Employment Application Form

Employment Application
Name:*

First NameMiddle InitialLast NameSuffix
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Social Security No*
Birthday*
mm/dd/yyyy
Mobile Phone*

Area CodePhone Number
E-mail Address:*
Emergency Contact*

NamePhoneE-Mail
What are your hobbies and interests?*
What is your life plan for next 1~2 years?*
Employment History

Start with your current or most recent employer and work backwards regarding all former employers.
Current or Most Recent Employer:*
Name of Employer
Position*
Last Position You Held:
Address
Address
City, State, Zip
City, State, Zip
Immediate Supervisor*
Immediate Supervisor(s)
May We Contact This Employer?*
Phone Number*
Phone Number(s)
Salary or Hourly Rate

SalaryHourly
Employment Start Date*
mm/yyyy
Employment End Date
mm/yyyy
Job Description*
Job Title and Responsibilities
Hours Per Week*
Hours worked per week
Reason for leaving*
Reason for leaving

Next Recent Employer:*
Name of Employer
Position*
Last Position You Held:
Address
Address
City, State, Zip
City, State, Zip
Immediate Supervisor*
Immediate Supervisor(s)
May We Contact this Employer?*
Phone Number*
Phone Number(s)
Salary or Hourly Rate

SalaryHourly
Employment Start Date*
mm/yyyy
Employment End Date
mm/yyyy
Job Description*
Job Title and Responsibilities
Hours Per Week*
Hours worked per week
Reason for leaving*
Reason for leaving

Next Recent Employer:
Name of Employer
Position
Last Position You Held:
Address
Address
City, State, Zip
City, State, Zip
Immediate Supervisor
Immediate Supervisor(s)
May We Contact this Employer?
Phone Number
Phone Number(s)
Salary or Hourly Rate

SalaryHourly
Employment Start Date
mm/yyyy
Employment End Date
mm/yyyy
Job Description
Job Title and Responsibilities
Hours Per Week
Hours worked per week
Reason for leaving
Reason for leaving

References

Please list two references that are familiar with your work life.
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known*
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known*

Makani, Inc. holds a zero tolerance policy on substance abuse. All employees will be subject to a pre-employment drug screening, prior to a formal offer of employment. A positive result from the screening will result in any offer of employment being immediately withdrawn. All employees will be subject to a “Just Cause” agreement, where Management can order a drug or alcohol test, at any time during work hours, for any suspected substance abuse.

In addition, all employees working on the Makani vessels, whether in operations or maintenance, will be subjected to random drug screening (U.S.C.G. / U.S.D.O.T. regulations). Failure to report to a screening within twenty four (24) hours of notification will be construed by the Company as a positive result. All positive results will immediately terminate employment with Makani. In addition, where required by law, all positive results will be reported to the United Sates Coast Guard for further action.
You must accept all Company Policies to proceed with the application process*

Accept Policies
I further understand and agree that this application is not a contract of employment. I understand and agree that the Company adhere to a policy of employment at will which means that either I, or the employer, may terminate my employment at any time, or for any reason, consistent with application of state and federal law. I further understand that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is in a written employment contract naming me and signed by the President of the Company. I understand that to be employed, I must be lawfully authorized to work in the United States and must show the employer documents to prove this.

I understand that the Company may investigate my work and personal history and verify the information provided in this application, on related documents or information obtained through other sources and I hereby authorize such investigation. I authorize all individuals, schools, firms and business named in this application or in other documents or interviews, except my current employer if I have so designated in this application, to provide complete and accurate information regarding my relationship with them to the Company. I further release those individuals, schools, firms and business and the Company from any and all liability for damage for providing or requesting such information.

I certify under penalty of perjury that all of the information provided in the entire application process including any information provided in addition to this application including, but not limited to, information provided in resumes or interviews is true and correct. I understand that if there is any falsification or omission, this may lead to the Company’s refusal to hire me or a determination, at any time, that my employment should be terminated.

The Company is an Equal Employment Opportunity Employer and considers all applicants without regard to race, color, religion, gender, national origin, age, marital status, veteran’s status, the presence of a mental, physical or sensory disability, sexual orientation, or any other legally protected status. Employment shall be based solely on the needs of the companies and the qualifications of the individuals making application.
Referral code (If you have one)
Signature

Clear
Should be Empty:

	Very Proficient	Proficient	Somewhat Proficient	Not Proficient
Customer Service
Working Under Stress
Teamwork
Dependability
Flexibility
Organization
Point Of Sale System
General Work Ethic
Safety Awareness
Able to lift 55LB

	Very Proficient	Proficient	Somewhat Proficient	Not Proficient
Basic Microsoft Office Skills
In Person Customer Service
Phone Customer Service
Problem Solving
Critical Thinking
Flexibility
Communication
Teamwork
Organization
Emotional Intelligence
Report / Technical Writing
Attention to Detail
General Work Ethic
Safety Awareness
Dependability

Employment Application

Employment History

References

Boat Captain / Crew Position

Office / Reservation Position