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Summary
Title:Boatman
ID:1024
Location:N/A
Department:Operations
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Contact Information
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I authorize recruiters from Maintenance Dredging I, LLC to send text messages from 8444177381 with requests for additional information in relation to this job application only. Message/data rates apply. Message frequency varies.
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Application for Employment
PERSONAL INFORMATION
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EMPLOYMENT DESIRED
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EDUCATION

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School 1

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School 2

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School 3

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EMPLOYMENT HISTORY

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Employer 3

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PROFESSIONAL REFERENCES

Please provide three professional references (not relatives).

Professional Reference 1

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Professional Reference 2

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Professional Reference 3

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AUTHORIZATION

The facts set forth in this application and any supplemental information are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

General Questions
* Would you be able and willing to travel as needed by the job?
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No
* What type of job are you seeking?
Full-time
Part-time
Temporary or Seasonal
* List any experience related to dredging.
* Do you have reliable transportation to each job site?
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No
* Do you have a  valid un-expired TWIC card?
Yes
No
Consent for Drug Screen Test Screen and Release Covenant Not to Sue and Indemnity Agreement
Please sign this drug screen consent, release covenant not to sue and indemnity agreement to proceed forward.
Consent for Physical Screen and Release Covenant Not To Sue And Indemnity Agreement
Please sign the below physical screen and release covenant not to sue and indemnity agreement to move forward
* I hereby CONSENT to allow the medical center of Maintenance Dredging I, LLC’s choice to take a specimen of my hair, urine, or blood and submit it for a pre-employment, random, or reasonable suspicion drug test screen. I FURTHER CONSENT to allow the laboratory testing service to make the results of such screen available to the prospective or current employer, Maintenance Dredging I, LLC.

In consideration for such services being rendered on my behalf, I hereby RELEASE the laboratory testing service, its officers, agents, and employees, from any and all claims which I might otherwise have due to such results being made so available. I hereby CONSENT NOT TO FILE ANY ACTION at law or in equity against Maintenance Dredging I, LLC, the laboratory testing service, their respective officers, agents or employees in connection with the results of such screen being made so available, and I hereby agree to INDEMNIFY and SAVE HARMLESS Maintenance Dredging I, LLC, the laboratory testing service, their respective officers, agents, and employees from all damages, expenses, reasonable attorney's fees, and costs of court which they or any of them may suffer or incur, jointly or severally, due to the results of such screen being made so available.
Authorization to Release Information
* Please read the information on this form carefully and completely.

I have applied for employment with Maintenance Dredging I, LLC and have provided
information about my previous employment. I authorize Maintenance Dredging to conduct a
reference check with my present and/or previous employer(s) and listed references. I understand that reference
information may include, but not be limited to, verbal and written inquiries or information
about my employment performance, professional demeanor, rehire potential, dates of
employment, salary and employment history.

My signature below authorizes my former or current employers and references to release
information regarding my employment record with their organizations and to provide any
additional information that may be necessary for my application for employment to
Maintenance Dredging I, LLC, whether the information is positive or negative. I knowingly and
voluntarily release all former and current employers, references, and Maintenance Dredging I,
LLC from any and all liability arising from their giving or receiving information about my
employment history, my academic credentials or qualifications, and my suitability for
employment with Maintenance Dredging I, LLC.

This form may be photocopied, or reproduced as a facsimile and/or email, and these copies will
be as effective as a release or consent as the original which I sign.
* Enter Today's Date
Authorization for Electronic Communication/TCPA Consent
* Name::
* You expressly consent to receiving calls,messages,and emails including auto-dialed and pre-recorded message calls, and SMS messages (including text messages) from us, our affiliates, agents and others calling at their request or on their behalf, at any telephone numbers that you have provided or may provide in the future (including any cellular telephone numbers). Your cellular or mobile telephone provider will charge you according to the type of plan you carry.:
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No
* Employee Signature:
* Today's Date:
2020 - Voluntary Self-Identification of Disability CC-305

Voluntary Self-Identification of Disability

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Why are you being asked to complete this form?

We are a federal contractor or subcontractor required by law to provide equal employment opportunity to qualified peoplewith disabilities. We are also required to measure our progress toward having at least 7% of our workforce be individualswith disabilities. To do this, we must ask applicants and employees if they have a disability or have ever had a disability. Because a person may become disabled at any time, we ask all of our employees to update their information at least every five years.
Identifying yourself as an individual with a disability is voluntary, and we hope that you will choose to do so. Your answer will be maintained confidentially and not be seen by selecting officials or anyone else involved in making personnel decisions. Completing the form will not negatively impact you in any way, regardless of whether you have self-identified in the past. For more information about this form or the equal employment obligations of federal contractors under Section 503 of the Rehabilitation Act, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

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