Titan Urban

APPLICANT PRE-SCREEN ELIGIBILITY

Becoming a Titan driver is a multi-step process and pre-screening is the first step. In order to sign up for an initial Pre-Screening and Company Info Session you need to complete this form.

NOTE: All the following will be verified if you are chosen to move forward

We will run a comprehensive report on the following, which must be passed:

Driving Record
Complete Background
Drug Screening for Marijuana, Cocaine, opiates, Amphetamines and PCP

Do you have a clean driving record? *
( This means NO DUI's and no more than 1 point appearing on your record. )

Yes, I have 1 point or less currently on my driving record

No, I have more than 1 point currently on my driving record

Do you take any of the following drugs or medications for ANY purpose, including medical with a prescription? *

( Any form of the following: marijuana, cocaine, opiates such as heroin, amphetamines/methamphetamines including ecstasy and MDMA, and phencyclidine (PCP) )

Yes, I take one or more of the drugs listed above

Yes, I take and I have a current prescription for one or more of the drugs listed above.

No, I do not take any of the drugs listed above

Any felony or misdemeanor conviction the past 7 years? *
( Any items will be evaluated on a case by case basis. Not disclosing the information upfront will result in automatic disqualification for employment with Titan Urban. )

Yes

Are you registered as a sex offender for any reason? *
( Any items will be evaluated on a case by case basis. Not disclosing the information upfront will result in automatic disqualification for employment with Titan Urban. )

Yes

How did you hear about us? *

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APPLICANT INFORMATION

NOTE: First, Middle and Last name MUST match your legal name EXACTLY in order to be processed.

First Name *

Middle Name

Last Name *

Email *

Home Address *

Home Address Line 2

City *

State *

Zip *

Date of Birth(MM/DD/YY) *

Metro Region *

Driver's License Number *

Driver's License State *

Phone Number *

Are you interested in Part-time or Full-Time work? *

Part- Time (less than 40 hours per week) Full-time (40 hours per week)

APPLICANT REGISTRATION INFO

You will need to retain the password you choose for future reference, if you are chosen to move forward with the employment process.

Please choose a password you will remember.
Password must be a minimum of 8 characters and must include at least 1 uppercase letter.

Password *

Confirm Password *

PLEASE MAKE NOTE OF YOUR APPLICANT ID AND PASSWORD

*Required Field

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SUMMARY OF RIGHTS

Para informacion en espanol, visite www.consumerfinance.gov/learnmore o escribe a la Consumer Financial Protection Bureau, 1700 G Street. N.W., Washington, D. C. 20552.

A Summary of Your Rights Under the Fair Credit Reporting Act

The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of information in the files of consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell information about check writing histories, medical records, and rental history records). Here is a summary of your major rights under the FCRA. For more information, including information about additional rights, go to www.consumerfinance.gov/learnmore or write to: Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20552

• You must be told if information in your file has been used against you. Anyone who uses a credit report or another type of consumer report to deny your application for credit, insurance, or employment – or to take another adverse action against you – must tell you, and must give you the name, address, and phone number of the agency that provided the information.

• You have the right to know what is in your file. You may request and obtain all the information about you in the files of a consumer reporting agency (your “file disclosure”). You will be required to provide proper identification, which may include your Social Security number. In many cases, the disclosure will be free. You are entitled to a free file disclosure if:

	• a person has taken adverse action against you because of information in your credit report;
	• you are the victim of identity theft and place a fraud alert in your file;
	• your file contains inaccurate information as a result of fraud;
	• you are on public assistance;
	• you are unemployed but expect to apply for employment within 60 days.

In addition, all consumers are entitled to one free disclosure every 12 months upon request from each nationwide credit bureau and from nationwide specialty consumer reporting agencies. See www.consumerfinance.gov/learnmore for additional information.

• You have the right to ask for a credit score. Credit scores are numerical summaries of your credit-worthiness based on information from credit bureaus. You may request a credit score from consumer reporting agencies that create scores or distribute scores used in residential real property loans, but you will have to pay for it. In some mortgage transactions, you will receive credit score information for free from the mortgage lender.

• You have the right to dispute incomplete or inaccurate information. If you identify information in your file that is incomplete or inaccurate, and report it to the consumer reporting agency, the agency must investigate unless your dispute is frivolous. See www.consumerfinance.gov/learnmore for an explanation of dispute procedures.

• Consumer reporting agencies must correct or delete inaccurate, incomplete, or unverifiable information. Inaccurate, incomplete or unverifiable information must be removed or corrected, usually within 30 days. However, a consumer reporting agency may continue to report information it has verified as accurate.

• Consumer reporting agencies may not report outdated negative information. In most cases, a consumer reporting agency may not report negative information that is more than seven years old, or bankruptcies that are more than 10 years old.

• Access to your file is limited. A consumer reporting agency may provide information about you only to people with a valid need -- usually to consider an application with a creditor, insurer, employer, landlord, or other business. The FCRA specifies those with a valid need for access.

• You must give your consent for reports to be provided to employers. A consumer reporting agency may not give out information about you to your employer, or a potential employer, without your written consent given to the employer. Written consent generally is not required in the trucking industry. For more information, go to www.consumerfinance.gov/learnmore

• You may limit “prescreened” offers of credit and insurance you get based on information in your credit report. Unsolicited “prescreened” offers for credit and insurance must include a toll-free phone number you can call if you choose to remove your name and address from the lists these offers are based on. You may opt-out with the nationwide credit bureaus at 1-888-5-OPTOUT (1-888-567-8688).

• You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user of consumer reports or a furnisher of information to a consumer reporting agency violates the FCRA, you may be able to sue in state or federal court.

• Identity theft victims and active duty military personnel have additional rights. For more information, visit www.consumerfinance.gov/learnmore

States may enforce the FCRA, and many states have their own consumer reporting laws. In some cases, you may have more rights under state law. For more information, contact your state or local consumer protection agency or your state Attorney General. For information about your federal rights, contact:

TYPE OF BUSINESS:	CONTACT:
1. a. Banks, savings associations, and credit unions with total assets of over 10 billion and their affiliates. b. Such affiliates that are not banks, savings associations, or credit unions should list, in addition to the CFPB	a. Bureau of Consumer Financial Protection 1700 G Street NW Washington,DC 20552 b. Federal Trade Commission: Consumer Response Center - FCRA Washington, DC 20580 (877)382 - 4357
2. To the extent not included in item 1 above: a. National banks, federal savings associations, and federal branches and federal agencies of foreign banks. b. State member banks, branches and agencies of foreign banks(other than federal branches, federal agencies, and insured state branches of foreign banks), commercial lending companies owned or controlled by foreign banks, and organizations operating under section 25 or 25A of the Federal Reserve Act c. Nonmember Insured Banks, Insured State Branches of Foreign Banks, and insured state savings associations. d. Federal Credit Unions	Office of the Comptroller of the Currency Customer Assistance Group 1301 McKinney Street, Suite 3450 Houston, TX 77010-9050 b. Federal Reserve Consumer Help Center PO Box 1200 Minneapolis, MN 55480 c. FDIC Consumer Response Center 1100 Walnut Street, Box #11 Kansas City, MO 64106 d. National Credit Union Administration Office of Consumer Protection(OCP) Division of Consumer Compliance and Outreach(DCCO) 1775 Duke Street Alexandria, VA 22314
3. Air Carriers	Asst. General Counsel for Aviation Enforcement & Proceedings Department of Transportation 400 Seventh Street SW Washington, DC 20590
4. Creditors subject to Surface Transportation Board	Office of Proceedings, Surface Transportation Board Department of Transportation 1925 K Street NW Washington, DC 20423
5. Creditors Subject to Packers and Stockyards Act	Nearest Packers and Stockyards Administration area supervisor
6. Small Business Investment Companies	Associate Deputy Administrator for Capital Access United States Small Business Administration 406 Third Street, SW, 8th Floor Washington, DC 20416
7. Brokers and Dealers	Securities and Exchange Commission 100 F St NE Washington, DC 20549
8. Federal Land Banks, Federal Land Bank Associations, Federal Intermediate Credit Banks, and Production Credit Associations	Farm Credit Administration 1501 Farm Credit Drive McLean, VA 22102-5090
9. Retailers, Finance Companies, and All Other Creditors Not Listed Above	FTC Regional Office for region in which the creditor operates or Federal Trade Commission: Consumer Response Center - FCRA Washington, DC 20580 (877)382-4357

By checking this box, I affirm that I have read and agree to my FCRA Summary of Rights Above.

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	In person, by visual inspection of your file during normal business hours and on reasonable notice. You also may request a copy of the information in person. The ICRA may not charge you more than the actual copying costs for providing you with a copy of your file.
	A summary of all information contained in the ICRA's file on you that is required to be provided by the California Civil Code will be provided to you via telephone, if you have made a written request, with proper identification, for telephone disclosure, and the toll charge, if any, for the telephone call is prepaid by or charged directly to you.
	By requesting a copy be sent to a specified addressee by certified mail. ICRAs complying with requests for certified mailings shall not be liable for disclosures to third parties caused by mishandling of mail after such mailings leave the ICRAs.