Great Northern Docks Job Application Form

Great Northern Docks Online Job Application

Please complete the form below to apply for a position with us. Submission of this form is sent securely and your data is secured, encrypted and confidential.
Position Applied For
example: millwork, welder, office, sales, etc.
If you have a resume, please upload it here (10 MB filesize max)

Browse Files
upload Cancel of
Full Name *

First Name Middle Initial Last Name
Email Address *
be very accurate and double-check your entry here!
Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Alternate Phone Number

Area Code Phone Number
Education
Highest Grade Completed (6, 7, 8, 9, 10, 11, 12)
Higher Education (list Colleges, Trade Schools, etc)
List schools, describe education
Higher Education years attended
Higher Education Degree obtained
AS, BS, BA, MS, MA, MBA, etc.
Where did you hear about this job opening?
If related to or referred by anyone employed by us, his/her name:
name
Are you at least 18 years of age? *

Yes No
Date you can start work? *

Month Day Year
Are you legally qualified to work in the United States? *

Yes No
(Proof of citizenship or immigration status will be required upon employment)
Salary/wage desired:
At this time, is there anything that may prevent you from working a regular 40-hour work week, with few absences? *
please describe or enter "no"
Are you willing to work overtime? *

Yes No
Are you employed now? *

Yes No
If yes, what is your reason for leaving your current position?
describe
If the position you’re applying for is in production or shipping, you may be required to lift heavy objects. Are you comfortable occasionally lifting up to 70 lbs.? *

Yes No
If no, why?
Have you been certified to operate a fork lift? *

Yes No
If yes, forklift certification Date

Month Day Year
Date
Do you have a Maine Drivers license? *

Yes No
If yes, drivers license number and class
If you’re considered to be a strong candidate for the position, will you consent to a background check? *

No Yes
EMPLOYMENT
Please start with your current or most recent employer:

Company #1
Company Name #1
Phone Number #1

Area Code Phone Number
Address #1:
Dates employed #1:
Supervisor name #1:
Job title and work duties #1:
Reason for leaving #1:

Company #2
Company Name #2
Phone Number #2

Area Code Phone Number
Address #2:
Dates employed #2:
Supervisor name #2:
Job title and work duties #2:
Reason for leaving #2:

Company #3
Company Name #3
Phone Number #3

Area Code Phone Number
Address #3:
Dates employed #3:
Supervisor name #3:
Job title and work duties #3:
Reason for leaving #3:

endcollapse
May we contact your former employers for references? *

Yes No
In addition to your work history, what other experiences, skills, hobbies or qualifications might apply to this job?
I certify that my answers on this application are true and complete, to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at any employment decision, and I release from liability both Great Northern Docks and those who supply the reference information.

I understand that either Great Northern Docks or I can terminate the employment relationship at any time, with or without prior notice and for any reason not prohibited by law.
Date of Certification *

Month Day Year
Date
Signature *
enter full name here
I acknowledge that typing my name above qualifies as my electronic signature.
You may optionally print out this form
and deliver in person or by mail to:
Great Northern Docks
1114 Roosevelt Trail
Naples, Maine 04055
Should be Empty:

Great Northern Docks Online Job Application

Education