APPLICATION FOR EMPLOYMENT Personal InformationName First Last Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone NumberWork Phone NumberCell NumberEmail* Employment DesiredPosition: 1st Choice*Choose OneWork Crew IDock Attendant (Seasonal)Harbor Cashier (Seasonal)Pump Out Boat Operator (Seasonal)Tender Captain (Seasonal)Position: 2nd ChoiceWork Crew IDock Attendant (Seasonal)Harbor Cashier (Seasonal)Pump Out Boat Operator (Seasonal)Tender Captain (Seasonal)Harbor: 1st Choice*Open to any locationMontroseBelmontDiverseyDuSableMonroeBurnham31st Street59th StreetJackson Park OuterHarbor: 2nd ChoiceOpen to any locationMontroseBelmontDiverseyDuSableMonroeBurnham31st Street59th StreetJackson Park OuterHarbor: 3rd ChoiceOpen to any locationMontroseBelmontDiverseyDuSableMonroeBurnham31st Street59th StreetJackson Park OuterSalary Expected*Are you employed now?*YesNoDate you are available:* Date Format: MM slash DD slash YYYY If so, may we inquire of your present employer?*YesNoAre you at least 18 years old*YesNoHave you worked for Westrec Chicago Harbors before*YesNoIf yes, locationMonth and YearCan you furnish proof that you are either a U.S. Citizen or otherwise legally permitted to work in the U.S.?*YesNoIf applicable, type of visa:Acquaintances and/or relatives employed at Westrec Properties, Inc.NameRelationshipDepartment/Location EducationList Schools You've Attended*School Name & AddressCourse of StudyLast Yr Complete.Did you Graduate?HS or College Describe specialized training and apprenticeshipSPECIAL SKILLS AND QUALIFICATIONSCan you swim?*YesNoCan you ice skate?*YesNoFormer EmployersName and Address of Company*Start Date* Date Format: MM slash DD slash YYYY End Date* Date Format: MM slash DD slash YYYY Start Salary:End SalaryDutiesSupervisorPhoneReason for LeavingName and Address of CompanyStart Date Date Format: MM slash DD slash YYYY End Date Date Format: MM slash DD slash YYYY Start SalaryEnd SalaryDutiesSupervisorPhoneReason for LeavingProfessional References*NameAddressCity/State/ZipPhoneBusinessYear Acquainted Upload your Resume and/or Cover Letter (Optional) Drop files here or Accepted file types: pdf, txt, doc, docx. Only accept following file format: pdf, txt, doc, and docxCommentsCommentsOtherHow did you hear abouts us?Please read carefully: I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. I understand that employment is contingent upon successful completion of criminal background check by either an investigative consumer report and/or fingerprinting and that if I do not participate in the criminal background check, (a) I will not be eligible for employment and (b) any offer of employment is subject to the results of the background check. An Arbitration Agreement is required for all Westrec employees as a condition of employment, unless you are part of a bargaining unit. I hereby authorize the Company to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure. I understand that nothing contained in the application, or conveyed during any interview that may be granted or during my employment, if hired, is intended to create an employment contract between the Company and me. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the Company’s Chief Executive Officer. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Drug Free Work Environment. Most positions at Westrec are considered Safety Sensitive positions. Employment is contingent upon passing a drug & alcohol test, which includes marijuana. Additionally, employees may subject to random testing as well as reasonable suspicion testing. Exceptions may exist for bargaining unit candidates/employees. Westrec is an “at will” employer. This means that we may change your terms and conditions of employment at any time, with or without advance notice or cause. It also means you may terminate your employment at any time, for any reason, and we have the same right to terminate your employment at any time for any reason. Agree to terms* By checking the box to the left, I attest that I have read and agree to the above. 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