First Name
****REQUIRED
Last Name
****REQUIRED
Middle Initial
Social Security Number
Present Address and
How Long There?
Phone Number
Previous Address and
Phone Number
Position Applied For
Full Time or Part Time?
Salary Required
Date Available
***-------------------------PART TIME ONLY-------------------------***
If part time, show days/hours available
If hired, will you work overtime if required?
YES
Salary or Wages desired
Date Available
Are you willing to take a physical exam and/or polygraph (lie-detector) test under conditions permitted by law?
YES
Have you or a relative ever worked for the Company?
YES
If yes, please state dates of employment
Have you applied to the Company before?
YES
If yes, when?
Do you have the legal right to work in the United States?
YES
Have you ever been convicted of a crime by a civilian or military court (other than a minor traffic violation)?
YES
Do you own a car or truck?
YES
If so, Make and Year
Color
License Tag No.
Driver's License No.
Are you currently employed?
YES
May we contact your present employer?
YES
Have you ever received Workmen's Compensation or other payments, including maintenance and cure for any injuries?
YES
What year?
Name of person to call in an emergency
Relation to you
Phone No
Are you a Veteran of Armed Forces?
YES
Service Branch
Date discharged and final rank
Selective Service Classification or Reserve Status
Please state whether you are at least 18 years of age
YES
High School name and address
Highest High School Level Completed
Graduated?
YES
College or Other
Highest College Level Completed
Graduated?
YES
Do you speak any foreign languages?
YES
Passport No.
Have you ever worked in a foreign country?
YES
Name of country
Would you be willing to serve a continuous tour of duty in a foreign country?
YES
For How Long? (check all that apply)
If you are applying for a clerical position, please complete the following: Speed in Typing
Word Processing Experience
YES
Have you ever been bonded in prior employment?
YES
If yes, list the name(s) of the employer(s)
Additional work experience, skills, information, licenses, certifications, special study or research work relating to position for or of general interest
Is any information necessary to enable to check of your records such as change of name, use of assumed name or nickname? If yes, please explain:
Please answer YES or NO to the next four questions. They are required before submitting application.
Driver's License
YES
****REQUIRED
TWIC Card
YES
****REQUIRED
Safe Gulf Card
YES
****REQUIRED
Rigging Card
YES
****REQUIRED
***-------------------------LICENSES AND CERTIFICATIONS-------------------------***
RECORD OF PRESENT AND PREVIOUS EMPLOYMENT
EMPLOYER 1
To
Employer
Position you occupied
Reason for change
Name and present address of persons under whom you worked
Salary
EMPLOYER 2
Employer
Position you occupied
Reason for change
Name and present address of persons under whom you worked
Salary
EMPLOYER 3
Employer
Position you occupied
Reason for change
Name and present address of persons under whom you worked
Salary
EMPLOYER 4
Employer
Position you occupied
Reason for change
Name and present address of persons under whom you worked
Salary
EMPLOYER 5
Employer
Position you occupied
Reason for change
Name and present address of persons under whom you worked
Salary
***-------------------------PERSONAL REFERENCES-------------------------***
1. Name
Address
Phone
2 . Name
Address
Phone
3. Name
Address
Phone
Thank you for completing this application form and for your interest in employment with us. We want you to know that your opportunity for employment with Candy Fleet will be based on consideration of your merits, and without consideration of your race, color, sex, age, handicap, religion, national origin or military veteran status. IMPORTANT EMPLOYMENT INFORMATION: READ CAREFULLY Please be advised that the following conditions of employment apply to all Candy Fleet crew members and other personnel: As Candy Fleet vessels while under charter or hire to other companies are always on call at all times, it is necessary that boat personnel remain on board while the boats are at the dock. Boat personnel will only be permitted to leave the vessel to which they are assigned for business purposes such as picking up groceries or supplies, or for emergency reasons. Any other absences form assigned vessels without prior authorization from Candy Fleet's office will be reason for disciplinary action up to and including termination of employment. While Candy Fleet boat personnel are on duty, whether offshore or at the dock, drinking of alcoholic beverages is not permitted; use of any type of illegal drugs is prohibited; having firearms (guns) on board is also forbidden; and bringing persons of the opposite sex on board for any reason other than company business is prohibited. Violation of these prohibitions will be cause for disciplinary action up to and including termination of employment. I certify that my answers to the foregoing questions are true and correct and understand that any false or misleading information or omission on the application shall be sufficient cause for rejection or immediate dismissal. I hereby authorize release of any information regarding any criminal convictions that may exist against me, and ask my former employers(s) and all other persons named herein who might have information concerning me, to give any information regarding my former employment or any other information they may have regarding me whether or not the same is a matter of record, and hereby release them and each of them from any liability for any damage whatsoever which I could or might claim because of such disclosure. In making this application for employment, it is understood and accepted that as part of the application and process, and/or during employment with Candy Fleet, I may be asked to submit to polygraph examinations, stress test, or physical examinations which will include testing for alcohol and drugs, and/or be fingerprinted, all under such conditions as may be permitted by law.
****REQUIRED
