Employment Opportunities - Knights Marine & Industrial Services, Inc.


Marine	Industrial	Personnel

First Name:
Last Name:
Phone #:
Email:
Cell/Alt Phone #:
Craft:
Class (1st, 2nd, etc.):
Alt. Craft:
Class (1st, 2nd, etc.):
Skills:
MARINE EXP:
INDUSTRIAL EXP:
Are you willing travel:	Yes No
U.S. Citizen:	Yes No
Street Address:
City:
State:
Zip:
Date of Birth:
Place of Birth:
Emergency Contact:
Phone #:
Have you ever worked for this company before:	Yes No If Yes, please give dates: to
Certified Welder:	Yes No
Certified Brazer:	Yes No
	If Yes, please list the processes and materials you were certified on:
Have you ever had an Audiogram:	Yes No
	If Yes, please give date of last Audiogram (Hearing Test) and employer who conducted the test:
Please list three personal references:
Name 1:
Phone:
Relationship:
Name 2:
Phone:
Relationship:
Name 3:
Phone:
Relationship:
EMPLOYMENT HISTORY:
Employer 1:
Position:
Dates of Service:
Rate:
Reason for Leaving:
Employer 2:
Position:
Dates of Service:
Rate:
Reason for Leaving:
Employer 3:
Position:
Dates of Service:
Rate:
Reason for Leaving:
Please list Education level and any Special Training you have: