C&E Boat Rental | Employment Application

Last Name:
Middle Initial:
First Name:
Address:
City:
State:
Zip Code:
Phone Number:
2nd Phone Number:
E-mail Address:
Social Security #:	- -
Driver License:	-
Status:
U.S. Permanent Resident Alien #:
Can You Swim?:
Have you ever worked offshore?

Employment Desired

Position:
Date you can start:
Have you ever worked for this company before?
If yes, when?

Previous Employers

From:
To:
Name:
Phone:
Salary:
Position:
Reason for leaving:

From:
To:
Name:
Phone:
Salary:
Position:
Reason for leaving:

From:
To:
Name:
Phone:
Salary:
Position:
Reason for leaving:

In Case of Emergency, Notify:

Name:
Relationship:
Address:
Phone Number:

Name:
Relationship:
Address:
Phone Number:

By submitting this form, you certify that the information you have provided on this page is complete and true to the best of your knowledge and you authorize this company to solicit information from your employers or from other persons named heron. The falsification of data or omissions of material facts will constitute grounds for dismissal. Further, pursuant to section 606 of the Fair Credit Reporting Act, you are hereby advised that the company, or its designee, may, at its option, cause to be prepared an investigative report including information about your character, general reputation, personal characteristics, or mode of living obtained through personal interviews with your neighbors, friends, or associates. You have the right, upon written request to be informed of the nature and scope of this investigation. If hired, you may be required to submit documentary evidence of birth and military service. We appreciate your interest in our company, and the time you have taken to prepare this application.

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