Truck Driver
Resume:
RTA Logistics Inc.
Woodridge, IL 60517
**-**-**** **:52:00AM CDT
IntelliApp
Thank you for your interest in RTA Logistics 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
Name Devell Edward Jamerson
Current Address 129 Breckenridge
City, State/Province Zip/Postal Oxford, MS 38655
Country United States
Residence 3 years or longer (If No,
previous addresses shown below)
Yes
SSN/SIN 5655
Date of Birth
Primary Phone 662-***-****
Cell Phone 662-***-****
Email ad782w@r.postjobfree.com
Yes, I agree to receive information
concerning future opportunities or
promotions from RTA Logistics Inc. by
email or other commercial electronic
communications.
Yes
Would you like to receive communication
from RTA Logistics 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 RTA
Logistics Inc.'s service provider receives in
real time and logs your text messages with
RTA Logistics Inc..
Yes
1
Company Questions
GENERAL INFORMATION
What position are you applying for? Company Driver If you answered "Owner Operator" or
"Fleet Owner", select yes.
No
EQUIPMENT (OWNER/OPERATORS ONLY)
Equipment Description (Tractor):
Type:
Year:
Make:
Model:
Color:
VIN:
Weight
Mileage
Fifth Wheel Height
What location are you applying for?
Are you legally eligible for employment in
the United States?
Yes
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?
No
Enter start and end dates, location,
position, and reason for leaving:
Do you have a current TWIC card? No
Expiration date:
Have you ever been known by any other
name?
Yes
Enter name: Dee
How did you hear about us? Other
If "Driver Referral", please enter the
driver's name
If "Other", please explain Met one of you all employees dropping of drivers.
Selina Jamerson 662-***-**** wife
2
Please provide your Emergency Contact
information (Name, Number, Relationship
to you)
DRIVING EXPERIENCE
For each class of equipment, select years of experience. If no experience in a class, select "None".
Straight Truck None
Tractor and Semi-Trailer 9-10 years
Tractor - Two Trailers None
Other
Licenses
License Number 769
Licensing Authority GA
Country United States
License Class
License Expiration Date
DOT Medical Card Expiration Date
Current License
Commercial Driver License
Endorsements
Tanker Endorsement No
HAZMAT Endorsement No
X Endorsement No
Doubles Triples Endorsement No
Other Endorsement No
Licenses
License Number 761
Licensing Authority MS
Country US
License Class Class A
License Expiration Date 04-10-2026
DOT Medical Card Expiration Date 08-14-2024
Current License Yes
3
Commercial Driver License Yes
Endorsements None
Employment / Unemployment
NRG
Company NRG
Start Date 07-2024
End Date 08-2024
Address
City, State/Province Zip/Postal Burr Ridge, IL
Country United States
Phone
Position Held
Reason for leaving? Team driver only company I want to drive solo.
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 Midwest/Westcoast
Miles driven weekly 3500+
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Okan Express
Company Okan Express
Start Date 02-2023
4
End Date 08-2024
Address 640 Pratt Ave
City, State/Province Zip/Postal Schaumburg, IL 60193 Country United States
Phone 847-***-****
Position Held Drive
Reason for leaving? Company was contracted with amazon contract ended.
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 Southeast
Miles driven weekly 2500-3000
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Quick Transport Services Inc
Company Quick Transport Services Inc
Start Date 01-2023
End Date 01-2023
Address
City, State/Province Zip/Postal Merrillville, IN 46410 Country United States
Phone 219-***-****
Position Held Solo Company Driver
Reason for leaving? Don't have team loads
5
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 Midwest
Miles driven weekly 2500-3000
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Reefer Trailer
Trailer length 53 feet or more
KTM UNITED
Company KTM UNITED
Start Date 12-2022
End Date 12-2022
Address
City, State/Province Zip/Postal Plaines, IL
Country United States
Phone
Position Held
Reason for leaving? No work
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
6
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven Midwest
Miles driven weekly 2500-3000
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
KTM UNITED
Company KTM UNITED
Start Date 09-2021
End Date 11-2022
Address
City, State/Province Zip/Postal Plaines, IL
Country United States
Phone
Position Held
Reason for leaving? Leaving Owner Operator Status
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 Midwest
Miles driven weekly
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
7
Trailer length 53 feet or more
Ktm United Inc
Company Ktm United Inc
Start Date 09-2021
End Date 09-2022
Address 9002 Senta Dr #2b,
City, State/Province Zip/Postal Des Plaines, IL 60016 Country United States
Phone 847-***-****
Position Held
Reason for leaving? Better Working Conditions
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 Southeast
Miles driven weekly 2500-3000
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
IMCG (Intermodal Cartage Company)
Company IMCG (Intermodal Cartage Company)
Start Date 07-2021
End Date 08-2021
Address 5707 Holmes RD
City, State/Province Zip/Postal Memphis, TN 35677
Country United States
8
Phone 901-***-****
Fax 901-***-****
Position Held
Reason for leaving? Currently 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 South East /Midwest
Miles driven weekly 2500-3000
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
F2F Transport
Company F2F Transport
Start Date 06-2021
End Date 06-2021
Address 1848 Rossville Ave
Address 2 Suite 102
City, State/Province Zip/Postal Chattanooga, TN 37408 Country United States
Phone 423-***-****
Fax 423-***-****
Position Held
Reason for leaving? more time a home
Were you terminated/discharged/laid off? No
Is this your current employer? Yes
9
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?
No
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven 48 states
Miles driven weekly 2500-3000
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
F2F Transport
PLEASE DO NOT CONTACT
Company F2F Transport
Start Date 12-2020
End Date 05-2021
Address 1848 Rossville Ave
Address 2 Suite 102
City, State/Province Zip/Postal Chattanooga, TN 37408 Country United States
Phone 423-***-****
Fax 423-***-****
Position Held
Reason for leaving? Still current
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
Yes
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 Southeast
Miles driven weekly 2500-3000
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Bennett Drivaway (Power Only)
Company Bennett Drivaway (Power Only)
Start Date 05-2019
End Date 11-2020
Address 56960 Elk Park Dr. Elkhart IN
City, State/Province Zip/Postal Elkhart, IN 56960
Country United States
Phone 855-***-****
Position Held
Reason for leaving? Consistency and better pay
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 48
Miles driven weekly 2500-3000
Pay Range (cents/mile)
Most common truck driven Conventional Tractor
11
Most common trailer Van
Trailer length 53 feet or more
Circle Logistics II Inc.
Company Circle Logistics II Inc.
Start Date 10-2020
End Date 11-2020
Address 1950 Cook Rd
Address 2 Suite 102
City, State/Province Zip/Postal Fort Wayne, IN 46818 Country United States
Phone 260-***-****
Fax 260-***-****
Position Held
Reason for leaving? Company is very unstable
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 Med west
Miles driven weekly 2500-3000
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
CME
Company CME
Start Date 02-2020
End Date 07-2020
12
Address 5539 Torrie Park Dr.
Address 2 5539 Torrie Park Dr.
City, State/Province Zip/Postal Cottondale, AL 35404 Country United States
Phone 404-***-****
Position Held
Reason for leaving? (Up coming company) I just need better working conditions
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 48
Miles driven weekly 2500-3000
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Reefer Trailer
Trailer length 53 feet or more
Mercer Transportation
Company Mercer Transportation
Start Date 11-2019
End Date 01-2020
Address 1128 W Main
City, State/Province Zip/Postal Louisville, KY 40203 Country United States
Phone 502-***-****
Fax 855-***-****
Position Held
13
Reason for leaving? Not enough work
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 48 states
Miles driven weekly 1500-2000
Pay Range (cents/mile)
Most common truck driven Conventional Tractor
Most common trailer Van
Trailer length 53 feet or more
Unemployment
Start Date 04-2019
End Date 04-2019
Comment
Road Runner
Company Road Runner
Start Date 08-2018
End Date 03-2019
Address 4401 Bowman Industrial Ct.
City, State/Province Zip/Postal Conley, GA 30288
Country United States
Phone 404-***-****
Position Held
Reason for leaving? Better Pay
Were you terminated/discharged/laid off? No
Is this your current employer? No
Yes
14
May we contact this employer at this time?
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 Midwest and Southeast
Miles driven weekly 2000-2500
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Great Wide Truck Management
Company Great Wide Truck Management
Start Date 06-2018
End Date 07-2018
Address
City, State/Province Zip/Postal Pittsburg, PA 15106 Country United States
Phone 800-***-****
Position Held
Reason for leaving? Worked for two and a half weeks and did not get paid
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
15
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Areas Driven Southeast Region
Miles driven weekly 3000-3500
Pay Range (cents/mile)
Most common truck driven Conventional Tractor
Most common trailer Van
Trailer length 53 feet or more
Shelton Trucking Service, Inc.
Company Shelton Trucking Service, Inc.
Start Date 07-2018
End Date 07-2018
Address 24058 NW SR 73
City, State/Province Zip/Postal Altha, FL 32421
Country United States
Phone 850-***-****
Position Held
Reason for leaving?
Were you terminated/discharged/laid off?
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
Most common trailer
Trailer length
Unemployment
Start Date 12-2017
16
End Date 05-2018
Comment medical reasons
Empire Express
Company Empire Express
Start Date 10-2016
End Date 12-2017
Address 999 Channel Ave
City, State/Province Zip/Postal Memphis, TN 38113
Country United States
Phone 901-***-****
Fax 901-***-****
Position Held
Reason for leaving? Resigned
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 southeast
Miles driven weekly 2500-3000
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Howard Sheppard, Inc
Company Howard Sheppard, Inc
Start Date 08-2015
End Date 09-2016
Address 755 Waco Drive
17
City, State/Province Zip/Postal Sandersville, GA 31082 Country United States
Phone 800-***-****
Fax 478-***-****
Position Held
Reason for leaving? Relocation
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 southeast
Miles driven weekly 2500-3000
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Container
Trailer length 32 to 44 feet
Fedex Custom Critical
Company Fedex Custom Critical
Start Date 04-2015
End Date 08-2015
Address 1475 Boettler Rd
City, State/Province Zip/Postal Uniontown, OH 44685 Country United States
Phone 234-***-****
Fax 888-***-****
Position Held
Reason for leaving? More stability
Were you terminated/discharged/laid off? No
18
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 48 states
Miles driven weekly 3000-3500
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
Unemployment
Start Date 02-2015
End Date 04-2015
Comment none
Arcilla trucking
Company Arcilla trucking
Start Date 06-2014
End Date 02-2015
Address 9474 highway 57
City, State/Province Zip/Postal Mcintyre, GA 31054 Country United States
Phone 478-***-****
Position Held
Reason for leaving? Needed to work every day
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 Yes
19
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 GA Al Fl
Miles driven weekly 2000-2500
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Other
Trailer length 32 to 44 feet
Unemployment
Start Date 01-2014
End Date 05-2014
Comment job went out, closed down
Western express
Company Western express
Start Date 12-2013
End Date 01-2014
Address 7135 centennial pl
City, State/Province Zip/Postal Nashville, TN 37209 Country United States
Phone 615-***-****
Position Held
Reason for leaving? Better 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?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
Yes
20
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
Yes
Areas Driven 48 states
Miles driven weekly 2500-3000
Pay Range (cents/mile)
Most common truck driven Tractor-Trailer
Most common trailer Van
Trailer length 53 feet or more
FIE
Company FIE
Start Date 09-2013
End Date 12-2013
Address
City, State/Province Zip/Postal Macon, GA 31201
Country United States
Phone 478-***-****
Position Held
Reason for leaving? Job relocated
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
21
Trailer length
Cooler Ice
Company Cooler Ice
Start Date 04-2010
End Date 09-2013
Address
City, State/Province Zip/Postal Byron, GA 31008
Country United States
Phone 478-***-****
Position Held
Reason for leaving? laid off
Were you terminated/discharged/laid off? Yes
Termination Explanation laid off
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
Unemployment
Start Date 09-2009
End Date 04-2010
Comment none
Blue Bird/ For a staffing Company
Company Blue Bird/ For a staffing Company
22
Start Date 01-2008
End Date 09-2009
Address
City, State/Province Zip/Postal Macon, GA 31030
Country United States
Phone
Position Held
Reason for leaving? Laid off
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
Trucking School
Start Date 05-2001
End Date 07-2001
School Middle Georgia Tech
Address
Address 2
City, State/Province Warner Robins, GA
Country United States
23
Phone 478-***-****
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
Border Crossing No
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
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)]
No
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
No
24
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
·
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 10-2018
Hazmat Accident / Incident
Was the vehicle towed away?
City Stanley
State/Province NC
Were you in a commercial vehicle? Yes
If yes, was this a Department of
Transportation recordable accident?
No
Were you at fault? Yes
Were you ticketed? No
Description Alleged DamageHit Parked
Vehicle/Stopped VehicleMisc.Preventable
Accident/Incident
25
Traffic Convictions \ Violations
Have you had any moving violations or traffic convictions in the past 3 years? No Violations
Criminal Record
Have you ever been convicted of a crime? No
Do you have any deferred prosecutions? No
Do you have criminal charges pending? No
Have you ever pled "guilty" to, been
convicted of, or pled "no contest" to a
felony?
No
If you have any felony convictions, do you
currently hold a minister's permit to enter
or exit Canada?
No
Have you, within the last five years, pled
"guilty" to, been convicted of, had
prosecution deferred in connection with, or
pled "no contest" to a misdemeanor?
No
Signature
Full Name Devell Edward Jamerson
IP Address 2600:1008:b077:12ec:7c50:d9ec:c56a:bcae Signature Date/Time 08-14-2024 10:52 AM
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: 08-14-2024 10:52 AM
Signed:
Federal FCRA Summary of Rights Acknowledgment
By checking this box, I (a) acknowledge Yes
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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.
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
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