Application for employment

PERSONAL INFORMATION

Name*

First Middle Last

Address*

Street Address City State 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*

Discharge status*

Discharge date*

Years in service*

Position you are applying for*

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

Completed

Graduate
GED

College

City State

Year completed

Trade schools

City State

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

Phone

Date started

Date left

Starting salary

per

Ending salary

per

Starting position

Ending position

Describe a typical day on this job

Employer #2

Company name

City State

Phone

Date started

Date left

Starting salary

per

Ending salary

per

Starting position

Ending position

Describe a typical day on this job

Employer #3

Company name

City State

Phone

Date started

Date left

Starting salary

per

Ending salary

per

Starting position

Ending position

Describe a typical day on this job

Employer #4

Company name

City State

Phone

Date started

Date left

Starting salary

per

Ending salary

per

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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PERSONAL INFORMATION

EDUCATION

EMPLOYMENT HISTORY

Employer #1

Employer #2

Employer #3

Employer #4

PERSONAL REFERENCES

THIS SECTION TO BE COMPLETED ONLY IF YOU ARE APPLYING TO WORK IN ALASKA

ESSENTIAL FUNCTIONS

CONDITIONS OF EMPLOYMENT

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