Application for Employment

1
Full Name* This field is required.
First Name
Last Name
2
E-mail* This field is required.
3
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
4
Phone Number* This field is required.
Area Code
Phone Number
5
Can you provide proof you are eligible to work in the U. S.?* This field is required.
Yes
No
6
Position applying for:* This field is required.
Please Select
Please Select
Boat Captain
Lodge Chef
Assistant Cook
Housekeeper/Food Server
Mechanic
Lodge Assistant
TIM Intern
7
Would you be available for work from May 1st to September 15th?
YESNO
8
In a few words, why are you applying for this job?* This field is required.
9
Do you have any physical or other impairments which may affect your ability to do the job you are applying for?* This field is required.
Yes
No
10
If YES, physical impairments, please explain.
11
Do you currently have a valid Driver's License?* This field is required.
Yes
No
12
If NO, driver's license, please explain.
13
Any major accident or moving violations in the past 3 years?* This field is required.
Yes
No
14
If YES, accidents or moving violations, please explain.
15
Have you been convicted of a felony within the last 7 years?* This field is required.
Yes
No
16
If YES, convicted of felony, please explain.
17
Please indicate your level of education. Check all that apply.
GED
High School Diploma
College Courses Work
College Degree
Trade Certificate
Other
18
If you are applying for a Boat Captain position, what type of USCG license do you have?
19
Expiration date of your Coast Guard License if you have one.
20
If licensed by the Coast Guard, how many years have you been licensed?
1
2
3
4
5
6
7
8
9
More than 10
21
Please list your hobbies or interests.
22
Most recent Employer/Business name.* This field is required.
23
Phone Number
Area Code
Phone Number
24
Position Held/Title
25
Dates Employment Started and Ended.
26
Reasons for leaving?
27
Next recent Employer/Business name.
28
Phone Number
Area Code
Phone Number
29
Position Held/Title
30
Dates Employment Started and Ended.
31
Reasons for Leaving?
32
Next recent Employer/Business name.
33
Phone Number
Area Code
Phone Number
34
Position Held/Title
35
Dates Employment Started and Ended.
36
Reasons for Leaving?
37
Name* This field is required.
First Name
Last Name
38
Title/Relationship* This field is required.
39
Phone Number* This field is required.
Area Code
Phone Number
40
Name
First Name
Last Name
41
Title/Relationship
42
Phone Number
Area Code
Phone Number
43
Name
First Name
Last Name
44
Title/Relationship
45
Phone Number
Area Code
Phone Number
46
I certify that all statements and answers given herein are true to the best of my knowledge. In the event that I am employed by this company, I understand that false or misleading information contained on my application or resume, or given during an interview, is sufficient grounds for discharge.* This field is required.
Yes
No
Should be Empty: