Employment form

NAME




MAILING ADDRESS







Are you older than:
Are you legally eligible to work in the United States? (If yes, verification will be required)

As necessary for the job, I am able to:

Work overtime?
Work seven days a week?
Provide a valid Driver's License

If so, fill out the following:

Endorsement(s):



FISHERY EXPERIENCE

Have you worked for Snug Harbor Seafoods, Inc. before?

Experience:




Can you operate a forklift?

EMPLOYMENT HISTORY

List most recent employment FIRST.

EDUCATION

Institution








SKILLS AND QUALIFICATIONS

REFERENCES

Please list two references who are not related to you or a former supervisor.

EMERGENCY CONTACT

In case of accident or illness, please contact:



INFORMATION TO THE APPLICANT

As a part of our procedure for processing your employment application, your employment and personal references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be terminated from your job. You may make a written request for information derived from the checking of your references. As necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the United States and have a physical examination and/or drug test. I understand and agree to the information shown above.

Date

Equal Employment Opportunity: While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. The information is optional and failure to provide it will have no affect on your employment eligibility.

Thank you!