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Employment Package
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
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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Hawaii
Idaho
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Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Telephone Number:
Email Address:
*
Date of Application:
Date of Birth:
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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
Name
Submit