SEATIME EMPLOYMENT AGENCY, INC.
All Mariners need Seatime to Advance!
Name:
Address:
City, State, Zip
Day Phone:
Cell Phone :
E-Mail
Confirm E-Mail
Position Desired: Vessel Type, Area, Etc.
U.S. COAST GUARD LICENSES
Licenses Held, with all Endorsements:
Date of expiration:
MERCHANT MARINE DOCUMENTS
Date of Expiration:
Indicate Qualifications As Shown On Card:
CHECK POSITION FOR WHICH YOU ARE CERTIFIED
STCW Ratings:
Do You Have A Valid U.S. Passport:
YES
NO
Do You Have A Valid Driver's License:
YES
NO
WORK HISTORY MUST BE COMPLETED IN DETAIL, INCLUDING PHONE NUMBERS FOR PAST EMPLOYERS. IF NOT FILLED OUT COMPLETELY APPLICATION WILL NOT BE CONSIDERED FOR REFERRAL TO PROSPECTIVE EMPLOYERS.
WORK HISTORY 1
Company Name:
Company Phone:
Company Address:
Name of Supervisor:
Employed From/To:
Job Titles and Duties:
Reason for Leaving:
WORK HISTORY 2
Company Name:
Company Phone:
Company Address:
Name of Supervisor:
Employed From/To:
Job Titles and Duties:
Reason for Leaving:
WORK HISTORY 3
Company Name:
Company Phone:
Company Address:
Name of Supervisor:
Employed From/To:
Job Titles and Duties:
Reason for Leaving:
PERSONAL REFERENCES
Reference 1:
Reference 2:
Reference 3:
Please feel free to add any comments in the box below:
Comments/Questions:
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