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Online Application
Today's Date
State
Position Applying For
Have you ever applied at T & D Towing?
Yes
No
Have you ever been employed by T & D Towing?
Yes
No
Have you ever been convicted of a felony?
Yes
No
If yes, explain. (A conviction may not disqualify you, but a false statement will.)
Highest Level of Education Completed
Do you have any military experience?
Yes
No
Have you ever worked for a United States Department of Transportation regulated employer?
Yes
No
Have you had a United States Coast Guard drug/alcohol violation in the last three years?
Yes
No
Have you been evaluated by a Substance Abuse Profession (SAP) based on a United States Department of Transportation drug/violation?
Yes
No
Do you currently hold a TWIC Card?
Yes
No
Do you currently hold a Merchant Mariner Card?
Yes
No
Do you have any STCW Training? (mark all that apply)
Basic STCW
Life Boatman
PIC Medical
Radar ARPA
Medical First Aid Provider
Advanced Fire Fighting
Radio GMDSS
Bridge Resource Management
None
If currently employed, may we contact your employer?
Yes
No
Have you worked anywhere else not mentioned above?
Yes
No
State
State
I authorize you, at the time of my application for employment of during the course of employment, to obtain information from my source as to my education, experience, character, medical history, financial or credit records. I hearby certify that this application and any attachments contain no willfil or negligent misrepresentations or falsification, and taht information given by me is true and complete. I understand taht should an investigation disclose any such misrepresentation or falsification of my application will be rejected or, if employed by T & D Towing LLC, cause my dismissal. By completing this application I understand this is a contingent offer of employment, subject to the successful completion of the other employment and job related qualifications that T & D Towing, LLC is entitled to consider.
Employment with T & D Towing, LLC is terminable at will by either party without cause and with out notice. As an employee at will, you may voluntarily resign your employment at any time and T & D Towing, LLC may terminate your employment at any time with out cause or prior notice. No one at T & D Towing, LLS is authorized to change the at will nature of the employment relationship between you and T & D Towing, LLC except the president in a written agreement signed by him.
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Thank you for your application. We will be in touch soon.
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