Your name:
Your email address:
Your phone number:
Dates of Availability
When can you start?
Part Time
Type of Availability
Full Time
Address Information
Address (W-2 will be sent to this address)
City
State
Zip Code
Credentials
Please List your Coast Guard Issued license tonnage and any additional endorsements
No
Yes
Current TWIC
Current FCC License
No
Yes
Current CPR/First Aid
No
Yes
References
Reference 1
Name:
Relationship and phone number- include area codes
Reference 2
Name:
Relationship and phone number- include area codes
Employment History
Please list all Past and Present Employment beginning with most recent
(if none are available enter "none")
1. Company Name and City"
Contact or Supervisor
Phone Number
Employed Dates: From when to when
Reason For Leaving
2. Company Name and City"
Contact or Supervisor
Phone Number
Employed Dates: From when to when
Reason For Leaving
3. Company Name and City"
Contact or Supervisor
Phone Number
Employed Dates: From when to when
Reason For Leaving
I authorize Humboldt Bay Maritime Museum, Humboldt Bay Harbor Cruise to verify any and all information contained within this
employment application.

I understand that nothing contained in this employment application or in the granting of an interview is intended to create an
employment contract between Humboldt Bay Maritime Museum, Humboldt Bay Harbor Cruise and myself.  I further understand
and agree that if I am hired by Humboldt Bay Maritime Museum, Humboldt Bay Harbor Cruise, the duration of my employment is
indefinite and my employment relationship is terminable at will, which means that I may resign at any time and Humboldt Bay
Maritime Museum, Humboldt Bay Harbor Cruise may terminate my employment at any time with or without cause.

I understand that employment with Humboldt Bay Maritime Museum, Humboldt Bay Harbor Cruise requires that I willingly
participate and successfully pass any and all required drug tests and/or a "Post Accident Alcohol Tests".  In addition,  I realize
that final acceptance for all positions require successful passage of a "Pre-employment Urinalysis Drug Test".  (Further
information on these tests and Humboldt Bay Maritime Museum, Humboldt Bay Harbor Cruise drug program will be provided
after final interview.)
Yes
No
Additional Comments
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