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Last Name*

Email Address*

Phone*

Address*

Resume*

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Who referred you to this position? Enter their first and last name here.*

Earliest start date?*

References: Please enter names and contact information:*

Are you at least 18 years old?* YesNo

Are you related to any current NCL employee? YesNo

Have you ever been arrested, plead guilty to, or convicted of any offense? If no, skip next question. If yes, please answer next question.* NoYes

If you answered yes to the previous question, please explain.

Do you possess a high school diploma or GED?* YesNo

Please list any professional licenses or certifications.

Name of previous employer*

Dates of Employment*

Position Held*

Reason for leaving*

Address and Phone Number

Name of previous employer

Dates of Employment

Position Held

Reason for leaving

Address and Phone Number

Name of previous employer

Dates of Employment

Position Held

Reason for leaving

Address and Phone Number

APPLICANT STATEMENT
I certify that the information on this application and its supporting documents are accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employed if discovered later.

I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant for consideration of employment on any basis prohibited by applicable local, state, or federal law.

I authorize North Coast Logistics, Inc to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. If requested, I agree to submit to a criminal and credit background investigation, driving record investigation, and/or screening for illegal substances upon a conditional offer of employment.

I understand that this document is not an offer of employment, and that an offer of employment, if tendered, does not constitute a contract for continued guaranteed employment. I understand that North Coast Logistics, Inc is an at-will employer and the employment relationship may be terminated at any time by either party, for any or no reason, other than a reason prohibited by law.

If employed, I will be required to furnish proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete and I-9 form in this regard.* Yes, I certify that I have read, fully understand, and accept all terms of this forgoing applicant statement.No, I do not certify that I have read, fully understand, and accept all terms of this forgoing applicant statement.

RELEASE OF INFORMATION AUTHORIZATION
Please read and acknowledge the form in the space provided below. Your written authorization is necessary for completion of the application process.

I hereby authorize North Coast Logistics, Inc. to investigate my background and qualifications for purposed of evaluating whether I am a qualified for the position for which I am applying. I understand that North Coast Logistics, Inc. may utilize an outside firm or firms to assist in checking such information, and I specifically authorize such an investigation by information services and outside entities of the company’s choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and my application for employment will not be processed further.
Please type your full name below as authorization.*

The following questions are entirely optional.

To comply with government Equal Employment Opportunity and/or Affirmative Action reporting regulations, we are requesting (but NOT requiring) that you enter this personal data. This information will not be used in connection with any employment decisions, and will be used solely as permitted by state and federal law. Your voluntary cooperation would be appreciated. Learn more.

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