Driver Application for Employment

Driver Qualification File — DRV-011
DQF-APP-011
Required per 49 CFR §391.21 — Must be completed and signed by applicant prior to driving assignment
1 Motor Carrier Information §391.21(b)(1)
Company Name
Delta Advanced Trucking, Inc.
Company Address
2475 Laver Rd., Mansfield, OH 44905
USDOT Number
3847291
MC Number
MC-1284560
2 Applicant Information §391.21(b)(2)
Last Name
Lee
First Name
Olivia
Middle Name
Rose
Date of Birth
03/14/1968
Social Security Number
XXX-XX-8376
Phone Number
337-857-3607
Email Address
olee@hotmail.com
Application Date
07/13/2025
Current Address
600 Peachtree St, Atlanta, GA 30308

Driver Photo
DRV-011 driver photo
Driver photo verified
Headshot on file from Delta Advanced Trucking driver records.

Position Applied For
Position
OTR Driver
Type
Full-Time
Date Available
08/01/2025
3 Residence History — Previous 3 Years §391.21(b)(3)
Address City, State, ZIP From To
600 Peachtree St Atlanta, GA 30308 02/2018 Present
1255 Ponce De Leon Ave, Unit 7 Atlanta, GA 30306 09/2014 01/2018
4 License Information §391.21(b)(5)
Issuing State License Number Class Endorsements Restrictions Expiration
Georgia GA8190601 Class A T, N None 07/30/2024
5 Driving Experience §391.21(b)(6)
Tractor-Semitrailer 16 yrs
Straight Truck 4 yrs
Reefer 10 yrs
Flatbed 6 yrs
Van / Dry 12 yrs
Tanker 3 yrs
Total Miles Driven (Approximate)
~1,500,000 miles
6 Accident Record — Previous 3 Years §391.21(b)(7)
Date Nature of Accident Location Fatalities Injuries
No reportable accidents in the preceding 3-year period.
7 Traffic Violations & Forfeitures — Previous 3 Years §391.21(b)(8)
Date Violation Location / State Vehicle Operated Disposition
No traffic violations or forfeitures in the preceding 3-year period.
8 License Denial, Revocation, or Suspension §391.21(b)(9)
I certify that no license, permit, or privilege to operate a motor vehicle has ever been denied, revoked, or suspended.
I have had a license, permit, or privilege denied, revoked, or suspended. Details are provided below:
Details (if applicable)
N/A
9 Employment History — Previous 10 Years §391.21(b)(10)
Employer Name
Atlanta Express Lines, Inc.
Employer Address
1900 Howell Mill Rd NW, Atlanta, GA 30318
Phone
404-352-7100
Position Held
OTR Driver
From
04/2018
To
07/2025
Reason for Leaving
Seeking dedicated lanes
Subject to FMCSRs?
Yes
Subject to DOT Drug/Alcohol Testing? (49 CFR Part 40)
Yes
May We Contact?
Yes
Employer Name
Southern Freight Partners
Employer Address
3400 Donald Lee Hollowell Pkwy, Atlanta, GA 30331
Phone
404-696-2500
Position Held
Regional Driver
From
08/2012
To
03/2018
Reason for Leaving
Better home time
Subject to FMCSRs?
Yes
Subject to DOT Drug/Alcohol Testing? (49 CFR Part 40)
Yes
May We Contact?
Yes
Employer Name
Peachtree Logistics Group
Employer Address
2200 Marietta Blvd NW, Atlanta, GA 30318
Phone
404-799-4300
Position Held
Local / P&D Driver
From
01/2006
To
07/2012
Reason for Leaving
Promoted to regional role
Subject to FMCSRs?
Yes
Subject to DOT Drug/Alcohol Testing? (49 CFR Part 40)
Yes
May We Contact?
Yes
10 Education Industry Standard
School / Institution Location Years Attended Graduated? Degree / Certificate
North Atlanta High School Atlanta, GA 1982 – 1986 Yes High School Diploma
Georgia Driving Academy Decatur, GA 2005 Yes CDL Class A Certificate
11 DOT Drug & Alcohol Testing History §391.21(b)(10) / 49 CFR Part 40
Have you ever tested positive or refused a DOT pre-employment, random, post-accident, reasonable suspicion, return-to-duty, or follow-up drug or alcohol test with any previous employer? No
I authorize Delta Advanced Trucking, Inc. to obtain my drug and alcohol testing records from my previous DOT-regulated employers listed in Section 9, in compliance with 49 CFR §40.25.
12 Safety Performance History — Records Release Authorization §391.23(d) / §391.53
13 Fair Credit Reporting Act Disclosure & Consent FCRA / Industry Standard
I acknowledge receipt of the FCRA disclosure above and authorize Delta Advanced Trucking, Inc. to obtain consumer reports and/or investigative consumer reports for employment purposes.
I authorize a pre-employment background check including criminal history records and MVR from all states in which I hold or have held a license.
14 Applicant Certification & Signature §391.21(b)(11)
Applicant Certification
I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of information on this application or any other required document may result in denial of employment or, if already employed, immediate termination. I authorize Delta Advanced Trucking, Inc. to verify all information provided and to contact all previous employers, references, and educational institutions listed herein. I understand that this application is not a contract of employment and that, if hired, my employment is at-will and may be terminated by either party at any time, with or without cause.
Olivia R. Lee
Applicant Signature
07/13/2025
Date

For Carrier Use Only
Reviewed By
T. Marchlen — Fleet Compliance
Review Date
07/14/2025
Assigned Driver ID
DRV-011
Application Status
APPROVED