Crew Application

From Mo/ Yr

Employers Name & Address

Employer Phone #

Position held

Reason for Leaving

If you have more employment history, please send via email or bring to initial interview.

Crew Application
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Application for Crew Training/ Employment

Personal Data: \| \| \|	Name
	Address (Street)
	City, State, Zip
	Phone # 1	cell
	Phone # 2	cell
	Email Address
	Social Sec. #
	Date of Birth

Work Desired	Office - click here Captains - click here	Amount of scheduled time desired - choose 1
Work Desired	Hours/ Days Not willing to work

Education	High School	Graduated
	College	Degree Some
	Other

Have you worked in the service industry before? Yes	I Have waited on customers
	I Have Operated a Cash Register
	I Have used a Computer
	I Have Sailing Experience
	I Have Boating Experience

Have you ever been convicted of a felony, embezzlement, shoplifting, or drug related offense?	YES (check only if it applies)
REFERENCES - A written list of references may be submitted in person in lieu of this form	1 -	Name, relation & Phone Number
	2 -	Name, relation & Phone Number
	3 -	Name, relation & Phone Number

Comments

This becomes a permanent record if accepted. If you are not immediately accepted, This application will remain Active for 90 Days. Dolphin Landings is an equal opportunity employer, Coast Guard requirements may apply. Minimum age requirement is 16 yrs old.

I certify that the information on this application is correct and complete to the best of my knowledge and authorize Dolphin Landings to verify any data. I understand and agree that any misrepresentation or omission of fact whenever or however discovered is sufficient cause for dismissal. In confirming reading this and pressing submit, I agree to submit to polygraph examinations, background checks, drug & alcohol testing & understand that these may be a condition of employment.

I have read and agree (must check this box)

If printed ... Sign here_______________________________

[Crew Application] [Office Application] [Captain Application]