Employment - P & L Towing and Transportation, Inc.

P&L Towing and Transportation, Inc. is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all the sections below:

Applicant Information:

Applicant's Name: *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Telephone Number:

Email Address: *

Date of Application:

Date of Birth://

Employment Position:

Position(s) applying for (full time):

Captain
Deckhand

How did you hear about this position?

What hours or shifts are you available for work?

On what date can you start working if hired?

Salary desired:

Personal Information:

Are you 18 years of age or older?

Yes
No

Are you a U.S. Citizen or approved to work in the United States?

Yes
No

What document can you provide as proof of citizenship or legal status?

Will you consent to a mandatory controlled substance test?

Yes
No

Do you have any condition which would require job accommodations?

Yes
No

If yes, please describe accommodations required below.

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

Yes
No

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

Job Skills / Qualifications:

Please list below the skills and qualifications you possess for the position for which you are applying for:

(Note: P&L Towing and Transportation, Inc. complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.)

Education and Training:

High School

Name

Location (City, State)

Year Graduated

Degree Earned

College / University

Name

Location (City, State)

Degree Earned

Vocational School / Specialized Training

Name

Location (City, State)

Year Graduated

Degree Earned

Military:

Are you a member of the Armed Services?

What branch of the military did you enlist?

What was your military rank when discharged?

How many years did you serve in the military?

What military skills do you possess that would be an asset for this position?

Previous Employment:

Employer Name:

Job Title:

Supervisor's Name:

Employer Address:

City, State and Zip Code:

Employer Telephone:

Dates Employed:

Reason for leaving:

Employer Name:

Job Title:

Supervisor's Name:

Employer Address:

City, State and Zip Code:

Employer Telephone:

Dates Employed:

Reason for leaving:

Employer Name:

Job Title:

Supervisor's Name:

Employer Address:

City, State and Zip Code:

Employer Telephone:

Dates Employed:

Reason for leaving:

References:

Please provide 3 personal and professional reference(s) below:

Reference 1:

Contact information:

Reference 2:

Contact information:

Reference 3:

Contact information:

AT-WILL EMPLOYMENT

The relationship between you and the P&L Towing and Transportation, Inc. is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the P&L Towing and Transportation, Inc. No representative of P&L Towing and Transportation, Inc. has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President / Chief Operations Officer or the Company's President.

Typing your name below constitutes an electronic signature.

Applicant's signature (type your full name)

Date