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

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download