General Information
First Name
Last Name
Middle Initial
Primary Phone Number
Secondary Phone Number
Email Address
Company Divisions
River
Based out of Paducah, KY (Operates the Inland River Systems, which includes the Upper and Lower Mississippi, Illinois and Ohio Rivers and all tributaries.)
Inland
Based out of New Orleans, LA/ Houston, TX (Operates the US Inland Waterways with special emphasis on the Gulf Intercoastal Waterway from TX to FL.)
Offshore
Based out of Larose, LA (Operates the US Inland Waterways, Gulf of Mexico, Eastern Seaboard, Caribbean, Mexico, and beyond.)
Position
How did you hear about Marquette
If "Other"chosen, please specify source
If you were referred by our employee, please list the name of the person who referred
Available to work date?
Salary Expectations
Minimum
To
Maximum
Engineer
How many years have you worked as a chief engineer
What engines are you trained to work on
What types of vessels have you worked on
River Pushboats
Offshore Vessels
Supply Boats
Other (List)
Captain-Pilot/Trip Pilot
Do you hold a valid USCG Master of Towing Vessels License
Has your license ever been revoked, suspended, or any other action taken against it?
When
Please explain
Upper Mississippi (St. Louis - St. Paul)
Upper Mississippi (To St. Louis)
Lower Mississippi
Ohio
Illinois
Inter-coastal (West)
Inter-coastal (East)
Other 1 Name
Other 1 Max Tow Size
Other 2 Name
Other 2 Max Tow Size
Other 3 Name
Other 3 Max Tow Size
Other 4 Name
Other 4 Max Tow Size
Other 5 Name
Other 5 Max Tow Size
Do you have Z Drive experience
Captain/Mate (Offshore Division)
Do you hold a valid USCG Master of Towing Vessels License
Has your license ever been revoked, suspended, or any other action taken against it?
When
Please explain
What waterways do you have experience running
Do you have dredge experience
Do you have anchor handling experience
Have you tandem towed barges
Shore-Based Position
What department are you applying for?
What specific job title are you applying for?
Upload Resume
Click the green arrow to upload your resume
Personal Information
Street Address
PO Box
Apt. #
City
State
Zip
SSN
Are you 18 Years of age or older
Valid Drivers License
EEO & Veteran Information (Voluntary)
Gender
Race
Armed Forces
Armed Forces Branch
Type of Discharge
Date of Discharge
Education
High School
Graduate
GED
College
Vocational
College
List any completed training courses
Have you ever worked for Marquette Transportation/Bluegrass Marine/Eckstein Marine Services/HLC Tugs
Licenses
License Type
Expiration Date
License Type
Expiration Date
License Type
Expiration Date
Certification/Endorsements
Certificate Type
Expiration Date
Certificate Type
Expiration Date
Certificate Type
Expiration Date
Employment History
Last 3 Jobs or Last 10 Years
Employer 1
Name of Company
Company Address
Position Title
Name of Supervisor
Company Phone
Ending Wage
Dates of Employment
Reason for Leaving
If "Other" was chosen, please specify reason
Was this job DOT regulated
Employer 2
Name of Company
Company Address
Position Title
Name of Supervisor
Company Phone
Ending Wage
Dates of Employment
Reason for Leaving
If "Other" was chosen, please specify reason
Was this job DOT regulated
Employer 3
Name of Company
Company Address
Position Title
Name of Supervisor
Company Phone
Ending Wage
Dates of Employment
Reason for Leaving
If "Other" was chosen, please specify reason
Was this job DOT regulated
DOT Drug/Alcohol Violations
Have you had any drug/alcohol violations? (If Yes, complete the information below)
Company Name
Date
Type of Violation
Company Name
Date
Type of Violation
Completion of Substance Abuse Program
Qualifications
Capable to perform all aspects of the position
If No, what accommodations would you need
TWIC (Transportation Worker Identification Credential)
Criminal Background
Have you ever been convicted of a felony
Date
Location
Type of Conviction
Have you ever been convicted of possession of, distribution of, and/or intent to distribute controlled substances
Date
Location
Type of Conviction
Have you ever been convicted of violence, dishonest, etc...
Date
Location
Type of Conviction
Signatures
Initial after reading each section below
I certify by my signature below that I have provided full and complete information on my employment application to Marquette Transportation, LLC, regarding my previous and prospective employers. I understand and agree that if I have neglected to provide this information completely and accurately, Marquette Transportation, LLC has complete discretion to terminate my employment.
Initial
APPLICANT, NEW HIRE AND REHIRE ACKNOWLEDGEMENTS AND AGREEMENTS
I hereby state that I received and understand the contents of the Marquette Transportation Company, LLC ("Marquette Transportation") safety rules as pertains to the employment position for which I have applied or been offered. If I am put to work by Marquette Transportation, I agree to read, understand, and abide by the rules and policies outlined in the Marquette Transportation Responsible Carrier Program as pertains to my employment, and I agree to complete the applicable orientation and training requirements set forth in that Program. In consideration of my application, I do hereby agree and consent to the following: I hereby authorize any present or former employers, Department of Motor Vehicles, public agencies, educational institutes, criminal justice agencies, financial institutions, or any other person or agency having knowledge of me to submit information or opinions about myself, including data received from other sources, to Marquette Transportation for employment related purposes. I hold said persons and/or organizations blameless and without liability for statements or opinions made regarding my character, experience or qualifications. I agree and consent that Marquette Transportation has my permission to obtain medical records relating in any way to any treatment that I have or may receive from any hospital, clinic, nurses, physicians, or other health care providers of any kind as a result of any health insurance claims that I may submit arising from accident or illness that occurs during the course of my employment with Marquette Transportation. This authorization also specifically gives my permission to Marquette Transportation to have oral communications when otherwise permitted by law with any such health care providers, hospitals, clinics, physicians and/or nurses regarding such treatments. I understand that as a condition of my employment, Marquette Transportation may require that I obtain an independent medical examination upon my reporting any accident, injury or illness and may require additional independent medical examinations should I file suit against my employer, or begin treatment with any specific medical specialist. I agree to have a functional capacity physical examination and other medical examinations as requested by Marquette Transportation. I agree to discuss the requirements of the physical examination with the testing facility before the testing begins, and to advise the facility of any limitations I may have in performing any particular test. I release and hold Marquette Transportation harmless from any claim I may have arising from injury that occurs as a result of any examination, whether caused in whole or in part by negligence of Marquette Transportation. I further understand that it is my obligation to report to my employer immediately any claims of accident, injury, or illness; to return promptly phone calls from my employer; to provide promptly any medical bills, pharmaceutical bills or request for further treatment; and to keep my employer fully informed of my medical condition, prognosis, and anticipated return to work date, as a condition of further employment, and for receiving approval of submitted charged and expenses which may be related to any treatment. I understand that I must, as a condition for my continued employment and receipt of benefits, fully and promptly cooperate with my employer with regard to any request for information or assistance, including but not limited to executing any release of medical or other records relating to an accident, illness, injury or any employment related matter or investigation. As an express condition of employment with Marquette Transportation, I agree to comply with and consent to the terms and conditions of the Marquette Transportation Drug and Alcohol Policy as stated in the Company Responsible Carrier Program, Section 1, Part 1.3. I understand I will be drug tested prior to being put to work. I further understand that Marquette Transportation enforces a zero tolerance drug and alcohol policy.
I have read and agree to the Applicant, New Hire and Rehire Acknowledgements and Agreements.
Initial
I have read and agree to the Applicant, New Hire and Rehire Acknowledgements and Agreements.
Required Assessment