Boat Service of Galveston Il1c.lGaivestol1 Party Boats Inc.
I APPLICAnON FOR EMPLOYMENT I
Prospective employees will receive consideration without discrimination based on race, creed. color. sex. age, national origin, veteran status, marital status, disability, handicap, sexual orientation, citizenship status. or any condition prescribed by state or local law.

IPERSONALI
Last Name First Middle Date

Street Address

Home Telephone

(
City, State, Zip

)

Business or Cell Telephone

( )

Date & Place of Birth (City, State, County) Social Security #

Pay Expected Have you ever applied for employment with us? No D Yes 0 Position Desired If yes: Month and Year Will you work overtime if asked? No 01 Yes 01 When will you be available to begin work? Apart from absence for religious observance, are you available for full-time work? Yes Cl No 01 If not, what hours can you work? Are you legally eligible for employment in the United States? Have you ever been bonded? No Cl Yes If "Yes", with what employers?

Have you been convicted of any felony crimes in the past ten years, excluding misdemeanors and summary offenses, which have not been annulled, expunged or sealed by a court?

Yes

0

No

If "Yes", describe in full.

Other special training, skills (languages, machine operation, etc.)

IEDUCATIONI

School
...

Name and Location of School

Course of Study

# of Years

Completed

Did you Graduate?

Degree or Diploma

CAPTAINS LICENSE

College

Businessffradel TechnicallMilitary

High School

..

CPR

YES

NO

EXP.DATE
. --- ,....

#
#

EXP.DATE

TWIC

YES

NO

IREFERENCESI

Name Address Business Years Known

EMPLOYMENT

Company name Address Name of Supervisor State Job Title and Describe Your Work

Please give accurate, complete full-time and part-time employment record. Start with your present or most recent employer. Telephone (
)

Employed-(State month & year) To From Weekly pay Start Reason for leaving Last

Company name Address Name of Supervisor State Job Title and Describe Your Work

Telephone (

)

Employed-(State month & year) From To Weekly pay Start Reason for leaving Last

Company name Address Name of Supervisor State Job Title and Describe Your Work

Telephone (

)

Employed-(State month & year) From To Weekly pay Start Reason for leaving Last

Company name Address Name of Supervisor State Job Title and Describe Your Work

Telephone (

)

Employed-(State month & year) From To Weekly pay Start Reason for leaving Last

IAPPLICANT'S SIGNATUREI

Please read and understand this statement before signing your application: