Detroit Princess - Employment Application

Application for Employment

Please fill out the application to the best of your ability. Please be aware that failure to complete the application fully may delay processing of your application.

Personal Information:
* Denotes Required Field
First Name:
Last Name:
Middle Initial:
Today's Date:
Address:
Apartment/Unit #:
City:
State:
Zip Code:
Email:Proper format "name@something.com"
Phone Number: Please enter your full phone number including area code
Date Available:
Position Applying for:
Desired Salary or Hourly Rate:
Did anyone refer you to us? If yes, who?
Do you have a Merchant Mariner Document (MMD)?
Are you a citizen of the U.S.?
If not, are you authorized to work in the U.S.?
Have you ever worked for this company?
If yes, when?
Education Information:
High School Information:
High School:
High School City & State:
Dates Attended: From: To:
Did you graduate?Yes: No:
Degree:
College Information:
College:
College City & State:
Dates Attended: From: To:
Did you graduate?Yes: No:
College Degree:
Other School Information:
Other:
Other City & State:
Dates Attended: From: To:
Did you graduate?Yes: No:
Degree:
References:

Please list two professional references.
Reference 1:
Full Name:
Relationship:
Phone:
Company:
Address:
Reference 2:
Full Name:
Relationship:
Phone:
Company:
Address:
Previous Employment:

Please provide information regarding your last three employers.
Most Recent:
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
Dates Employed: From: To:
Reason for Leaving:
May we contact your previous supervisor for a reference?Yes: No:
Next Recent:
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
Dates Employed: From: To:
Reason for Leaving:
May we contact your previous supervisor for a reference?Yes: No:
Third Most Recent:
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
Dates Employed: From: To:
Reason for Leaving:
May we contact your previous supervisor for a reference?Yes: No:
Other Information:
Please summarize your special skills, training, licenses and qualifications:
Disclaimer and Signature:
By printing your name and entering the date below, you are electronically signing your application. By clicking 'Submit' below, you are agreeing to the following:
I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial, or medical history and other related matters as may be necessary for an employment decision. I hereby release employers, schools or persons from all liability when responding to inquiries in connection with my application.
In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.
Applicant Name:
Date Submitted: 2017-06-26

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Personal Information:

Education Information:

High School Information:

College Information:

Other School Information:

References:

Reference 1:

Reference 2:

Previous Employment:

Most Recent:

Next Recent:

Third Most Recent:

Other Information:

Disclaimer and Signature: