States
Phone 865-***-****
Fax 423-***-****
Position Held
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
ADDITIONAL INFORMATION 19
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
Roehl Transport, Inc.
Company Roehl Transport, Inc.
Contact / Supervisor Name
Start Date 10-2018
End Date 10-2018
Address 1916 East 29th Street
City, State/Province Zip/Postal Marshfield, WI 54449 Country United States
Phone 715-***-****
Fax 918-***-****
Position Held
Reason for leaving? Supposed to drive southeast regional but was put OTR
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
ADDITIONAL INFORMATION 20
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 Van
Trailer length
Knight Transportation Atlanta,Ga
Company Knight Transportation Atlanta,Ga
Contact / Supervisor Name
Start Date 07-2018
End Date 09-2018
Address
City, State/Province Zip/Postal Atlanta, GA
Country United States
Phone
Position Held
Reason for leaving? Never could get home
Were you terminated/discharged/laid off? No
Is this your current employer? No
May we contact this employer at this time? Yes
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
ADDITIONAL INFORMATION 21
Most common trailer
Trailer length
Skyline Transportation
Company Skyline Transportation
Contact / Supervisor Name
Start Date 09-2017
End Date 06-2018
Address
City, State/Province Zip/Postal Knoxville, TN
Country United States
Phone 865-***-****
Fax 865-***-****
Position Held
Reason for leaving? Could not get bugs out my truck and couldn't get another tru
Were you terminated/discharged/laid off? No
Is this your current employer? No
May we contact this employer at this time? Yes
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer
Trailer length
Unemployment
Start Date 07-2017
End Date 08-2017
ADDITIONAL INFORMATION 22
Comment
Bradley Square Mall
Company Bradley Square Mall
Contact / Supervisor Name
Start Date 03-2017
End Date 06-2017
Address
City, State/Province Zip/Postal Cleveland, TN
Country United States
Phone
Position Held
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?
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
Lowes Home Improvement
Company Lowes Home Improvement
Contact / Supervisor Name
Start Date 02-2016
End Date 02-2017
Address 2735 Paul Huff Parkway
ADDITIONAL INFORMATION 23
City, State/Province Zip/Postal New Iberia, LA 37312 Country United States
Phone
Position Held
Reason for leaving? Seasonal position
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
Etowah Police Department
Company Etowah Police Department
Contact / Supervisor Name
Start Date 05-2013
End Date 01-2016
Address Hwy 411 South
City, State/Province Zip/Postal Etowah, TN 37331
Country United States
Phone 423-***-****
Position Held Police officer
Reason for leaving? Low pay for the job you do and the risks you take
Were you terminated/discharged/laid off? No
ADDITIONAL INFORMATION 24
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
Trucking School
Start Date 09-2017
End Date 12-2017
School Skyline Transportation
Address
Address 2
City, State/Province Knoxville, TN
Country US
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
Hours of Instruction
ADDITIONAL INFORMATION 25
Border Crossing No
Log Books Yes
Federal Motor Carrier Regulations Yes
Hazardous Materials Yes
Motor Vehicle Record
1. Has any license, permit or privilege ever
been denied, suspended or revoked for
any reason?
No
2. Have you ever been convicted of driving
during license suspension or revocation, or
driving without a valid license or an expired
license, or are any charges pending?
No
3. Have you ever been convicted for any
alcohol or controlled substance related
offense while operating a motor vehicle, or
are any charges pending?
No
4. Have you ever been convicted for
possession, sale or transfer of an illegal
substance (including but not limited to,
marijuana, amphetamines, or derivatives
thereof) while on duty, or are any charges
pending?
No
5. Have you ever been convicted of
reckless driving, careless driving or
careless operation of a motor vehicle, or
are any charges pending?
No
6. Have you ever tested positive, or
refused to test on a pre-employment drug
or alcohol test by an employer to whom
you applied, but did not obtain
safety-sensitive transportation work
covered by DOT agency drug and alcohol
testing rules in past three years, or have
you ever tested positive or refused to test
on any DOT-mandated drug or alcohol
test?
No
Vehicle Accident Record
Were you involved in any accidents/incidents with any vehicle in the last 5 years (even if not at fault)?
Type of Accident / Incident Non-Injury
Date of Accident / Incident 12-2019
ADDITIONAL INFORMATION 26
Hazmat Accident / Incident No
Was the vehicle towed away? Yes
City Nashville
State/Province TN
Were you in a commercial vehicle? Yes
If yes, was this a Department of
Transportation recordable accident?
Yes
Were you at fault? No
Were you ticketed? No
Description A driver of a small car side swiped the driver side of my tractor. The other drivers
vehicle had to be towed. No injuries and
no tickets where involved
Traffic Convictions \ Violations
Have you had any moving violations or traffic convictions in the past 5 years? No Violations
Criminal Record
An affirmative answer to the questions regarding criminal record will not automatically result in the denial of employment. An applicant's criminal record will be evaluated based on the job for which the applicant has