Job Application

APPLICATION FOR EMPLOYMENT

PERSONAL INFORMATION

Last: First: MI: Social:
City: Street: State: Zip:
Postal Address (if different from above):
Home Phone: Cell Phone:
I am NOT a US Citizen, and I can provide proof of lawful employment status in the US. (Your alien registration may be verified with the Immigration and Naturalization Services)
In the past 7 years, I have been conviced of a felony and/or released from custody following a felony offense. Please explain:
I have been employed by M/V Golden Alaska in the past.
I currently hold a US Coast Guard license.
I have military experience.
Branch: Discharge Status: Discharge Date: Years:
Position you are applying for: I have experience in this position.
Please list any skills or knowledge you have acquired that might be relevant to the position you are applying for:
Please list related licenses and certificates you currently hold:

EDUCATION

Highschool: City: State: Completed:
Gradute GED
College: City: State: Completed:
Trade Schools: City: State: Completed:
I did NOT complete the required training for the above. Please explain:
Please list any additional skills, languages, training you would like to bring to the recruiters attention below.

EMPLOYMENT HISTORY

We require you to provide us with accurate information regarding your work history. Your submssion on this application authorizes us to make any investigation of your personal history as stated, and you authorize all persons, schools, companies, or other organizations to supply any accurate information concerning your background. You have a right to disclosure of such information reported as provided by law.

  • You must provide us with the last year of previous history. List your most recent employer first.
  • All gaps in employment history must be accounted for.
  • All phone numbers must be provided to the recruiter with this application!
Most recent employer:
City/State:
Telephone:
Date Started: Starting Salary: Starting Position:
Date Left: Ending Salary: Position On Leaving:
Describe a typical day on this job:
Most recent employer:
City/State:
Telephone:
Date Started: Starting Salary: Starting Position:
Date Left: Ending Salary: Position On Leaving:
Describe a typical day on this job:
Most recent employer:
City/State:
Telephone:
Date Started: Starting Salary: Starting Position:
Date Left: Ending Salary: Position On Leaving:
Describe a typical day on this job:
Most recent employer:
City/State:
Telephone:
Date Started: Starting Salary: Starting Position:
Date Left: Ending Salary: Position On Leaving:
Describe a typical day on this job:

PERSONAL REFERENCES

List 2 people who are not related to your and are not former employers or bosses

Name Phone

THIS SECTION TO BE COMPLETED ONLY IF YOU ARE APPLYING TO WORK IN ALASKA

Our processeor will be located in remote and often isolated areas where only limited medical care is available for conditions from which you now suffer. Therefore, please give carefull consideration to the state of your personal health if you are currently receiving medical attention for any disease, illness, or injury

Are you able to work all hours and/or shifts, including overtime? YES NO
Are you able to work everyday, Monday through Sunday? YES NO
Do you have any responsibilities, business, or otherwise which would affect your work at sea? YES NO

ESSENTIAL FUNCTIONS

Process line position involve standing for long periods of time, twisting, bending and stooping frequently to transport product along the line. Line positions can involve working around hot, cold, and damp positions, manually off-loading product, working around and/or operating hydraulic powered equipment, working along movingg belts, conveyors, and machinery. Frozen product may weigh between 22 and 65 pounds. Finished boxes are hand_stacked and/or carried onto pallets or conveyors. Production workers may clean converyors, tanks, and machines and/or work areas usings high-pressure water spray sanitizers. Physical damands require you to be highly mobile, physically strong, and able to work long hours in adverse conditions. Production workers shall perfom such duties as may be required of him/her by the Master of the vessel, processing manager, forman, and/or other desinated repressentateive of the vessel. The duties shall include, but are not limited to those above production related activities, loading and off-loading the vessel, cleaning and maintaing the processing equipment, cleaning the vessel itself and other equipment aboard.

CONDITIONS OF EMPLOYMENT

(Please read carefully before aggreeing)

Golden Allaska Seafoods beileves and follows the principle of non-discrrimination in employment and intends to comply with all Federal, State, and other applicable laws concerning civil rights. The facts set forth in my application are true and complete. I understand that, if employed, false statements on this application may result in my immediate dismissal.

I affirm that I am familiar with the essential function of the work for which I am making this application. Therefore, I am able to perform the essential function of the positions witout accommodation.

I agree.