Walstrom Marine - Employment Application

Walstrom Marine - Harbor Springs, Bay Harbor, Cheboygan Michigan

Walstrom Marine Employment Application

Personal Information

*Required

Name:*

Email Address:*

Are you 18 years old or older?

Yes No

Current Address:

Permanent Address:*

Please select one:

I am a United States Citizen

City:

City:*

I am an alien authorized to work in the United States

State - Zip

State* - Zip*

Cell Phone: *

xxx-xxx-xxxx

Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment eligibility and eligibility and identity within three days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.

Identity may be established with a valid drivers license, a state or school photo I.D. card, a voter registration card, or a military or draft card. Ask about other qualifying documents.
Employment eligibility may be established with a social security card, or a birth certificate (an original or a certified copy). Ask about other qualifying documents.
Employment eligibility and identity both may be established with a U.S. passport, a green card, or a foreign passport with employment authorization attached. Ask about other qualifying documents.

Education

	Name & Location of School	No. Years Attended	Did you Graduate?	Subjects Studied
High School
College

Are you currently a student?

Yes No

Activities: Civic, Athletic, Etc. (Exclude organizations that relate to race, creed, sex, age, marital status, color or nation of it's members.)

Do you have prior U.S. Military service?

Yes No

If yes, please indicate Rank:

Are you presently a member of the National Guard or reserves?

Yes No

Have you ever been convicted of a felony?

Yes No

If yes, please explain:

Employment Information

Are you currently employed?

Yes No

Date you can start:

Present Employer Name

Present Employer Phone

Last date of availability:

xxx-xxx-xxxx

May we contact your present employer?

Yes No

Have you ever applied here before?
Yes No

Who referred you?

If yes, when?

Employment History - Please list last three employers, starting with your most recent job.

Employer 1	Job Title

City - State	Work Performed

Phone Number	Dates Employed:
	From To
Supervisor	Salary/Wages:
	Start To
Reason for Leaving

Employer 2	Job Title

City - State	Work Performed

Phone Number	Dates Employed:
	From To
Supervisor	Salary/Wages:
	Start To
Reason for Leaving

Employer 3	Job Title

City - State	Work Performed

Phone Number	Dates Employed:
	From To
Supervisor	Salary/Wages:
	Start To
Reason for Leaving

Which of these jobs did you like best?

What did you like most about this job?

Note: We will contact the employers listed on this application unless you specifically exclude them below.
Please list any employers you do not want us to contact and your reason for the exclusion.

Employer	Reason

References

Give the names, addresses, and phone numbers of three persons not related to you, whom you have known at least one year.

	Name	Address	Phone xxx-xxx-xxxx	Years Acquainted
1.
2.
3.

I consent to and agree with the above statements:*

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