The Crosby Tugs Application Form serves as a comprehensive document required by Crosby Tugs, LLC for all potential employees. Designed to ensure a thorough evaluation of candidates, it covers a broad spectrum of information - from personal details and employment background to specific qualifications and legal acknowledgements regarding the truthfulness of provided information. For those interested in pursuing a career with Crosby Tugs, LLC, filling out this form attentively is the first step towards potential employment. Ready to take that step? Click the button below to start the application process.
Applying for employment with Crosby Tugs, LLC requires careful consideration due to the comprehensive nature of its application form, revised in June 2019. This form serves not only as a means to gather applicant information but also as a clear declaration of the company’s expectations and legal statements that applicants must understand and agree to before signing. It emphasizes the importance of honesty in providing personal and professional details, as any false information could lead to application rejection or termination if hired. Moreover, Crosby Tugs, LLC outlines its thorough background check procedure, including criminal records, references, and, where applicable, credit records, to ensure candidates meet their standards for employment. Applicants are made aware of the company’s drug and alcohol policies, the necessity to comply with all company policies and procedures, and the acknowledgment that employment does not guarantee long-term positions, highlighting at-will employment terms. The form also includes detailed sections for personal information, education, and employment history, demanding complete truthfulness to avoid potential forfeiture of worker’s compensation benefits. Through this application process, Crosby Tugs, LLC aims to screen for individuals who not only fit the qualifications for the job but also align with the company’s commitment to integrity and safety in the workplace.
Crosby Tugs, LLC
Application for Employment
Equal Opportunity Employer
Failure to Answer These Questions Truthfully May Result in Forfeiture of Worker’s Compensation Benefits UNDER R.S. 23:1208.1
Revision June 2019
Page 1 of 10
CTL
Failure to Answer These Questions Truthfully May Result in Forfeiture of Worker’s Compensation Benefits Under R.S. 23:1208.1
APPLICANT ACKNOWLEDGEMENT OF TERMS AND CONDITIONS OF APPLICATION
IT IS VERY IMPORTANT THAT YOU READ THIS SECTION CAREFULLY, AND THAT YOU FULLY UNDERSTAND IT BEFORE YOU SIGN IT.THIS SECTION AFFECTS YOUR LEGAL RIGHTS. IF YOU HAVE ANY QUESTIONS, PLEASE ASK A CROSBY TUGS REPRESENTITIVE BEFORE YOU SIGN THIS APPLICATION.
In exchange for Crosby Tugs, LLC consideration of this employment application:
1.All information I have supplied in this application and any other form, oral or written, is true and accurate, and I agree that any misstated, misleading, incomplete, or false information is grounds for rejection and destruction of this application form, refusal to hire, withdrawal of an offer of employment, or immediate discharge without recourse, whenever and however discovered. I make this promise because I understand that you will rely on my statements to you in making your decision whether to hire me.
2.I understand and agree that Crosby Tugs, LLC and any agent acting on their behalf, as well as any other person responding to a reference request pursuant to this application, can and will seek and/or disclose any and all information about me which said corporation, agent, or person may have. I specifically authorize said disclosure and agree to hold all such corporations, agents or persons harmless for same. That is, I will not file a lawsuit, claim or charge against them for disclosure. Nor will I threaten same or otherwise seek any kind of compensation for such disclosure.
3.I certify that Crosby Tugs, LLC has my permission to implement any screening procedures that the company deems necessary. I understand that all the information obtained from such screening procedures will be used in determining my qualification for employment.
4.I understand that I can request from Crosby Tugs, LLC a copy of Crosby Tugs, LLC employee handbook, and that if I so desire, I can review said handbook before I submit this employment application (In-house Viewing). I agree to abide by the terms and conditions of all Crosby Tugs, LLC rules and regulations, including without limitation: the requirements that any accident, or any injury, no matter how minor, be immediately reported to supervision.
5.In the event that I am employed by Crosby Tugs, LLC I agree to abide by all of its policies, procedures, rules, and regulations, and agree not to disclose any confidential information regarding operating, trade secrets or personal information.
6.I understand that this form does not indicate there are positions open and does not in any way obligate Crosby Tugs, LLC to the applicant. If further understand that any such future employment is terminable by either party at will or without notice or cause. No person other than the president of Crosby Tugs, LLC may modify or amend the provisions stated herein.
7.I specifically authorize Crosby Tugs, LLC to investigate my background, including any and all references available, criminal and other judicial records, and my credit record, where applicable to the position for which I am applying and consistent with applicable law. I understand that Crosby Tugs, LLC will notify me when a credit record investigation is performed, and the sources investigated. I authorize Crosby Tugs, LLC to use all legal means at its disposal to assess my suitability for employment. I make this authorization in return for Crosby Tugs, LLC consideration of me for employment, and I specifically release and hold Crosby Tugs, LLC harmless for any and all liabilities arising out of their investigation of my application for employment.
8.I understand and agree that work schedules and requirements may vary and be unpredictable, and that, while Crosby Tugs, LLC will make reasonable efforts to accommodate work schedules and employee availability, I may be required to work overtime, weekends, different shifts, or other arrangements. I understand and agree to working up to 12 hours (either consecutive or otherwise) in a 24 hour period. I consent to these requirements as necessary and legitimate conditions of employment.
9.I hereby acknowledge that I have read and fully understand the above and hereby state that I will abide by any procedures and policies of Crosby Tugs, LLC and any falsifications or misrepresentation on this application shall be cause for immediate dismissal
__________________________________________________
____________________________________
Name (Please Print)
Date
Signature
Social Security Number
Page 2 of 10
THIS APPLICATION WILL REMAIN CURRENT FOR A PERIOD OF 90 DAYS OR UNTIL THE POSITION IS FILLED
Phone: 985-632-7575
Fax: 985-632-7572
Mailing Address
Physical Address
P.O. Box 279
17771 Hwy 3235
Golden Meadow, La 70357
Galliano, La 70354
Notice to Applicant: Do not leave any part of this application unanswered. Any information that is not answered will be questioned. Crosby Tugs, LLC keep all applications on file and are considered current for 30 days. We offer equal employment opportunities to all persons without regard to race, religion, age, marital or veterans status, gender, national origin, disability or any other legally protected status.
Date of Application _________________________ Social Security Number _____________________________________
Name _____________________________ ____ _____________________________ Are you 18 years or older? Yes No
(First)
(MI)
(Last)
Mailing Address____________________________________________________________________________________________
___________________________________________________________________________________________
(City)
(State)
(Zip)
Physical Address___________________________________________________________________________________________
__________________________________________________________________________________________
Home Phone ______________________________________ Cell Phone ____________________________________________
Emergency Contact Name ___________________________________ Relationship _____________________________________
Emergency Contact Number _________________________________ E-Mail Address: _________________________________
Do you have a valid Driver’s License?
Yes No (If no, please explain) _______________________________________________
Are you a United States Citizen? Yes
No If no do you possess a valid visa or alien registration card permitting you to work in the
United States? Yes No Visa or Alien Card Number _________________________ Expiration Date ___________________
Position Applying For: _______________________________________________________________________________
Work Location Preference:
Inland Tugs
Offshore Tugs
Other
Expected Rate of Pay ___________________ Date available for work ________________________________________________
Have you ever applied with Crosby Tugs, LLC?
Yes
No
(If yes when) _______________________________________________
(Date) (Position)
Have you ever worked for Crosby Tugs, LLC?
(If yes when) ________________________________________________
Do you have any special circumstances that may prevent you from working all of your scheduled work, including extra hitches? Yes No
(If yes please explain)_______________________________________________________________________________________
________________________________________________________________________________________________________
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Training Skills & Other Qualifications
(Please check only those that apply to you & Please provide copies of documents, and training certifications)
Captains License (Tonnage) __________________________
Mates License (Tonnage) ____________________________
Engineer (Type of License) _______________________________
Z-Card (Endorsements)___________________________
GMDSS
FCC Radio
Radar
First Aid/CPR
Basic Fire Fighting Water Survival
Vessel Security
Tankerman
STCW 95
Safe Gulf
Personal Safety
Rigger
TWIC
Other________________________________________
What else should we know about your qualifications for the job? _____________________________________________________
Who referred you to Crosby Tugs, LLC/How did you learn about us?
Crosby Tug Employee __________________________________ Friend/Relative ____________________________________
Newspaper ______________________ Magazine _____________________ Other __________________________________
Education & Training
School Level
School Name & Location
Grade
Year
Courses
Degree
Completed
Majored In
Acquired
Grade School
High School
College
Training
DRUG TESTING
I understand that Crosby Tugs, LLC has in place a drug testing policy under which I will be required to submit to a drug test as a condition of my employment, and, if employed, to submit to random drug tests as a condition of my continued employment. I give Crosby Tugs, LLC my full consent to do a drug screen and alcohol test in the event of an accident.
Signature___________________________________________________ Date:____________________________________
The following information needs to be filled out if this application has been completed by a person other than the applicant. I attest, under penalty of perjury, that I have assisted in the completion of this application and that to the best of my knowledge the information is true and correct.
____________________________________________ _____________________________________________ ____________
Preparer and/or Translator SignaturePrint NameDate
Address: ________________________________________________________________________________________________
City
State
Zip
Page 4 of 10
Employment Background
List all jobs starting with you current/most recent employer. Please fill in all blanks completely. Do not leave gaps of employment. Please list all of your employment history regardless of whether or not it is related to the marine industry. Any gaps of employment will be questioned.
May we contact your current employer?
1.Employer Name_____________________________________________ Phone_______________________________
City and State_______________________________________________ Hire Date____________________________
Position____________________________________________________ Release Date_________________________
Supervisor’s Name___________________________________________ Starting Pay________ Final Pay_________
Type of Work Performed______________________________________________________________________________
Reason for Leaving__________________________________________________________________________________
2.Employer Name_____________________________________________ Phone_______________________________
3.Employer Name_____________________________________________ Phone_______________________________
4.Employer Name_____________________________________________ Phone_______________________________
5.Employer Name_____________________________________________ Phone_______________________________
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Reminder: List all jobs starting with your current/most recent employer. Please fill in all blanks completely. Do not leave gaps of employment. Please list all of your employment history regardless of whether or not it is related to the marine industry. Any gaps of employment will be questioned.
6.Employer Name_____________________________________________ Phone_______________________________
7.Employer Name_____________________________________________ Phone_______________________________
8.Employer Name_____________________________________________ Phone_______________________________
9.Employer Name_____________________________________________ Phone_______________________________
Please Explain Any Gaps of Employment
1.Date From_______________ Date To_______________
Reason for Unemployment __________________________________________________________________________
________________________________________________________________________________________________
2.Date From_______________ Date To_______________
Reason for Unemployment ________________________________________________________________________________
3.Date From_______________ Date To_______________
______________________________________________________________________________________________________________________________________
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ACKNOWLEDGMENT AND AUTHORIZATION FOR BACKGROUND CHECK
I acknowledge receipt of the separate document entitled DISCLOSURE REGARDING BACKGROUND INVESTIGATION and A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT and
certify that I have read and understand both of those documents. I hereby authorize the obtaining of “consumer reports” and/or “investigative consumer reports” by Crosby Tugs, LLC at any time after
receipt of this authorization and throughout my employment, if applicable. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, institution, school or university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by DISA Global Solutions, Inc., 10900 Corporate Centre Drive, Suite 250, Houston, Texas 77041, 800752-6432, www.disa.com, and/or
Company. I agree that a facsimile (“fax”), electronic or photographic copy of this Authorization shall be
as valid as the original.
New York applicants only: Upon request, you will be informed whether or not a consumer report was requested by the Company, and if such report was requested, informed of the name and address of the consumer reporting agency that furnished the report. You have the right to inspect and receive a copy of any investigative consumer report requested by the Company by contacting the consumer reporting agency identified above directly. By signing below, you acknowledge receipt of Article 23-A of the New York Correction Law
New York City applicants only: By signing this form, you further authorize the Company to provide you with a copy of your consumer report, the New York City Fair Chance Act Notice form, and any other documents, to the extent required by law, at the mailing address and/or email address you provide to the Company.
Washington State applicants only: You also have the right to request from the consumer reporting agency a written summary of your rights and remedies under the Washington Fair Credit Reporting Act.
Minnesota and Oklahoma applicants only: Please check this box if you would like to receive a copy of a consumer report if one is obtained by the Company. □
Printed Name: ___________________________________________________
Signature: ______________________________________________Date: _______________________
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DISCLOSURE REGARDING BACKGROUND INVESTIGATION
Crosby Tugs, LLC may obtain information about you from a third-party consumer reporting agency for
employment purposes. Thus, you may be the subject of a “consumer report” which may include
information about your character, general reputation, personal characteristics, and/or mode of living.
These reports may contain information regarding your credit history, criminal history, social security verification, motor vehicle records (“driving records”), verification of your education or employment
history, or other background checks. Credit history will only be requested where such information is substantially related to the duties and responsibilities of the position for which you are applying.
You have the right, upon written request made within a reasonable time, to request whether a consumer report has been run about you and to request a copy of your report. These searches will be conducted by DISA Global Solutions Inc., 10900 Corporate Centre Drive, Suite 250, Houston, TX 77041, 800-752-6432, www.DISA.com. The scope of this disclosure is all-encompassing, however, allowing the Company to obtain from any outside organization all manner of consumer reports throughout the course of your employment to the extent permitted by law.
Printed Name: ________________________________________________________
Signature: _____________________________________________ Date: _________________
Page 8 of 10
DISCLOSURE FOR INVESTIGATIVE CONSUMER REPORT
Crosby Tugs, LLC may request an investigative consumer report about you from a third-party consumer
reporting agency, in connection with your employment or application for employment (including independent contractor or volunteer assignments, as applicable). !n “investigative consumer report” is a
background report that includes information from personal interviews (except in California, where that term includes background reports with or without information obtained from personal interviews). The most common form of an investigative consumer report in connection with your employment is a reference check through personal interviews with sources such as your former employers and associates, and other information sources. The investigative consumer report may contain information concerning your character, general reputation, personal characteristics, or mode of living. You may request more information about the nature and scope of an investigative consumer report, if any, by contacting the Company.
These reports will be obtained by DISA Global Solutions, Inc., 10900 Corporate Centre Drive, Suite 250,
Houston, Texas 77041, 800-752-6432, www.disa.com.
Signature: __________________________________________ Date:_____________________________
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BACKGROUND INFORMATION
****ALL INFORMATION NEEDS TO BE FILLED OUT COMPLETELY***
Last Name_______________________________ First_______________________ Middle_________________
Other Names/Alias ___________________________________________________________________________
Social Security* # ____________________________________ Date of Birth* ____________________________
Driver’s License # ___________________________________ State of Driver’s License** __________________
Present Address _________________________________________ Phone Number _______________________
City/State/Zip _______________________________________________________________________________
Former Employer _________________________ Position _______________ Dates of Employment __________
By signing this form I hereby authorize, without reservation, any law enforcement agency, institution, information service, bureau, school, employer, reference, insurance company, or any other source contacted by DISA or its agent, to furnish the information described in Section 1. I hereby release the employer and agents and all persons, agencies, and entities providing information or reports about me from any and all liability arising out of the request for or release of any of the above-mentioned information or reports I acknowledge that I have read and understood the Employee Screening Release Authorization form. I understand that if hired my consent will apply throughout the term of my employment.
Signature: _______________________________________Date:___________________________
*This information will be used for background screening purposes only and will not be used as hiring criteria.
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Filling out the Crosby Tugs Application form is a straightforward process that requires attention to detail and honesty. It’s a crucial step toward potential employment with Crosby Tugs, LLC, recognizing that this form is a comprehensive document aimed at collecting your personal, educational, and professional information. This application also includes acknowledgments and consents related to legal rights, background checks, drug testing, and employment policies. Be assured, each section is designed to assess candidates fairly and with respect to equal employment opportunities. Next, let's walk through the necessary steps to fill out the application correctly.
Once you have completed all the steps and submitted your application, your part in the process is mostly done. The team at Crosby Tugs will review your application and conduct any necessary background checks and screenings based on the permissions you provided. Keep in mind, submitting this application doesn't guarantee employment but it’s an important step in being considered for a position. Ensure you keep a copy of the application for your records and be prepared to discuss the details you provided during potential interviews.
What happens if I provide false information on the Crosby Tugs Application Form?
Providing false, misleading, incomplete, or inaccurate information on the Crosby Tugs Application Form can have serious repercussions. Your application may be rejected, any offer of employment could be withdrawn, or if you have already been hired, you could face immediate termination without the possibility of recourse. The importance of being truthful is tied to the company's reliance on the accuracy of your statements to make employment decisions.
Can Crosby Tugs, LLC share my information with others?
Yes, Crosby Tugs, LLC and its representatives have your authorization to seek and disclose any information about you. This could include responses to reference requests and any other relevant data they might find or possess. By applying, you agree not to pursue legal actions, threaten, or seek compensation from any parties involved in such disclosures.
What kind of background checks does Crosby Tugs, LLC perform?
Crosby Tugs, LLC is thorough in its hiring process and will investigate your background as part of its evaluation. This includes, but is not limited to, checking references, criminal records, judicial records, and, where applicable, credit records. You will be notified about any credit record investigations, including the sources investigated. You explicitly authorize Crosby Tugs, LLC to use all legal means at its disposal to assess your suitability for employment.
Are work schedules flexible at Crosby Tugs, LLC?
Work schedules at Crosby Tugs, LLC may vary and be unpredictable. While the company will make reasonable efforts to accommodate work schedules, you may be required to work overtime, weekends, different shifts, or adhere to other arrangements up to 12 hours in a 24-hour period. Your consent to these conditions is considered necessary and a legitimate part of employment.
What does it mean that employment with Crosby Tugs, LLC is 'at will'?
Employment with Crosby Tugs, LLC is 'at will,' meaning that either you or the company can terminate the employment at any time, with or without notice or cause. This principle confirms that no employment contract is created through the application process and any future employment relationship, ensuring flexibility for both you and the employer. Only the president of Crosby Tugs, LLC has the authority to modify this stipulation.
How long will my application remain current, and what is the equal employment opportunity policy?
Your application for employment with Crosby Tugs, LLC will remain current for a period of 90 days or until the position you applied for is filled. Furthermore, Crosby Tugs, LLC is an equal opportunity employer, committed to providing equal employment opportunities to all applicants without regard to race, religion, age, marital or veteran’s status, gender, national origin, disability, or any other legally protected status. This policy highlights the company’s commitment to inclusivity and diversity in its workforce.
Filling out the Crosby Tugs Application form requires attention to detail. A common mistake is providing incomplete or inaccurate personal information, such as incorrect contact details or misspelled names. This can significantly delay or even jeopardize the application process. Ensure that every detail is accurate and reflects your current information.
Many applicants fail to fully read and understand the acknowledgments and terms at the beginning of the application. This oversight can lead to unintentional agreement to conditions that are not fully understood. It is crucial to read every section carefully and ask for clarification when needed to ensure you are fully aware of what you are agreeing to.
Leaving employment history gaps unexplained is another frequent error. It’s important to list all previous employment and address any gaps in employment, as failure to do so can raise questions about your employment history and reliability. Clearly explain any periods of unemployment to avoid any misinterpretation.
Another mistake is not customizing the application to the specific position you are applying for. It is essential to indicate clearly the position you are interested in and tailor your qualifications and experiences to match the requirements of the job. This shows the employer that you are genuinely interested in the role and have the skills needed.
Applicants often forget to sign and date the application form. An unsigned application may not be processed as it can be seen as incomplete or may imply that the applicant is not fully committed to the application process. Always double-check that you have signed and dated the form before submission.
Some applicants neglect to authorize the background check process, which is a critical component of the Crosby Tugs, LLC application. Failing to authorize this check can halt the application process. Make sure to give all necessary permissions for the background and drug testing as required.
Not requesting or reviewing the company’s employee handbook before submitting the application is a missed opportunity to better understand the company’s policies and requirements. Taking the initiative to review these documents can prepare you for the company’s expectations and show your proactiveness.
Ignoring the instruction to provide copies of documents and training certifications related to the qualifications section is another error. These documents substantiate the skills and qualifications you list and failing to include them can weaken your application. Always attach relevant certifications and licenses as instructed.
Failing to provide complete and correct references or omitting them altogether can significantly impact your application. References play an essential role in the hiring process, offering an employer insights into your work ethic and capabilities. Ensure that you include professional references who can vouch for your qualifications and experience.
When applying for a position at Crosby Tugs, LLC, an employment application is just the beginning. Several other documents often accompany this application to provide a comprehensive view of the applicant's qualifications, legal eligibility, and background. Understanding these documents will help streamline the application process and prepare applicants for what's expected.
Compiling these documents in addition to filling out the Crosby Tugs Application form can significantly influence the hiring process. They provide the employer with the necessary information to assess an applicant's qualifications comprehensively. Correct and thorough preparation ensures a smooth application process, helping both the applicant and the employer make informed decisions.
The Crosby Tugs Application form shares similarities with several other documents used in the employment process, reflecting a comprehensive approach to gathering applicant information, setting terms for employment, and ensuring legal and regulatory compliance. Here’s how it compares to other documents:
1. The job application form, a staple in the hiring process, is closely mirrored by the Crosby Tugs Application. Both serve as the initial step for candidates to present their backgrounds, skills, and qualifications. Like the Crosby Tugs form, most job applications inquire about past employment, education, and certifications, ensuring the employer has a complete view of the candidate's capabilities and experience. Additionally, they may include declarations about the truthfulness of the provided information, underscoring the importance of honesty in this professional introduction.
2. Background check authorization forms are another document that shares similarities with the Crosby Tugs Application, particularly in sections where it seeks consent to verify the information provided by the applicant. These forms typically require the applicant to agree to a thorough review of their criminal, employment, and educational history, much like the permissions explicitly granted in the Crosby Tugs form. This process helps employers ensure that candidates meet their standards for integrity and qualifications.
3. Drug and alcohol testing consent forms are closely related to the aspects of the Crosby Tugs Application that request the applicant's agreement to undergo such screenings as a condition of employment. Many organizations adopt policies requiring candidates to pass these tests as part of their hiring process, aimed at ensuring a safe and productive workplace. The Crosby Tugs form incorporates this consent directly, streamlining the process by integrating it with the application.
4. The employee handbook acknowledgment form is paralleled in the section of the Crosby Tugs Application that mentions the handbook review before submission. This similarity underscores an applicant's or employee's understanding and agreement to abide by the company's rules, policies, and procedures. Both documents are crucial for setting clear expectations regarding behavior, responsibilities, and the general work environment.
5. Non-disclosure agreement (NDA) forms share their essence with the confidentiality commitment referenced in the Crosby Tugs Application. Applicants or employees agree not to disclose sensitive information about the company’s operations, trade secrets, or other proprietary data. This agreement is pivotal for protecting business interests and maintaining competitive advantages.
6. At-will employment agreement clauses, often found in separate documents or included within broader employment agreements, are similarly acknowledged in the Crosby Tugs Application. This principle specifies that either the employer or the employee can terminate employment at any time, for any reason, and with or without notice, reflecting the nature of many employment relationships in the U.S. The inclusion of this clause in the application form sets clear expectations about the terms of employment from the outset.
These documents collectively reflect a multifaceted approach to the hiring process, where verifying an applicant’s background, understanding workplace expectations, and agreeing to terms of employment converge to form a foundation for successful and compliant workforce management.
When filling out the Crosby Tugs Application form, ensure a smooth and successful submission by paying attention to the following do's and don'ts:
When it comes to filling out employment applications, misconceptions can often lead to errors that might hinder your job application process. The Crosby Tugs Application form is no exception, and understanding it accurately is crucial for any prospective employee. Here are five common misconceptions about the Crosby Tugs Application form explained:
Understanding these misconceptions can greatly improve the accuracy of your application and potentially enhance your chances of employment with Crosby Tugs, LLC. Always read the application form thoroughly, answer all questions truthfully, and pay close attention to the details, especially those related to your rights and obligations as an applicant.
Filling out the Crosby Tugs Application form is a critical step towards employment at Crosby Tugs, LLC. Here are five key takeaways to ensure that your application is as robust and error-free as possible:
In summary, careful completion of the Crosby Tugs Application form, along with an understanding of the terms and conditions outlined, is vital for prospective employment. Ensure all information provided is complete and accurate to facilitate a smooth review process and to avoid any potential hurdles in your path towards becoming part of Crosby Tugs, LLC.
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