Yank Marine Employment Application

Job Application
Applicant Data
Full Name*

First NameLast Name
Home Phone

Area CodePhone Number
Mobile Phone

Area CodePhone Number
Email*
example@example.com
Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
Previous Address

Street Address

Street Address Line 2

CityState

Zip Code
Recruitment Data
How did you hear about us?

WorkBoat MagazineMarine News MagazineMarine Log MagazineFoghorn MagazineNational Fisherman MagazineIndeedOur Website
Military Service
Have you served in the military?

NoYes
Which branch?
Served from
through
Do you have any military commitment, including National Guard, that would influence your work schedule?

NoYes
If 'Yes', please explain
Are you a

Vietnam-era VeteranDisabled VeteranSpecial Disabled VeteranVeteran
Equal Employment Opportunity Data

*Any information provided is voluntary, and is used solely to ensure the company's AA/EEO policies.
Are you any of the following minorities? (check all that apply)

American Indian / Alaskan NativeAfrican AmericanAsian / Pacific IslanderHispanic (not white)
Are you any of the following protected classes? (check all that apply)

WomenDisabled PersonsVeteransAge 40+Minority (as listed above)
Do you need any special accommodations to help with a disability?

NoYes
If 'Yes', please explain
Skills and qualifications
Summarize your special skills or qualifications*
Contact Info

Who should we contact in an emergency?
Contact Person

First NameLast Name
Phone Number

Area CodePhone Number
How is this person related to you?
Contact Person

First NameLast Name
Phone Number

Area CodePhone Number
How is this person related to you?
Employment Data
Are you a US Citizen OR do you have the legal right to work in the US?

YesNo
Are you at least 18 years of age?

YesNo
Do you have reliable transportation if hired?

YesNo
Have you worked for this company before?*

NoYes (indicate dates below)
From

MonthDayYear
Date
To

MonthDayYear
Date
Do you have any friends/relatives who presently work for this company?*
Education
What was the last school you attended?
School Address

Street Address

Street Address Line 2

CityState

Zip Code
Did you graduate?

YesNo
Degree earned
Previous Employment History

Please enter your most recent position first
Company Name*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
From*

MonthDayYear
Date
To*

MonthDayYear
Date
Supervisor*

First NameLast Name
Starting salary and position*
Ending salary and position*
Reason for leaving*
May we contact?*

YesNo
Responsibilities*
Company Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
From

MonthDayYear
Date
To

MonthDayYear
Date
Supervisor

First NameLast Name
Starting salary and position
Ending salary and position
Reason for leaving
May we contact?

YesNo
Responsibilities
Company Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
From

MonthDayYear
Date
To

MonthDayYear
Date
Supervisor

First NameLast Name
Starting salary and position
Ending salary and position
Reason for leaving
May we contact?

YesNo
Responsibilities
Acknowledgement & Signature
I certify that my answers are true and complete to the best of my knowledge. I authorize Yank Marine to make such investigations and inquiries of my personal, employment, educational, financial, and/or other related matters as may be necessary for an employment decision. I hereby release prior and current employers, schools, and/or persons from any liability in responding to inquiries in connection with my application. In the event that I am employed by Yank Marine, I understand that false or misleading information given in my application or during interview(s) may result in my discharge. I understand that Yank Marine is a drug-free company & as a condition of employment at Yank Marine, I will be required to pass a drug-test.
Signature*

Clear
Today's date

MonthDayYear
Date
Should be Empty:

Job Application

Applicant Data

Recruitment Data

Military Service

Equal Employment Opportunity Data

Skills and qualifications

Contact Info

Employment Data

Education

Previous Employment History

Acknowledgement & Signature