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| Can You Swim?: |
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| Have you ever worked offshore? |
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| How long? |
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| Have you served in the military? |
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| Employment Desired |
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| Date you can start: |
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| Have you ever worked for this company
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| If yes, when? |
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| In Case of Emergency, Notify: |
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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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