United States Qualified Applicants

Location:

Columbus, OH

Posted:

November 26, 2024

Contact this candidate

Resume:

Sisbro, Inc.

**** ******* ****

Quincy, IL *****

866-***-****

**-**-**** *:31:34PM CDT

IntelliApp

Thank you for your interest in Sisbro, Inc.. To apply for a driving position, please complete our online application for employment. Incomplete information will delay the processing of your application or prevent it from being submitted. In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.

Personal Information

Referral Code: sisbro_socialedge_louisville_otr_rmw_driver_email Name Rene J Kennedy

Residence 3 years or longer (If No,

previous addresses shown below)

Yes

Current Address 1522 Jonathan Avenue, Cincinnati, Oh, Usa

City, State/Province Zip/Postal Cincinnati, OH 45207 Country United States

Residence 3 years or longer (If No,

previous addresses shown below)

Yes

SSN/SIN 4155

Date of Birth

Primary Phone 513-***-****

Cell Phone 513-***-****

Preferred method of contact Text Message

Best time to contact you Any

Email *************@*****.***

Company Questions

GENERAL INFORMATION

What position are you applying for? Company Driver If you have spoken to a recruiter please

select their name.

Are you legally eligible for employment in Yes

the United States?

Are you currently employed? Yes

What date did your last employment end?

Do you read, write, and speak English? Yes

Have you ever worked for this company

before?

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:

Have you ever been known by any other

name?

Enter name:

How did you hear about us? Facebook

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".

Straight Truck Van 999*********

Tractor and Semi-Trailer Van/Reefer 999*********

Tractor - Two Trailers No

Other No

Which safe driving awards do you hold

and from whom?

EQUIPMENT (OWNER/OPERATORS ONLY)

Equipment Description (Tractor):

Type:

Year:

Make:

Model:

Color:

VIN:

Weight

Mileage

Fifth Wheel Height

EDUCATION

List highest grade completed: College - 4

List last school attended (name, city, and

state):

Napier Truck Training Hamilton Ohio

PERSONAL REFERENCES

List name, address, city, state, phone number, and relationship: First Reference: Wesley Ward Cincinnati Ohio

513-***-****

Second Reference: Barbara Barwick Cincinnati Ohio

513-***-****

Licenses

License Number 465

Licensing Authority OH

Country US

License Class Class A

License Expiration Date 08-19-2024

DOT Medical Card Expiration Date 12-04-2023

Current License Yes

Commercial Driver License Yes

Endorsements

Tanker Endorsement No

HAZMAT Endorsement Yes

Hazmat Expiration Date 08-19-2024

X Endorsement No

Doubles Triples Endorsement No

Other Endorsement No

Employment / Unemployment

Walmart

Company Walmart

Start Date 10-2023

End Date 10-2023

Address Red Bank Rd

City, State/Province Zip/Postal Bentonville, AR 45217 3

Country United States

Phone 513-***-****

Position Held Deli clerk

Reason for leaving? Get back on the OTR roads

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?

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

Most common truck driven

Most common trailer

Trailer length

Walmart

Company Walmart

Start Date 03-2023

End Date 09-2023

Address Red Bank Rd

City, State/Province Zip/Postal Cincinnati, OH 45207 Country United States

Phone 513-***-****

Position Held Deli clerk

Reason for leaving? Get back on the OTR roads

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 No

vehicle?

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

Most common truck driven

Most common trailer

Trailer length

New Delta INC

Company New Delta INC

Start Date 03-2021

End Date 02-2023

Address West Chester RD

City, State/Province Zip/Postal West Chester, OH 45242 Country United States

Phone 502-***-****

Position Held Company driver

Reason for leaving? Better benefits

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 Dedicated

Miles driven weekly 2500-3000

Most common truck driven Tractor-Trailer

Most common trailer Van

Trailer length 53 feet or more

New Delta INC

Company New Delta INC

Start Date 06-2021

End Date 02-2023

Address West Chester RD

City, State/Province Zip/Postal West Chester, OH 45242 Country United States

Phone 502-***-****

Position Held Company driver

Reason for leaving? Better benefits

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 Dedicated

Miles driven weekly 2500-3000

Most common truck driven Tractor-Trailer

Most common trailer Van

Trailer length 53 feet or more

Crosby Trucking Service

Company Crosby Trucking Service

Start Date 02-2021

End Date 02-2021

Address 270 Keezletown Rd

City, State/Province Zip/Postal Mt Sidney, VA 24467 Country United States

Phone 540-***-****

Position Held Company driver

Reason for leaving? Better benefits

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 Dedicated

Miles driven weekly 2500-3000

Most common truck driven Tractor-Trailer

Most common trailer Van

Trailer length 53 feet or more

Unemployment

Start Date 06-2018

End Date 01-2021

Comment

Western Express

Company Western Express

Start Date 04-2018

End Date 05-2018

Address 7135 Centennial Place

City, State/Province Zip/Postal Nashville, TN 37209 Country United States

Phone 615-***-****

Fax 615-***-****

Position Held Company driver

Reason for leaving? Better benefits

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 Dedicated

Miles driven weekly 2500-3000

Most common truck driven Tractor-Trailer

Most common trailer Van

Trailer length 53 feet or more

Unemployment

Start Date 09-2013

End Date 03-2018

Comment

Trucking School

Start Date 04-2018

End Date 05-2018

School Napier Truck Training

Address

Address 2

City, State/Province Hamilton, OH

Country US

Phone 513-***-****

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

Yes

DOT, and subject to drug and alcohol

testing?

GPA 4.0

Hours of Instruction 200

Border Crossing Yes

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?

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?

3. Have you ever been convicted for any

alcohol or controlled substance related

offense while operating a motor vehicle, or

are any charges pending?

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?

5. Have you ever been convicted of

reckless driving, careless driving or

careless operation of a motor vehicle, or

are any charges pending?

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?

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 Rene J Kennedy

IP Address 65.186.176.210

Signature Date/Time 10-20-2023 2:31 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 on it are true and complete to the best of my knowledge. Signed Date: 10-20-2023 2:31 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

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

Yes

electronic signature to demonstrate my

consent. An electronic signature is as

legally binding as an ink signature.

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

consent. An electronic signature is as

legally binding as an ink signature.

Yes

User Requested Copy

User requested a copy to be sent to this

email address

*************@*****.***.

Yes

DISCLOSURE AND RELEASE

In connection with your employment or application for employment (including contract for services) through Sisbro, Inc., consumer reports

(Investigative Consumer Reports in California) may be requested from HireRight (formerly USIS Commercial Services). These reports may include the following types of information: names and dates of previous employers, reasons for termination of employment, work experience, accidents, academic history, professional credentials and drug/alcohol use. Such reports may contain public record information concerning your driving record, workers' compensation claims, credit, bankruptcy proceedings, criminal records, etc. from federal, state and other agencies that maintain such records; as well as information from HireRight concerning previous driving record requests made by others from such state agencies and state provided driving records.

We also will obtain driving/accident and safety inspection history records maintained by the Federal Motor Carrier Safety Administration ("FMCSA"). You have the right to make a request to HireRight, upon proper identification, to request the nature and substance of all information in its files on you at the time of your request, including the explaining of any coded information, the sources of information and the recipients of any reports on you that HireRight has previously furnished within the past two year period preceding your request (3 years in California). HireRight may be contacted by mail at P.O. Box 33181, Tulsa, OK 74153 or by telephone at 800-***-****. You may also bring a third party with you to view the information at the HireRight offices if this person provides proper identification. Information about HireRight's privacy practices is available at www.hireright.com/Privacy-Policy.aspx.

I AUTHORIZE, WITHOUT RESERVATION, HIRERIGHT, FMCSA AND ANY OTHER PARTY OR AGENCY CONTACTED BY HIRERIGHT TO FURNISH THE ABOVE MENTIONED INFORMATION. THIS AUTHORIZATION DOES NOT APPLY TO DRUG AND ALCOHOL INFORMATION CONTAINED UNDER PART I.

I hereby consent to your obtaining the above information from HireRight, and I agree that such information which HireRight has or obtains in my employment history (not DOT drug and alcohol information without a specific consent by me) with you if I am hired, will be supplied by HireRight to other companies which subscribe to HireRight. I hereby authorize procurement of consumer reports as set forth above. If hired or contracted, this authorization for reports covered by this release only shall remain on file and shall serve as an ongoing authorization for you to procure consumer reports at any time during my employment or contract period. I consent to you obtaining the above information from FMCSA. I understand that the FMCSA maintains sole control over that data and you cannot change or alter such information. If I dispute any information maintained by FMCSA, I must personally contact the FMCSA by accessing the DataQs System at: https://dataqs.fmcsa.dot.gov.

Printed Name:

Rene J Kennedy

Social Security #:

4155

Signed Date: 10-20-2023

Rene J Kennedy

1522 Jonathan Avenue, Cincinnati,

Oh, Usa

Cincinnati, OH 45207

513-***-****

Gender:

IMPORTANT DISCLOSURE

REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Sisbro, Inc. ("Prospective Employer"), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration

(FMCSA).

When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report. When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act. Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety 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 Sisbro, Inc. ("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:

Rene J Kennedy

Signed Date: 10-20-2023

Request/Consent for Information from Previous Employer(s)/Carrier(s) For Alcohol and Controlled Substances Testing Records

And changes in Parts 390 and 391 of the FMCSA

X 10-20-2023

Date

X 4155

Social Security Number

Rene J Kennedy

1522 Jonathan Avenue,

Cincinnati, Oh, Usa

Cincinnati, OH 45207

513-***-****

Gender:

X Rene J Kennedy

Print Name (First, MI, Last)

Signature

I, the above mentioned signer, hereby authorize New Delta INC To release and forward in accordance with the following regulation, all known information pertaining to my alcohol and controlled substances testing/training records to Sisbro, Inc.

DISCLOSURE AND RELEASE

In accordance with DOT Regulation 49 CFR Part 391.23, Part 40 and Part 382, I authorize the release of information from my DOT regulated drug and alcohol testing records by the carriers (company/school) listed above to Sisbro, Inc., or to HireRight for the sole purpose of transmitting such records to Sisbro, Inc.. I authorize release of the following information concerning DOT drug and alcohol testing violations including pre-employment tests during the past three years: (i) alcohol tests with a result of 0.04 or higher; (ii) verified positive drug tests; (iii) refusals to be tested (including verified adulterated or substituted results); (iv) other violations of DOT drug and alcohol testing regulations; (v) information obtained from previous employers of a drug and alcohol rule violation(s); and (vi) documents, if any, of completion of a return-to-duty process following a rule violation. I also authorize the carriers (company/school) listed above to release information about names and dates of previous employers, reasons for termination of employment, work experience, accidents, academic history, professional credentials and other information. The information that I have authorized Sisbro, Inc. or HireRight to review involves tests required by DOT. If any carrier

(company/school) listed above furnishes Sisbro, Inc. or HireRight with information concerning items (i) through (vi) above, I also authorize that carrier (company/school) to release and furnish the dates of my negative drug and/or alcohol tests and/or tests with results below 0.04 during the three-year period and the name and phone number of any substance abuse professional who evaluated me during the past three years.

Request/Consent for Information from Previous Employer(s)/Carrier(s) For Alcohol and Controlled Substances Testing Records

And changes in Parts 390 and 391 of the FMCSA

X 10-20-2023

Date

X 4155

Social Security Number

Rene J Kennedy

1522 Jonathan Avenue,

Cincinnati, Oh, Usa

Cincinnati, OH 45207

513-***-****

Gender:

X Rene J Kennedy

Print Name (First, MI, Last)

Signature

DISCLOSURE AND RELEASE

Request/Consent for Information from Previous Employer(s)/Carrier(s) For Alcohol and Controlled Substances Testing Records

And changes in Parts 390 and 391 of the FMCSA

X 10-20-2023

Date

X 4155

Social Security Number

Rene J Kennedy

1522 Jonathan Avenue,

Cincinnati, Oh, Usa

Cincinnati, OH 45207

513-***-****

Gender:

X Rene J Kennedy

Print Name (First, MI, Last)

Signature

I, the above mentioned signer, hereby authorize Crosby Trucking Service To release and forward in accordance with the following regulation, all known information pertaining to my alcohol and controlled substances testing/training records to Sisbro, Inc.

DISCLOSURE AND RELEASE

In connection with your employment or application for employment (including contract for services) through Sisbro, Inc., consumer reports

Contact this candidate