Employment Application

If you are interested in working part-time at SEASPAR.  Please fill out application and submit to SEASPAR.  A SEASPAR staff will then contact you.  Thank you.

NAME:
Last: First: Middle:

ADDRESS:
Street: City: State: Zip:

PHONE:
Home: Work: Cell: School:

E-MAIL ADDRESS:
E-mail:

POSITION(S) APPLIED FOR:
Position(s):

How did you learn about SEASPAR?  Advertisement Referral Walk-In Friend Relative Employment Agency SEASPAR Employee Other

Have you filed an application here before? Yes No

Have you ever volunteered here before? Yes No

Are you employed now? Yes No

On what date would you be able to start work? 

Are you currently on "lay-off" status and subject to recall? Yes No

Minimum hours per week acceptable: 

If you are under 18 years of age, can you provide required proof of your eligibility to work?  Yes No

Have you ever been convicted of a misdemeanor involving theft, violence, or sexual misconduct? Yes No

Education

HIGH SCHOOL
School Name:  Diploma/Degree:  Honors Received:

COLLEGE / UNIVERSITY
School Name:  Diploma/Degree:
Honors Received:  Course of Study:  

Graduate / Professional
School Name:  Diploma/Degree:
Honors Received:  Course of Study:  

Employment Experience

List all of your work experience including military and voluntary service agreements.  Begin with your present or last position.

EMPLOYER I.
Employer:  Telephone:  Date Employed From:  To:
Address:  Starting Hourly Rate/Salary:  Final Rate/Salary:  
Job Title:  Supervisor:
Reason for Leaving:
Work Performed:  

EMPLOYER II.
Employer:  Telephone:  Date Employed From:  To:
Address:  Starting Hourly Rate/Salary:  Final Rate/Salary:  
Job Title:  Supervisor:
Reason for Leaving:
Work Performed:  

EMPLOYER III.
Employer:  Telephone:  Date Employed From:  To:
Address:  Starting Hourly Rate/Salary:  Final Rate/Salary:  
Job Title:  Supervisor:
Reason for Leaving:
Work Performed:  

Professional/Work References

List name and phone number of three professional/work references.

REFERENCE I
Name:  Relationship:  Home Phone:  Work Phone

REFERENCE II
Name:  Relationship:  Home Phone:  Work Phone

REFERENCE III
Name:  Relationship:  Home Phone:  Work Phone

Additional Information

Summarize job-related skills and qualifications gained from previous employment and professional trade, business, or civic activities that would enhance your work with SEASPAR.  List any honors, awards, volunteer experience, and offices held.

Certifications

List any certifications you have and their expiration dates.

Acknowledgment

All applicants are considered for positions without regard for race, color, religion, disability, sex, national origin, age, martial or veteran status.  Verification of eligibility to work in the U.S. will be required if an employment offer is made.

I acknowledge that consideration for employment is contingent on the results of a reference and background check.  Therefore, I hereby authorize SEASPAR to (1) investigate the truthfulness of all statements made on this application; (2) contact my former employers and other listed references or any other persons who can verify information; (3) discuss the results of any investigation with other employees of SEASPAR involved in the hiring process; (4) check my driving record if applicable for the target job; and (5) check my criminal record.  In addition, I give my consent for all contacted persons including former employers to provide the information concerning this application and I release each such person from liability for providing information to SEASPAR.

This application for employment shall be considered active for a period of time not to exceed 90 (ninety) days.  Any applicant wishing to be considered for employment beyond this period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and achnowledge that unless otherwise defined by applicable law, any employment relationship with SEASPAR is of an "at will" nature, which means that the employee may resign at any time and that SEASPAR my discharge the employee at any time with or without cause.  It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically achnowledged in writing by an authorized executive of SEASPAR.

I certify that the information contained in this application is correct to the best of my knowledge, and understand that falsification of this application in any detail is grounds for disqualification from further consideration or dismissal from employment in accordance with SEASPAR Policy.  I understand, also that I am required to abide by all rules and regulations of SEASPAR

By checking this box, I certify that I have read and understand the terms of this achnowledgment