The Port Employment Application


INSTRUCTIONS
To submit your application to The Port, please fill out the following form completely. When you are finished, click the "Submit Application" button.

Leave this field empty
Contact Information
First Name *
Middle Name
Last Name *
Home Phone
Work Phone
Cell Phone
Street *
Street 2
City *
State *
Zip *

Job Details
Position Applying For *
Would You Work * Full-Time
Part-Time
Temporary
When Would You
Be Available *
Expected Earnings
Are You
Currently Employed
May We Contact Your
Current Employer
Names of Relatives
Working For Us (if any)
Certifications and/or Licenses
List any certification or license you currently hold,
including the number and expiration date.
Other Job Skills
List other job skills you have not previously listed.
Reference 1 *
Name
Contact Info
Reference 2 *
Name
Contact Info
Reference 3 *
Name
Contact Info

Employment History List in chronological order beginning with most recent first (please enter all information for at least one employer).
Employer
Start Date
End Date
Starting Salary
Ending Salary
Title
Supervisor
Contact Info
Reason For Leaving
May We Contact
Job Description and/or Duties
Employer
Start Date
End Date
Starting Salary
Ending Salary
Title
Supervisor
Contact Info
Reason For Leaving
May We Contact
Job Description and/or Duties
Employer
Start Date
End Date
Starting Salary
Ending Salary
Title
Supervisor
Contact Info
Reason For Leaving
May We Contact
Job Description and/or Duties

Education List the schools you have attended: include High School, Business, Technical College or University (please enter all information for at least one school).
School Name
Location
# of Years
   
Major
Degree
School Name
Location
# of Years
   
Major
Degree
School Name
Location
# of Years
   
Major
Degree

Required Information
Have you ever been convicted of, or plead guilty or no contest to a felony or misdemeanor offense in any State? *  
If yes, please explain in detail including the crime involved, date and place
Have you ever been bonded? *  
If yes, with what employers?
Did you serve in the U.S. Armed Forces? *  
If yes, what branch?
If yes, was your discharge honorable
Are you 18 years of age or older? *  
If offered employment, will you be able to submit verification of your legal right to work in the U.S.? *  

I hereby certify that all information included on this application is true and correct to the best of my knowledge and belief and do hereby authorize all investigations deemed necessary by the Port to verify the information contained herein and necessary qualifications for the job(s) for which I am applying. I hereby authorize the Port to obtain this information and release and hold harmless the Port, its commissioners, officers and representatives, and any Company, entity or person providing this information, from any liability or claims resulting from obtaining this information.

I understand and agree that if employed, the terms and conditions of my employment, including duties, hours worked and days of work may be changed from time to time by the Port as it deems necessary, that I will conform to the rules and regulations of the Port and that employment with the Port is at the mutual consent of the employee and the Port. Accordingly, either the employee or the Port may terminate the employment relationship at will for any or no reason at any time. I understand that no supervisor, official or representative of the Port has any authority to enter into any contract of employment for any specific period of time or to make any agreement, orally or in writing, contrary to the terms of this paragraph. I further understand and agree that any false statements or material omissions on this application may result in my immediate dismissal from employment, or discontinuation of further consideration of my application.

Digital Signature
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