Contact : Port of Bremerton

As a final step in the hiring process, an applicant may be subject to an employment entrance exam that may include screening for illegal drugs. Applicants who confirm positive on drug screening will not be considered for employment.

Question	Yes	No
Do you have friends or relatives employed by the Port of Bremerton? ifyes, please provide their names and relationship to you: Relationship	Yes	No
Have you ever been employed here before? ifyes, give approximate dates: Start Date - End Date	Yes	No
ifhired, do you have a reliable means of transportation to and from work?	Yes	No
ifhired, would you be able to travel or work overtime as needed?	Yes	No
Are you able to perform all the essential functions of the job for which you are applying with or without reasonable accommodation?	Yes	No
Do you have a legal right to be employed in the U.S.? (ifyes, proof is required)	Yes	No
Are you of legal age to work?	Yes	No
If the job applied for requires driving, do you have a valid driver's license? If so, please provide the state and expiration date. Exp. Date: Expiration Date State of Issue: State of Issue	Yes	No

I CERTIFY that the facts contained in this application are true and complete to the best of my knowledge and understand that, ifemployed, false, misleading or incomplete statements on this application shall be grounds for dismissal. I AUTHORIZE the Port of Bremerton (Port) to investigate information concerning my previous employment, education and background as well as criminal background, driving record and credit report. I further release all parties from all liability for any damage that may result from furnishing or receiving such information. I UNDERSTAND and agree that my employment is At-Will and compensation may be terminated at any time without prior notice, with or without cause, at the option of the Port or myself, and understand that no representative of the Port, other than the Chief Executive Officer, has authority to enter into any agreement contrary to the foregoing. I UNDERSTAND that all Port property must be returned and any indebtedness to the Port must be paid on or before my last day of work. I authorize the Port to deduct from my final paycheck an amount necessary to satisfy any unpaid obligation.

Employment Application

Port of Bremerton

Position 1

Position 2

Position 3

Reference 1

Reference 2