Basic Information

first name A value is required.

middle name

last name A value is required.

primary phone A value is required.

alternate phone

email address A value is required.

date available A value is required.

desired position Chef Cook/Galley hand Utility/Housekeeping other Please select a valid item.Please select an item. desired salary A value is required.

Address

street A value is required.

secondary street A value is required.

city A value is required.

state A value is required. postal code

country A value is required.

Are you a citizen of the United States? yes no Please make a selection.

Are you authorized to work in the U.S.? yes no Please make a selection.

Have you previously worked for this company? yes no Please make a selection.

if so, when?

Have you ever been convicted of a felony? yes no Please make a selection.

if yes, explain

Education History

high school A value is required.

where A value is required.

from - A value is required.

Graduated? yes no Please make a selection.

college A value is required.

where A value is required.

from - A value is required.

Graduated? yes no Please make a selection.

degree ⁄ major A value is required.

college A value is required.

where A value is required.

from - A value is required.

Graduated? yes no Please make a selection.

degree ⁄ major A value is required.

other A value is required.

where A value is required.

from - A value is required.

Graduated? yes no Please make a selection.

degree ⁄ major A value is required.

References

Please provide three professional references.

full name A value is required.

relationship A value is required.

company A value is required.

telephone A value is required.

address A value is required.

full name A value is required.

relationship A value is required.

company A value is required.

telephone A value is required.

address A value is required.

full name A value is required.

relationship A value is required.

company A value is required.

telephone A value is required.

address A value is required.

Employment History

Please provide information regarding your three most recent employers.

company A value is required.

telephone A value is required.

address A value is required.

supervisor A value is required. job title A value is required.

responsibilities A value is required.

starting and ending salary - A value is required.

from - A value is required.

reason for leaving A value is required.

May we contact this employer? yes no Please make a selection.

company A value is required.

telephone A value is required.

address A value is required.

supervisor A value is required. job title A value is required.

responsibilities A value is required.

starting and ending salary - A value is required.

from - A value is required.

reason for leaving A value is required.

May we contact this employer? yes no Please make a selection.

company A value is required.

telephone A value is required.

address A value is required.

supervisor A value is required. job title A value is required.

responsibilities A value is required.

starting and ending salary - A value is required.

employed from - A value is required.

reason for leaving A value is required.

May we contact this employer? yes no Please make a selection.

Military Service

branch A value is required.

service dates - A value is required.

discharge rank A value is required.

type of discharge A value is required.

if other than honorable, please explain A value is required.

Questionnaire for Offshore Apps

Answering the following questions will not result in automatic rejection. All applicants will be considered regardless of response.

Do you have a current Food Handlers card? yes no Please make a selection.

Have you ever flown in a helicopter? yes no Please make a selection.

Do you get sick, or have problems flying? yes no Please make a selection.

Are you afraid of heights? yes no Please make a selection.

Have you ever worked offshore? yes no Please make a selection.

Do you have motion sickness or have any problems riding on a boat for extended periods? yes no Please make a selection.

Can you swim? yes no Please make a selection.

Do you have any problems or concerns traveling long distances to work? yes no Please make a selection.

Do you have any problems with making beds, mopping floors, cleaning bathrooms, doing laundry, washing dishes, etc.? yes no Please make a selection.

Can you pass a drug screening? yes no Please make a selection.

Can you pass a breathalyzer screening? yes no Please make a selection.

Do you have any physical limitations that cannot be reasonably accommodated and taht would prevent you from doing heavy lifting, climbing stairs or standing for long periods of time? yes no Please make a selection.

Do you have any problems or reservations about working 4 to 6 consecutive weeks and having 1 to 2 weeks off? yes no Please make a selection.

Would you be able and available to attend a 2-day training progam? yes no Please make a selection.

Do you hold any safety training certifications? yes no Please make a selection.

I certify that all answers given are true and correct to the best of my knowledge. I further understand and consent that statements herein may be investigated and verified in the course of considering this application. Should I become employed, I understand that false or misleading information contained therein may be the basis for immediate discharge. Please make a selection.

I also understand that all applicants offered employment will be subject to physical examinations and drug screens and that employment or continued employment may be contingent on these examination and drug tests and I fully consent to such procedures. By agreeing to this, I am indicating that I fully understand and agree to be bound by such requirements. Please make a selection.