Application For Employment - Bluenose II
Application For Employment
BLUENOSE II
Personal Data
| Last Name |First Name |Middle Name(s) |
| | | |
| |
|Current Address | |City/Town | |
|Province | |Postal Code | |
| |
|Home Address | |City/Town | |
|Province | |Postal Code | |
| |
|Current email address: | |Cell Phone: | |
|Home Phone: | |Day Phone: | |
Employment Information
|Are you a Canadian Citizen? |Do you posses a valid Canadian Passport? |
| | |
|If hired when can you start? |Do you possess a valid TC Seafarers Medical? |
| | |
|Do you possess a valid M.E.D. A2 Certificate? |Do you possess a Marine First-Aid Certificate? |
| | |
|What is your age as of April 1? | |
| |
|Please list the sailing vessels you have worked on and what your rank and duties were. |
| |
|Other specialized training,awards, designations etc. |
Work History
(Last three jobs)
List in order beginning with your most recent job (or present job if currently employed).
|Present or last Employer(1) |Address of employer |
| | |
|Type of business |
| |
|Job Title |From (Mo/Yr) |To (Mo/Yr) | Final Salary |
| | | | |
|Name and title of immediate supervisor |Reason for leaving |
| | |
|Describe job duties and responsibilities |
| |
|Previous Employer(2) |Address of employer |
| | |
|Type of business |
| |
|Job Title |From (Mo/Yr) |To (Mo/Yr) | Final Salary |
| | | | |
|Name and title of immediate supervisor |Reason for leaving |
| | |
|Describe job duties and responsibilities |
| |
| |
| |
|Previous Employer(3) |Address of employer |
| | |
|Type of business |
| |
|Job Title |From (Mo/Yr) |To (Mo/Yr) | Final Salary |
| | | | |
|Name and title of immediate supervisor |Reason for leaving |
| | |
|Describe job duties and responsibilities |
| |
Please Read Carefully
The foregoing is correct to the best of my knowledge. I understand that deliberate misrepresentation may disqualify me from employment or be cause for dismissal. If hired, I agree to abide by all rules and regulations of Bluenose II, including serving an initial probationary period of 8 weeks.
If I choose to fill this form and submit it as an attachment to an email, I also understand that if I am called for an interview, I may be asked to sign the form at that time.
Applicant Signature ____________________________________ Date________________
-----------------------
Email: crewing@
Fax: (902) 634-8052
Schooner BLUENOSE II,
P.O. Box 1299,
121 Bluenose Drive,
Lunenburg, Nova Scotia
Canada
B0J 2C0
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