"*" indicates required fields Step 1 of 3 33% ApplicationWhich job are you applying for?* Seafood processor Cook Deck hand Engineer Name* First Middle Last Other names worked under Current address Street Address Address Line 2 City State / ProvinceAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell Phone*Email* Permanent address Street Address Address Line 2 City State / ProvinceAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Emergency contactNotify this person in an emergencyIn an emergency, notify Name Relationship Phone Street Address Address Line 2 City State / ProvinceAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you over the age of 18?* Yes No How did you learn of this opening?Have you ever been employed by M/V Baranof or M/V Courageous?* Yes No If so, when? Completed contract? Yes No If no, please explain List any friends or relatives working for us and their relationship Do you have any responsibilities which would affect your work?* Yes No If yes, please explain Are you legally authorized to work in the United States?* Yes No Any person hired will be required to complete an I.N.S. Form I-9 (Employment Eligibility Verification)Have you served in the U.S. Military?* Yes No If yes, Branch Served from MM slash DD slash YYYY Served to MM slash DD slash YYYY Highest education achievedSchool Location Date graduated MM slash DD slash YYYY Degree Subjects studied Work historyInclude part time jobs, summer jobs, volunteer jobs. List below current and former employers for the last 5 years, beginning with the most recent. You must provide phone numbers of former employers. Use next page if necessary.List*Employer's name / addressNature of work performedEmployed from (month/date)Employed to (month/date)Reason for leavingImmediate supervisor name, title, and phone Add RemoveClick + to add additional historyOptional Resume UploadAccepted file types: doc, docx, pdf, txt, rtf, pages, Max. file size: 50 MB.Prefer PDF or Word formatAre there any other experiences, skills or qualifications which you feel would especially fit you for work with this Company (include all merchant mariner licenses and/or certifications held)?During the past seven years, have you been convicted of, or released from prison for any offense?* Yes No If yes, please explain Prior convictions will not necessarily bar applicants from employment.Conditions of application and employment* I have carefully read and agree to the below conditionsThe above statements and the statements on the following Health Assessment Form are true and accurate. I understand that any misrepresentation or omission of facts called for is cause for my dismissal. I hereby authorize Romanzof Fishing Company, L.L.C. to investigate any and all statements contained herein, and I authorize and request the persons or firms named above to answer any and all questions relating to this application or any employment based thereon. I hereby release from all liability Romanzof Fishing Company, L.L.C., M/V BARANOF, and any person or firm who provides information concerning my prior education, employment, or character. If employed, I understand that my employment is at will and may be terminated at any time, with or without cause and with or without notice, at the option of either Romanzof Fishing Company, L.L.C. or myself, and regardless of the date my fishing settlement and/or wages are to be paid.NameThis field is for validation purposes and should be left unchanged. Δ
