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PERSONAL INFORMATION
Name
*
First
Middle
Last
Address
*
Street Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Social Security Number
*
Email
*
Phone
*
Citizenship
*
US Citizen
I am NOT a US Citizen, and I can provide proof of lawful employment status in the US. (Your alien registration may be verified with the Immigration and Naturalization Services)
Felony conviction/custody
*
In the past 7 years, I have been convicted of a felony and/or released from custody following a felony offense.
None
Please explain conviction/custody
I have been employed by M/V Golden Alaska in the past.
*
Yes
No
I currently hold a US Coast Guard license.
*
Yes
No
I have military experience.
*
Yes
No
Branch
*
US Coast Guard
Army
Navy
Marine Corp
Air Force
Discharge status
*
Honorable
Dishonorable
Other
Discharge date
*
Years in service
*
Position you are applying for
*
Factory Processor
Factory Management
QC
Factory Mechanic
Engineering
Oiler/Wiper
Deckhand
Mate
Captain
Galley
Housekeeping
Purser
Fishmeal
Surimi Tech
Baader Tech
I have experience in the position
*
Yes
No
Please list any skills or knowledge you have acquired that might be relevant to the position you are applying for:
Please list related licenses and certificates you currently hold:
EDUCATION
High School
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Completed
Graduate
GED
College
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Year completed
Trade schools
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Year completed
I did NOT complete the required training for the above. Please explain:
Please list any additional skills, languages, training you would like to bring to the recruiters attention below.
EMPLOYMENT HISTORY
We require you to provide us with accurate information regarding Graduate work history. Your submission on this application authorizes us to make any investigation of your personal history as stated, and you authorize all persons, schools, companies, or other organizations to supply any accurate information concerning your background. You have a right to disclosure of such information reported as provided by law. • You must provide us with the last year of previous history. List your most recent employer first. •
All gaps
in employment history must be accounted for. •
All phone numbers
must be provided to the recruiter with this application!
Employer #1
Company name
Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Phone
Date started
Date left
Starting salary
per
Hour
Week
Year
Ending salary
per
Hour
Week
Year
Starting position
Ending position
Describe a typical day on this job
Employer #2
Company name
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Phone
Date started
Date left
Starting salary
per
Hour
Week
Year
Ending salary
per
Hour
Week
Year
Starting position
Ending position
Describe a typical day on this job
Employer #3
Company name
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Phone
Date started
Date left
Starting salary
per
Hour
Week
Year
Ending salary
per
Hour
Week
Year
Starting position
Ending position
Describe a typical day on this job
Employer #4
Company name
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Phone
Date started
Date left
Starting salary
per
Hour
Week
Year
Ending salary
per
Hour
Week
Year
Starting position
Ending position
Describe a typical day on this job
PERSONAL REFERENCES
Reference 1 name
First
Last
Reference 1 phone
Reference 2 name
First
Last
Referance 2 phone
THIS SECTION TO BE COMPLETED ONLY IF YOU ARE APPLYING TO WORK IN ALASKA
Our processor will be located in remote and often isolated areas where only limited medical care is available for conditions from which you now suffer. Therefore, please give careful consideration to the state of your personal health if you are currently receiving medical attention for any disease, illness, or injury
Are you able to work all hours and/or shifts, including overtime?
Yes
No
Are you able to work every day, Monday through Sunday?
Yes
No
Do you have any responsibilities, business, or otherwise which would affect your work at sea?
Yes
No
ESSENTIAL FUNCTIONS
Process line position involve standing for long periods of time, twisting, bending and stooping frequently to transport product along the line. Line positions can involve working around hot, cold, and damp positions, manually off-loading product, working around and/or operating hydraulic powered equipment, working along moving belts, conveyors, and machinery. Frozen product may weigh between 22 and 65 pounds. Finished boxes are hand_stacked and/or carried onto pallets or conveyors. Production workers may clean conveyors, tanks, and machines and/or work areas using high-pressure water spray sanitizers. Physical demands require you to be highly mobile, physically strong, and able to work long hours in adverse conditions. Production workers shall perform such duties as may be required of him/her by the Master of the vessel, processing manager, foreman, and/or other designated representative of the vessel. The duties shall include, but are not limited to those above production related activities, loading and off-loading the vessel, cleaning and maintaining the processing equipment, cleaning the vessel itself and other equipment aboard.
CONDITIONS OF EMPLOYMENT
(Please read carefully before agreeing)
Golden Alaska Seafoods believes and follows the principle of non-discrimination in employment and intends to comply with all Federal, State, and other applicable laws concerning civil rights. The facts set forth in my application are true and complete. I understand that, if employed, false statements on this application may result in my immediate dismissal.
I affirm that I am familiar with the essential function of the work for which I am making this application. Therefore, I am able to perform the essential function of the positions without accommodation.
*
I agree to the conditions
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