Truck Driver Cdl

Location:

Paris, TN, 38242

Posted:

August 10, 2025

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Resume:

Midwest Logistics Systems Ltd.

**** **. ***** ***

Celina, OH 45822

800-***-****

**-**-**** *:54:16AM CST

Signature

Personal Information

Name Leonard R Zwolinski

Current Address

City, State/Province Zip/Postal

Country

Residence 3 years or longer (If No,

previous addresses shown below)

Yes

SSN/SIN 3806

Date of Birth

Primary Phone 708-***-****

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

Signature

Full Name Leonard R Zwolinski

IP Address 2001:5b0:51cd:49

Signature Date/Time 02-10-2024 6:54 AM

Federal FCRA Summary of Rights Acknowledgment

Please click the FCRA Statement of Rights

link and review the linked document. By

checking this box, I acknowledge that I

have read and understand the FCRA

Statement of Rights.

Yes

CALIFORNIA DISCLOSURE REGARDING BACKGROUND CHECKS DOCUMENT By checking the box, I 1) agree to use an

electronic signature to demonstrate my

consent, 2) agree that an electronic

signature is as legally binding as an ink

signature, and 3) acknowledge that I have

read and understood this California

Disclosure Regarding Background Checks

document.

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 to Conduct Background Investigation I represent that I understand and agree to

the above and that I intend to execute this

document by electronic signature in

checking this box.

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

State of Washington Release of Interest

I agree to the above language.

This form will populate your information

entered on a separate screen.

Yes

User Requested Copy

User requested a copy to be sent to this

email address ******@*****.***.

Yes

AUTHORIZATIONS AND DISCLOSURES:

I acknowledge that I will be required and agree to submit to a physical examination and related medical evaluation, and controlled substance and alcohol use testing which may be performed by Midwest Logistics Systems Ltd., and its parent company and subsidiaries of the parent, (as applicable, the "Company") and/or the Company's designated employees and/or third party agents, and I authorize release of my results and all prior medical records to the Company and its designated employees and/or third party agents (including medical examiners), as part of the Company's evaluation procedures in deciding whether I should be offered or continued in employment/lease. If I am offered employment and/or continue in my employment/lease, I authorize the release of my Department of Transportation required physical examination to applicable governmental agencies

(e.g., the state Department of Motor Vehicles) if necessary to maintain compliance with local, state, and federal laws regarding the maintenance of a commercial driver's license. I further authorize the Company to submit information regarding the status of my employment/lease including, without limitation, my application date, start date (if hired or leased), application inactivity date, scheduled training/orientation date, and separation date, to my current or former commercial motor vehicle training provider. I understand that in order to investigate applicant safety employment history per FMCSA regulations, the Company must investigate the information applicants have provided by contacting DOT regulated employers/lessors from the past 3 years. Applicants have the following rights pursuant to FMCSA Reg 391.23 (i) (1): a) The right to review investigative information provided by previous DOT employers/lessors for the preceding three years by submitting a written request to Midwest Logistics Systems Ltd., ATTN: HR Dept. within 30 days after being employed/leased or of being notified of denial of employment/lease. b) The right to have errors in the information corrected by applicant's previous employer/lessor and for that previous employer/lessor to re-send the corrected information to the Company and the right to have a rebuttal statement attached to the alleged erroneous information if the previous employer/lessor and the applicant cannot agree on the accuracy of the information. In the event that the Company takes adverse action against you based in whole or in part on a background check, under the Fair Credit Reporting Act you will have 60 days following notice of that action to obtain an additional free copy of your consumer report(s) from the applicable consumer reporting agencies.

Canadian Investigative and Consumer Reporting Rights.

[This section only applies if you resided in Canada or held a Canadian license in the past 5 years.] I agree that, in connection with my employment/lease (including contract for services), Midwest Logistics Systems Ltd. (as applicable, the "Company") may request my Canadian motor vehicle record, criminal history information (including, without limitation, Criminal Records and Criminal/Police Information) and other consumer reporting information (collectively, "reports"), if any, from a consumer reporting agency ("Agency"). Such reports may contain public record information concerning my driving record and criminal history information, and other similar information, from federal, provincial, and other agencies which maintain such records, as well as information from the Agency concerning previous driving record and criminal history requests made by others from such federal, provincial and other agencies. I further agree to provide the Company or Agency with, upon request, the information, documents, and signatures required to obtain such reports, if necessary. I understand that I have the right to, upon proper identification, receive from the Agency the nature and substance of all information in its files on me at the time of my request, including the sources of information and the recipients of any reports on me that Agency has previously furnished within the two-year period preceding my request. I acknowledge that I may request a free copy of my reports from the applicable Agency providing the report. Contact information for each Agency that may provide a report is as follows: (i) CARCO Group, Inc., dba Driver iQ, 5000 Corporate Court, Suite 203, Holtsville, New York 11742 (Tel: 1-800-***-****), (ii) HireRight,14002 E. 21st Street, Suite 1200, Tulsa, OK 74134 (Tel: 1-800-***-****), or (iii) Driver Facts, 5051 East Orangethorpe Avenue #E265 Anaheim, CA 92807 (Tel: 1-888-***-****). You may also dispute the accuracy or completeness of any information in the Consumer Report(s) with CARCO Group, Inc., dba Driver iQ, HireRight, or Driver Facts, as applicable. Each Agency is authorized to disclose all such Canadian-specific information obtained to the Company for the purpose of making a determination as to my eligibility for employment/lease or continued employment/lease, promotion or any other lawful purpose in accordance with applicable human rights, privacy and any other applicable law(s). It is my intent that this authorization shall serve as my consent and authorization for the above, including any consent required pursuant to the Canadian Personal Information Protection and Electronic Documents Act, as amended from time to time, and any similar federal or provincial acts. This authorization shall serve as on-going authorization for the Company to procure similar additional reports, including without limitation my motor vehicle records and criminal history information, at any time during my employment/lease. I specifically acknowledge that the execution of this authorization shall not supersede or otherwise limit any other similar authorizations that I will execute, or that I may have executed previously. I further acknowledge that the reports, and any information shared pursuant to this authorization, may be stored in Canada and/or transmitted to, and stored in, the United States of America. I authorize, without reservation, agency and any party or agency contacted by agency, to obtain such reports and furnish the above-mentioned Canadian specific information to the Company.

By completing, submitting and signing this application/authorization, I hereby agree to everything in this Authorizations and Disclosures statement. I certify by my signature that all entries and information on and in this application and all supplemental documents are true and complete to the best of my knowledge. I agree that not updating, or providing false, misleading or incomplete statements or data in this application and/or supplemental documents is grounds for immediate termination of my employment/lease, regardless of when such information is discovered. I understand that my signing of this authorization does not guarantee me a job/lease with Midwest Logistics Systems Ltd./the Company. Printed Name:

Leonard R Zwolinski

Social Security #:

3806

Signed Date: 02-10-2024

Leonard R Zwolinski

708-***-****

Gender:

IMPORTANT DISCLOSURE

REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Midwest Logistics Systems Ltd., and its parent company and subsidiaries of the parent,

("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 Midwest Logistics Systems Ltd., and its parent company and subsidiaries of the parent, ("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:

Leonard R Zwolinski

Signed Date: 02-10-2024

FAIR CREDIT REPORTING ACT DISCLOSURE AND AUTHORIZATION FORM FOR EMPLOYMENT/LEASE PURPOSES Midwest Logistics Systems Ltd., and its parent company and subsidiaries of the parent, (as applicable, the "Company") may obtain background information about you from a Consumer Reporting Agency when considering your application for employment/lease and for employment/lease purposes. The information may be obtained in the form of a "consumer report" and/or "investigative consumer report." These reports may be obtained at any time after receipt of your authorization and, if you are hired by or lease with the Company, throughout your employment/lease. As an applicant for employment/lease or an employee of the Company, you are a "consumer" with rights under the Fair Credit Reporting Act. This is notice being provided to you to inform you of your rights.

A "consumer report" is any written, oral or other communication of any information by a Consumer Reporting Agency bearing on a consumer's credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living which is used or expected to be used for employment purposes. This report may also include information regarding your motor vehicle records, criminal background records, employment history, educational history, and professional license or credential(s) or any other type of verification that is relevant for employment purposes.

An "investigative consumer report" is a consumer report that includes information on your character, general reputation, personal characteristics, or mode of living that is obtained through personal interviews with former employers, acquaintances, co-workers, or others with whom you may be acquainted.

These reports may come from federal, state, local and/or any other agencies which contain and/or maintain such records. If Midwest Logistics Systems Ltd considers any information in the consumer report or investigative consumer report when making an employment-related decision that directly and adversely affects you, you will be provided with a copy of the consumer report or investigative consumer report before the decision is made final by Midwest Logistics Systems Ltd. You may request in writing a complete disclosure of the nature and scope of the investigation to be performed. A Summary of Your Rights under the Fair Credit Reporting Act can be obtained by applicants as part of the application process through https://midwestlogisticssystems.com or from your Recruiter. Please be aware that the Company only requests and reviews information contained in an applicant's or employee's consumer report or investigative consumer report to the extent permitted or required by applicable law. Fair Credit Reporting Act Authorization

I hereby authorize Midwest Logistics Systems Ltd., and its parent company and subsidiaries of the parent, (as applicable, the "Company") to obtain Investigative Consumer Reports or Consumer Reports from a Consumer Reporting Agency and understand that such Consumer Reports and/or Investigative Consumer Reports may be used by Midwest Logistics Systems Ltd for employment/lease purposes. I understand that I have the right to make a request of such Consumer Reporting Agencies, upon proper identification, of the nature and substance of all information in such files on me, including the source of information and recipients of any reports on me which have been previously furnished by the Consumer Reporting Agencies. I therefore authorize the procurement of said Consumer Reports and/or Investigative Consumer Reports by the Company and, if hired/leased, understand that this authorization shall remain on file and shall serve as on-going authorization for the Company to procure additional Investigative Consumer Reports or Consumer Reports at any time during my employment/lease, unless I revoke such authorization in writing, By signing below, you agree that you have read and understand all items described above. Residents/Applicants from CALIFORNIA, MINNESOTA, OKLAHOMA, NEW YORK, MASSACHUSETTS, NEW JERSEY, and WASHINGTON STATE are required to review next page for important state-specific information.

Printed Name: Leonard R Zwolinski

Social Security #: 3806

Signed Date: 02-10-2024

Signed:

STATE SPECIFIC INFORMATION

All applicants can request a free copy of your Consumer Report(s) ordered from CARCO Group, Inc., dba Driver iQ (1-855-***-****) 5000 Corporate Court, Suite 203, Holtsville, NY 11742, ********@******.***, from HireRight (1-866-***-****) 14002 E. 21st Street, Suite 1200, Tulsa, OK 74134, *********@*********.***, from Tenstreet (1-877-***-****) 120 W. 3rd Street, Tulsa, OK 74103, *******@*********.***, or Driver Facts

(1-888-***-****) 5051 East Orangethorpe Avenue #E265 Anaheim, CA 92807. You may also dispute the accuracy or completeness of any information in Consumer Report(s) with CARCO Group, Inc., dba Driver iQ, HireRight, Tenstreet, or Driver Facts. Notice to CALIFORNIA Applicants/Residents: If the Company obtains either a consumer credit report or investigative consumer report on you, the consumer reporting agency that will be used by the Company is: Driver iQ, HireRight, Tenstreet, or Driver Facts (contact information immediately above). Under section 1786.22 of the California Civil Code, you may view the file maintained on you by the consumer reporting agency used by the Company. You may also obtain a copy of this file, upon submitting proper identification and paying the costs of duplication services, by appearing at the consumer reporting agency in person or by certified mail if you make a written request for copies to be sent to a specific address; you may also receive a summary of the file by telephone. The agency is required to have personnel available to explain your file to you and the agency must explain to you any coded information appearing in your file. If you appear in person, you may be accompanied by one other person of your choosing, provided that person furnishes proper identification. Proper identification generally includes a valid driver's license, social security account number, military identification and credit cards. If you do not have any of this information, the consumer reporting agency may require additional information about your employment and personal or family history to verify identity. Notice to MINNESOTA and OKLAHOMA Applicants/Residents Only: Please check the box on the application if you would like a copy of the consumer report if one is prepared.

Notice to MASSACHUSETTS and NEW JERSEY Applicants/Residents: Under applicable state law, this Notice serves as disclosure that in the event an investigative consumer report is requested, the precise nature and scope of the investigation requested is personal interviews with individuals with whom you are acquainted or who may have knowledge concerning your character, general reputation, personal characteristics and mode of living. You have the right to obtain a copy of the investigative consumer report upon request. Notice to NEW YORK Applicants/Residents: You have the right, upon written request, to be informed of whether or not a consumer report was requested. If a consumer report is requested, you will be provided with the name and address of the consumer reporting agency furnishing the report. You may inspect and receive a copy of the report by contacting that agency. Also, you will be provided with a copy of Article 23A of the New York Correction Law governing the licensure and employment of persons previously convicted of one or more criminal offenses. Your signature above signifies your acknowledgment that you have received this additional information. Notice to New York City Employees/Applicants/Residents:The company fully complies with the New York City Stop Credit Discrimination in Employment Act (SCDEA) and only requests or uses credit checks to the extent permitted under the SCDEA. Notice to WASHINGTON STATE Applicants/Residents: If the company requests an investigative consumer report, you have the right, upon written request made within a reasonable period of time after your receipt of this disclosure, to receive from the companya complete and accurate disclosure of the nature and scope of the investigation requested by the company. You also have the right to request from the consumer reporting agency a written summary of your rights and remedies under the Washington Fair Credit Report Act. Printed Name: Leonard R Zwolinski

Social Security #: 3806

Signed Date: 02-10-2024

Signed:

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 02-10-2024

Date

X 3806

Social Security Number

Leonard R Zwolinski

708-***-****

Gender:

X Leonard R Zwolinski

Print Name (First, MI, Last)

Signature

I, the above mentioned signer, hereby authorize D & G Trucking To release and forward in accordance with the following regulation, all known information pertaining to my alcohol and controlled substances testing/training records to Midwest Logistics Systems Ltd. Alcohol and Drug Testing:

I understand that as part of the Department of Transportation Driver Qualification process (specifically DOT 49 CFR Parts 382 CONTROLLED SUBSTANCES AND ALCOHOL USE AND TESTING) Midwest Logistics Systems Ltd., and its parent company and subsidiaries of the parent,

(collectively, the Company) are required to obtain the results of all DOT required drug and/or alcohol tests, including refusals to be tested. I hereby authorize the companies, carriers, employers, and/or schools listed to furnish the Company the following information concerning my drug and /or alcohol tests: all verified positive drug test results, all alcohol test results of 0.04 or higher alcohol concentration, all refusals to be tested, including verified adulterated or substituted drug test results, any violations of DOT agency drug and alcohol testing regulations or alcohol and controlled substance prohibitions, any drug and/or alcohol rule violations provided by a previous employer/lessor, documentation of successful completion of DOT return to duty requirements to include SAP information and follow-up tests and/or documentation of non-completion or refusal of SAP referral and all testing violations subsequent to the successful completion of a rehabilitation SAP. I also authorize the companies, carriers, employers, schools listed to release information to the Company about names and dates of previous employers, reasons for termination of employment, work experience, accidents, academic history, professional credentials and other information. I have listed all of the companies for which I performed a safety sensitive function, or for which I took any drug and/or alcohol test 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 02-10-2024

Date

X 3806

Social Security Number

Leonard R Zwolinski

708-***-****

Gender:

X Leonard R Zwolinski

Print Name (First, MI, Last)

Signature

I, the above mentioned signer, hereby authorize Crown Truck 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 Midwest Logistics Systems Ltd. Alcohol and Drug Testing:

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 02-10-2024

Date

X 3806

Social Security Number

Leonard R Zwolinski

708-***-****

Gender:

X Leonard R Zwolinski

Print Name (First, MI, Last)

Signature

I, the above mentioned signer, hereby authorize T H. Ryan cartage To release and forward in accordance with the following regulation, all known information pertaining to my alcohol and controlled substances testing/training records to Midwest Logistics Systems Ltd. Alcohol and Drug Testing:

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