Would You Like To Work For Us?Please fill out the form below and we will get back to you soon. PersonalFull Name (First + Middle + Last) (required) Permanent AddressStreet Address (required) Address Line 2 City (required) State (required) Zip Code (required) Home Phone Cell Phone Your Email (required) Date of Birth Do you have the legal right to live and work in the U.S.? YesNoOther name(s) under which you have been previously employed Names of friends or relatives employed in this organization Have you ever applied to this organization before? YesNoHave you ever been employed by this organization before? YesNoDo you have any family, business, health, or social restrictions or obligations that would prevent you from performing the job responsibilities? YesNoDo you have any physical or mental condition or handicap which would endanger the health or safety of yourself and or others or that may affect your ability to perform the job(s) for which you are applying? YesNoHave you ever been convicted of a felony? YesNoWill you comply with the safety work and attendance policies of our organization? YesNoEmployment InterestsPosition(s) Desired or Area of Interest: Fish CutterSalesOtherDate Available Type of Employment You Are Seeking: Part TimeTemporaryShifts You Can Work: Mon – Fri 8am – 5:30pmMon – Fri 5:30pm – 11pmSaturday & Sunday 8am – 4pmSaturday & Sunday 4pm – 11pmHow will you get to work? How were you referred to our organization? AdvertisementEmployeeOther CompanyAgencySelfEmployment ServiceEducation/U.S. Military ServiceWhere did you attend high school & college? Are you taking any educational course(s) presently? YesNoI will be soonHave you ever served in the U.S. Armed Services? YesNoReferencesList 3-5 people we may contact who are qualified to evaluate your capabilities. Do not include relatives.Reference 1 Reference 2 Reference 3 Reference 4 Reference 5 Employment HistoryGive employment record as completely as possible listing current or most recent employer first. Show unemployed or self-employed periods and indicate dates and comment on each period. Include part time or summer work.Company Name (Most Recent) Address Phone Home Phone Cell Phone Date Started Date Left Job Title Supervisors Name & Title Type of Business Business Website Base Rate of Pay (Hour/Week/Month)Description of dutiesReason for Leaving?Base Rate of Pay (Hour/Week/Month)May we contact this employer? YesNoCompany Name (Most Recent) Address Phone Date Started Date Left Job Title Supervisors Name & Title Type of Business Business Website Base Rate of Pay (Hour/Week/Month)Description of dutiesReason for Leaving?Base Rate of Pay (Hour/Week/Month)May we contact this employer? YesNoCompany Name (Most Recent) Address Phone Date Started Date Left Job Title Supervisors Name & Title Type of Business Business Website Base Rate of Pay (Hour/Week/Month)Description of dutiesReason for Leaving?Base Rate of Pay (Hour/Week/Month)May we contact this employer? YesNoCompany Name (Most Recent) Address Phone Date Started Date Left Job Title Supervisors Name & Title Type of Business Business Website Base Rate of Pay (Hour/Week/Month)Description of dutiesReason for Leaving?Base Rate of Pay (Hour/Week/Month)May we contact this employer? YesNoAcknowledgementPrinting your First Name + Middle Initial + Last Name will act as your digital signature.Digital Signature: Date ResumeIf you have a resume you’d like to attach, please do so here. This is not required. Accepted file types: doc, docx, pages, odt, rtf, tex, txt, wpd, wps, pdf.Resume Upload (optional)[file your-resume filetypes:doc|docx|pages|odt|rtf|tex|txt|wpd|wps|pdf limit:2mb][/su_row]
