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I hereby certify, under the penalty of perjury in the State of Washington, that the facts set forth in the above
employment application are true and correct to the best of my knowledge and belief. I authorize the Port of Longview to
verify their accuracy and to obtain reference information on my work performance. I understand that if any of the facts
set forth above have been misrepresented or are false, or if there are omission of facts called for on this application,
my application may be rejected, my name may be removed from consideration, or I may be discharged from my
I authorize my current or former employers and all schools or educational and technical institutions which I have
attended to provide Port representatives any information regarding my current or former employment, scholastic
records or ratings. I hereby release the Port of Longview and any such current or former employers or institutions, their
agents or employees from any and all liability resulting from the release of such information. My authorization and
release from liability are knowing, intelligent and voluntary acts.
I understand that as a condition of employment I must provide documentation to verify my eligibility to obtain
employment along with personal identification information as required by the Immigration Reform and Control Act of
I understand that all employment offers are contingent on passing a background check. If I am offered a position, I will
be provided a form to sign authorizing a background check, which will be conducted prior to the Port finalizing any
I understand and acknowledge that should an employment offer be extended to me and accepted, I will fully adhere to
the policies and procedures of employment of the Port of Longview. I further understand and acknowledge that neither
the policies and procedures of employment, or anything said during the interview process, shall be deemed to
constitute the terms of an express or implied employment contract.
I understand that this application is not intended to be a contract of employment. Employment for all positions at the
Port of Longview (except for positions covered by a collective bargaining agreement) is for an indefinite duration and is “at will.” This means that either party can terminate the employment relationship at any time, for any or no reason, and
with or without advance notice.
Signature of Applicant (Applicants who submit electronic applications will be asked to sign and verify the accuracy of information provided on this application prior to participation in the final interview process).
This field is not part of the form submission.
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