C & G Boats, Inc.
1216 South Bayou Drive
Golden Meadow, La 70357
Toll Free: 1 (800) 259 - 5155
PRE-EMPLOYMENT APPLICATION
EQUAL OPPORTUNITY EMPLOYER
* indicates required fields
PERSONAL INFORMATION:
NAME:
*
(Last, First, Middle)
DATE OF BIRTH:
*
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Month/Day/Year
ADDRESS:
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(Street No/PO Box, City/Town, State, Zip Code)
PHONE NO:
*
SOCIAL SECURITY NO:
DRIVERS LICENSE # & STATE:
E-MAIL ADDRESS:
WHAT TYPE OF LICENSE DO YOU HOLD?: (Indicate Exact Wording)
HAVE YOU EVER WORKED OFFSHORE?:
Yes
No
IF YES, HOW LONG?
HAVE YOU EVER WORKED OVERSEAS?:
Yes
No
IF YES, HOW LONG?
DO YOU HAVE A U.S.C.G MERCHANT MARINERS DOCUMENT?:
ENDORSED FOR:
DO YOU HAVE STCW-95? Yes
No
EMPLOYMENT DESIRED:
POSITION APPLIED FOR:
DATE YOU CAN START:
FORMER EMPLOYERS: (List Last Four Employers)
1.
NAME & ADDRESS
1.
FROM/TO
1.
POSITION/SALARY
1.
REASON FOR LEAVING
2.
NAME & ADDRESS
2.
FROM/TO
2.
POSITION/SALARY
2.
REASON FOR LEAVING
3.
NAME & ADDRESS
3.
FROM/TO
3.
POSITION/SALARY
3.
REASON FOR LEAVING
4.
NAME & ADDRESS
4.
FROM/TO
4.
POSITION/SALARY
4.
REASON FOR LEAVING
