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Serving Alaska Since 1984
| November 21, 2024 17:55:20 PM AKDT 17:55:20 PM PST
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Personal Information
Please answer all questions COMPLETELY.
Name
First
Middle
Last
Address
Address
Address 2
City/Town
State/Province
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
ZIP/Postal Code
Home Phone
Mobile Phone
Email Address
Application Information
Do you have the legal right to work in the U.S.?
(Proof of identity and legal right to work in the U.S. will be required AFTER hire.)
Yes
No
Are you a former employee of this company?
Yes
No
If so, under what name?
If yes, list past employment dates:
Do you have any relatives or friends employed here?
Yes
No
Name of relative or friend employed here:
How did you hear about us?
Word of Mouth
Indeed
Facebook
YouTube
Company Website
Other
If other please provide:
Position Information
POSITION(S) APPLIED FOR
You must have a U.S. Coast Guard License or Certificate (MMC) for all positions except deckhand, wiper and cook.
Captain (Requires at least 500 ton license)
Chief Engineer (1500-3000 HP DDE license okay)
Chief Mate (Requires at least 500 ton license)
Second Mate (Requires at least 500 ton license)
A.B. Seaman (RequiresCoast Guard MMC, OSV, Towing, Fishing are okay)
Deckhand (No MMC Required)
QMED / Oiler (MMC required)
Wiper (No MMC Required)
Cook (No MMC Required)
What USCG license or certificate do you hold?
USCG License Description:
USCG Certificate (AB, QMED, etc.) Description:
Have you operated any of the below warehouse equipment (Please check all that applyand list others that apply):
Yard & Stay Cargo Gear
Forklifts
Manual / Electric Pallet Jacks
Other
Please list work experience which may qualify you for this job:
Other Equipment
Education/Military Information
High School
High School City
Did you graduate
Yes
No
Major Area of Study
College
College City
Did you graduate
Yes
No
Major Area of Study
Vocational
Vocational School City
Did you graduate
Yes
No
Major Area of Study
U.S. Service Brance
Highest Rank or Rating
Training/Work Experience
Time of Service
Employment History
Fill this section out completely even if you are submitting a resume.
Fishermen, if you were paid by shares please list your average yearly income from fishing rather than share percentage.
Fill this section out completely even if you are submitting a resume.
Employer
City/State
Phone Number
Title / Main Duties:
Starting Date
Ending Date
Supervisor's Name
Reason for Leaving:
- None -
Voluntary Resignation / Quit
Lay-off
Dismissed for Cause/Fired
Status message
Please read this carefully. I certify that the information on this application is accurate and subject to verification. I understand that any misrepresentation or omission of facts or circumstances regardless of time of discovery may be sufficient cause for termination. I understand that all new employees are on a probationary period as outlined in the Employee Handbook. If hired, the employment is not for any specific period of time. Either party may terminate employment at any time and for any reason. I understand and agree that employment is conditional upon my submitting to and passing a drug screen test and a criminal background check. I understand that acceptance of this application by Coastal Transportation Inc. does not imply intention to hire me. By submitting this application you understand and to the above terms.
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