SALTWATER INC. IS AN EQUAL OPPORTUNITY EMPLOYER
BOAT OPERATOR EMPLOYMENT APPLICATION
2012 Alaska Marine Mammal Observer Program, Southeast Alaska
Saltwater Inc.
733 N Street
Anchorage, Alaska 99501-3226
ph: 907.276.3241
fax: 907.258.5999
e-mail: stacey@saltwaterinc.com
website:
www.saltwaterinc.com
Form Login Account (optional)
New Users / Returning Users
CLICK HERE
to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish the form. The account you establish is only for this form.
Personal Information
*
First Name
Middle Name or Middle Initial:
*
Last Name
Please use todays date.
*
Application Date (MM.DD.YYYYY)
*
Are you authorized to work in the U.S.?
Yes
No
*
Current Mailing Address Line 1:
Current Mailing Address Line 2:
*
City
*
State
*
Postal Code
Phone
Cell Phone
*
Email Address
*
Confirm Email Address
Please email me updates on Saltwater Inc Information
First date available in 2012? (MM.DD.YYYY)
Last date available 2012? (MM.DD.YYYY)
Do you have reliable vehicle transportation?
0/100 characters
Education
Please attach a complete copy of your transcript at the end of this form
*
Highest level of education completed:
High School
College
Other
*
School
*
City
*
State
*
Start Date Attended (MM.DD.YYYY)
*
End Date Attended (MM.DD.YYYY)
Degree received
*
Date of Diploma (MM.DD.YYYY)
School
City
State
Start Date Attended (MM.DD.YYYY)
End Date Attended (MM.DD.YYYY)
Degree received
Date of Diploma (MM.DD.YYYY)
School
City
State
Start Date Attended (MM.DD.YYYY)
End Date Attended (MM.DD.YYYY)
Degree received
Date of Diploma (MM.DD.YYYY)
Experience
EXPERIENCE
Please describe your experience in the following:
Knowledge of local water and weather conditions in Southeast Alaska:
Experience operating small boats, particularly in Alaska:
Experience in small boat maintenance, such as engine repair, electrical, etc:
Experience working in small groups or teams with a common goal:
Commercial, sport, personal use, and/or subsistence fishing:
What interests you most about this job?
*
Are you a current drift gillnet permit holder?
Yes
No
*
Do you require reasonable accommodations in order to perform the essential functions of this job?
Yes
No
*
First Aid/CPR Certification:
Yes
No
Expires: (MM.DD.YYYY)
References
List three references related to recent work or volunteer experiences:
Employment History Question #1
Company or Organization
Supervisor/Manager
Title
Phone
From (MM.DD.YYYY)
To (MM.DD.YYYY)
Email Address
Reason for Leaving
Address:
City
State
Zip Code
Employment History Question #2
Company or Organization
Supervisor/Manager
Title
Phone
From (MM.DD.YYYY)
To (MM.DD.YYYY)
Email Address
Reason for Leaving
Address:
City
State
Zip Code
Employment History Question #3
Company or Organization
Supervisor/Manager
Title
Phone
From (MM.DD.YYYY)
To (MM.DD.YYYY)
Email Address
Reason for Leaving
Address:
City
State
Zip Code
Disclosure of criminal convictions
*
Have you ever been convicted of a felony (including a plea of guilty, or a plea of no contest)?
Yes
No
If you have been convicted of a felony, list any and all felony convictions, the date (month and year) of the
conviction, and the state, county or district and city in which you were convicted:
0/255 characters
*
Have you ever been convicted of a misdemeanor (including a plea of guilty, or a plea of no contest)?
Yes
No
If you have been convicted of a misdemeanor, list any and all misdemeanor convictions, the date (month and
year) of the conviction, and the state, county or district and city in which you were convicted:
0/255 characters
*
Have you ever been convicted of an offense (including a plea of guilty, or a plea of no contest) indicating a lack of integrity that seriously and directly affects the fitness of your potential employment as an observer; such as a conviction for one of the following: fraud, embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property?
Yes
No
If you have been convicted of the type of offense described above, list any and all such convictions, the date (month and year) of the conviction, and the state, county or district and city in which you were convicted:
I certify that to the best of my knowledge, information contained in this application is true and correct. I understand that misrepresentation or omission of facts called for hereon will be sufficient cause for cancellation of consideration for hiring or dismissal from the Company's service if I have been hired, and authorize Saltwater Inc. to investigate all statements contained on this application. I understand that employment is contingent upon a successful physical examination in which my health is found to be satisfactory for the work proposed.
Signing Form
*
First Name
Middle Name or Middle Initial:
*
Last Name
List any other names that you are using, or have previously used:
Transcript(s) and Resume Upload Area
Please also provide a copy of your resume (not to exceed 2 pages) stating your previous employment experience and any relevant certifications or trainings. Please upload your resume to this form. The maximum file size for each file is 5 MB. If possible please only up load one file. If your resume is in multiple file pleases use the additional upload areas.
Please submit a copy of your resume.
Please submit a copy of your resume.
*
Please fillout the following word
*
Indicates Response Required
SALTWATER INC. IS AN EQUAL OPPORTUNITY EMPLOYER