NOTICE – Dann Marine Towing, LC is an equal opportunity employer. All prospective employees will receive equal consideration regardless of race, color, sex, age, national origin, religion, disability, or veteran status. Discrimination and Harassment will not be tolerated.
Personal Details
Employment History
Staring with your most recent employer, list any employers you’ve been employed with in the past 5 years
Use additional paper to report additional employers, if any
PLEASE PROVIDE ACCURATE, COMPLETE FULL AND PART TIME EMPLOYMENT RECORD
Disclosure and Release of Information Authorization
I authorize Dann Marine Towing LC to retrieve information from all personnel, educational institutions, government agencies, companies corporations, law enforcement agencies of the federal, state (including the Minnesota Bureau of criminal Apprehension), and or county level, or individuals, relating to my past activities, to supply any and all information concerning my background. Further, I hereby release all of those entities from any liability resulting in providing such information. The information received may include, but is not limited to, academic, residential, achievement, job performance, attendance, litigation, accidents and personal injury, personal history, driving history, criminal records, and information related to my participation in, and results of, any drug testing conducted pursuant to Title 46 C.F.R. I understand that a consumer report may be prepared summarizing this information. If my prior employers and /or references are contacted, the report may include information obtained through personal interviews regarding my character, general reputation, personal characteristics and/or mode of living. I may request a copy of any report that is prepared regarding me and may also request the nature and substance of all information about me contained in the files of the reporting agency. I understand that proper
NOTE: The following information is provided VOLUNTARILY and IS NOT considered as part of your application for employment. It is used only for Identification purposes in verifying information on your Employment Application.
I hereby certify that all the statements and answers set forth during the application process to Dann Marine Towing, LC both orally and in writing, including but not limited to the application form and/or my resume, are true and complete to the best of my knowledge. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. I understand that if my representations are false or I have omitted relevant information, such false representations or omissions will be just cause to deny me employment or to terminate my employment if it has begun. I understand that prior to employment Dann Marine Towing, LC will require, and initially pay for, a complete physical and human performance evaluation (“HPE”). I understand that I am under no duty to reimburse Dann Marine Towing for these costs: 1.) if I fail to pass either the physical or HPE, or 2.)I pass both tests and am continuously employed by Dann Marine Towing for a period of 180 days from the date of my hire. If, however, I am employed by Dann Marine Towing and I voluntarily terminate my employment, or if my employment is terminated for misconduct or poor performance, prior to the 180th day from the date of hire, I will be required to reimburse Dann Marine Towing for all costs associated with the physical and HPE, and those costs may be withheld by Dann Marine Towing from my wages or any other amounts to which I may be entitled from Dann Marine Towing.
A photocopy of this authorization shall be accepted with the same authority as the original
