EMPLOYMENT APPLICATION

Please complete your personal information:

First Name: Initial: Last Name:

Date of Birth:

Street Address:
City: State: Zip:
Home Phone:  
Cell Phone:  
Email:  
Emergency Contact: Phone:

Employment information:

Position desired:

Launch drivers, specify location:
   
Are you USCG licensed?
Launch drivers & captains, list license & tonnage:
   

Hours available:

Please list dates available, year round or dates to/from:
   

Would you be willing to submit to a drug test and subsequent random drug testing? *Pre-employment drug test and subsequent random drug testing is required by the United States Coast Guard for all tour guides, deckhands, licensed launch drivers, and licensed captains. Fees for pre-employment drug testing are the responsibility of the applicants.

Education & Employment:

Please list school name, location, degree, & major:
High school:
College:
Other schooling:
 
If you are currently employed, may we contact your employer?
 
Emloyment History - list most recent job first
Employer:
Location:
Position: Worked from: To:
Supervisor & Title: Phone:
Brief Job Summary:
Reason for Leaving:
     
Employer:
Location:
Position: Worked from: To:
Supervisor & Title: Phone:
Brief Job Summary:
Reason for Leaving:
     
Employer:
Location:
Position: Worked from: To:
Supervisor & Title: Phone:
Brief Job Summary:
Reason for Leaving:
     
References - no relatives please
Name: Years Known:
Phone: Phone:  
     
Name: Years Known:
Phone: Phone:  
     
Name: Years Known:
Phone: Phone:  
     
By answering yes to this question I acknowledge that all the foregoing information is true and given voluntarily. Further I authorize Oldport Marine Services, Inc to contact my references and previous employers to confirm my credentials.
     
Signature (full name): Today's date: