Employment

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Your Personal Information

Your Name(Required)

First Last

Position Applied For(Required)

Phone(Required)

Email Address(Required)

Birthday(Required)

Social Security Number(Required)

Gender(Required)

Country/Region(Required)

Address(Required)

Street Address City ZIP / Postal Code

Do you have a valid Florida Driver's License?(Required)

Yes

No

Are you a citizen of the United States?(Required)

Yes

No

Are you authorized to work in the U.S.?(Required)

Yes

No

Have you ever been convicted of a felony?(Required)

Yes

No

Emergency Contact

Emergency Contact Name(Required)

Relationship(Required)

Phone Number(Required)

Previous Employment

Company(Required)

Phone Number(Required)

Address(Required)

Supervisor Name(Required)

Job Title(Required)

Starting Salary ($)(Required)

Ending Salary ($)(Required)

Title and Responsibilities(Required)

Start Date(Required)

End Date(Required)

Reason for Leaving(Required)

May we contact your previous supervisor for a reference?(Required)

Yes

No

If yes, please provide us with their name and phone number:(Required)

Marine Construction Experience

Please indicate previous marine construction experience, if any, below:(Required)

Military Service

Branch of Service

Start Date(Required)

End Date(Required)

Rank at Discharge

Reason for Discharge

Disclaimer and e-Signature

By typing my name and today’s date below, I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party. Additionally, Background / DMV / Felony Convections will be checked. After 90 days of employment Health Benefits will be offered as well as one (40) Hour’s vacation time.

Reason for Discharge

Last Name

Select a Date