Pre-Employment Questionnaire

Pre-employment questionnaire, an equal opportunity employer

Please Complete the pre-employment questionaaire below and
send your resume to

Personal Information
Name *
Phone *
Permanent Address *
Permanent Address
List all locations which you have resided in the past 5 years:
Are you 18 years of age or older? *
Are you either a US citizen or an alien authorized to work in the United States?
Employment Interest & History
Do you have a TWIC card? *
Do you have a current FCC license? *
Let us know the type of license you hold as well as other endorsements you might have.
Date You Can Start Work: *
Date You Can Start Work:
Are you willing to relocate? *
Bernert Barge Lines operates on the Columbia River between Astoria, OR and Lewiston, ID. Employees must live within a reasonable distance of our service area.
Are you presently employed? *