Job Application Form

Fish Western Alaska Job Application

Lady Elias LLC's Recruitment Site
1. General Application Information:
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
E-mail *
Referred by
How did you hear about employment with our company? *
Age Requirement: Are you 18 or older? *
To be considered for employment you need to be at least 18 years of age or older.
Eligibility: Are you eligible for employment in the United States, and can you provide Citizenship, Alien Registration or Current Work Visa? *
Position, Fishery or Season applying for *
Have you previously applied with us? (Yes/No) If yes, please provide the year. *
Have you worked for us previously? (Yes/No) If yes, please give dates. *
Have you worked in the commercial fishing industry? (Yes/No) *
If yes, please list the companies and/or vessels you have worked for:
What is your current employment status? *

Full Time Part Time On-Call Seasonal Not currently Employed
Have you been incarcerated in the past 7 years? *
Have you been convicted of a misdemeanor or felony offense? *
If yes, please list all states, years and a brief description of offense(s):

2. Education, Training & Skills
High School Name & Address
Did you graduate? (Yes/No) *
College Name and Address
Did you graduate? (Yes/No)
Highest Level of Education Completed *

Highschool Degree Some College Associates Degree Bachelor's Degree Master's Degree
Trade, Business, Other Schools Attended
Training, Certificates, Licenses
Special Skills

3. Work History

Please Include your Current and Past Employment
Company #1
Phone
Address
Job Title
Supervisor
Responsibilities
From
To
Reason For Leaving
May we contact your previous employer for a reference?

Yes No
Company #2
Phone
Address
Job Title
Supervisor
Responsibilities
From
To
Reason For Leaving
May we contact your previous employer for a reference?

Yes No
Company #3
Phone
Address
Job Title
Supervisor
Responsibilities
From
To
Reason For Leaving
May we contact your previous employer for a reference?

Yes No
Company #4
Phone
Address
Job Title
Supervisor
Responsibilities
From
To
Reason For Leaving
May we contact your previous employer for a reference?

Yes No
Additional Employment Work History
Enter additional employment history above or upload it below with your resume.
**Failure to include your employment history and criminal background history may result in disqualification for employment consideration or, if hired, may be grounds for termination from the company.**
Upload Resume Here

Upload a File

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7. Questionnaire:

Please answer the following questions.
Why do you want to work for our company? *
What were your best accomplishments in your last role? *
Describe the last time when you had to make a touch choice. What did you have to choose between and why did you choose it? *
Describe your ideal supervisor: *
Describe yourself in five words: *
Provide a one or two sentence glimpse of your primary career goal. *
Disclaimer and Signature:

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information that they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
Authorization to Process Application: *

I understand the above statement, please process my application.
Signature *

Sign Here Clear
Date: *

Month Day Year
Date
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Fish Western Alaska Job Application