1
Date:
Name:
Address:
City: State: Zip:
Telephone: (include area code) Other:
Email Address:
Are you legally entitled to work in the USA? Yes - No
Position(s) applied for:
Date you are available for employment:
Wage or salary desired:
Have you ever worked for A-1 Ocean, Inc. before? Yes - No - If yes, when and where?
2
Educational Background
A-1 Ocean Breeze, Inc. has a company policy stating a minimum educational leve of grade 12 or equivalent for all positions. Educational Background - relevant to the position applied for.
Highest level of education completed:
Name of educational institute:
What machines or equipment have you operated which relate to the position you have applied for?
Are there any skills, experience, or other qualifications which you feel would assist you in performing the duties of the position you have applied for?
List below your last three employers, starting with the most recent:
3a
Employer's Name:
Commencement Date: Departure Date:
Reason for Departure:
Supervisor's Name: Telephone: (Include area code)
Position(s) Held:
Duties:
May we contact this employer? Yes - No - If no
3b
Employer's Name:
Commencement Date: Departure Date:
Reason for Departure:
Supervisor's Name: Telephone: (Include area code)
Position(s) Held:
Duties:
May we contact this employer? Yes - No - If no
3c
Employer's Name:
Commencement Date: Departure Date:
Reason for Departure:
Supervisor's Name: Telephone: (Include area code)
Position(s) Held:
Duties:
May we contact this employer? Yes - No - If no
If you are applying for a position that requires driving, please complete this section:
Do you have a valid drivers license? Yes - No License #: State:
Note: If you are selected for an interview, you are required to present a copy of your driving record that is not more than 4 weeks old. After being hired, a copy of this driving record will be placed into your personnel file and an annual update will be required.
False information given or implied on an application form is grounds for
I hereby state that all information provided is accurate and may be verified by you. I agree that I may be discharged if A-1 Ocean Breeze, Inc. at any time learns of falsification or material omission in the information provided on this application form and related documents. A-1 Ocean Breeze, Inc. may contact my former employer in connection with the consideration of my employment with them. All references are hereby authorized to release all information which they may have relevant to my employment with them. I hereby release A-1 Ocean Breeze, Inc. , its affiliates, successors, and assigns, and all references from any liability that might be claimed because of information provided by such references.
I agree that I will follow all Company policies, rules, procedures, and all other directions pertaining to my employment. I understand that A-1 Ocean Breeze, Inc reserves the right to add, change, and/or delete any policies, procedures, work rules, and/or benefits at any time.
By typing your name you agree all statements are true. Date:
NO CONSIDERATION OF EMPLOYMENT WILL BE GIVEN TO ANY APPLICANT WHO DOES NOT TYPE THEIR NAME IN THE ABOVE STATEMENT.
Note: Additional personal information will be required to complete benefit forms after being hired.
Thank you for showing an interest in pursuing a career with A-1 Ocean Breeze, Inc.
