2019 Lead Captain Application for Employment

Transcription

1 2019 Lead Captain Application for Employment This application must be completed and accompanied by your resume. Incomplete applications or resumes without this application will not be considered. Please print or type. Thank you! Name Address City, State, Zip Phone number where we may reach you ( ) Best time to call This is my cell home number. address Are you prevented from being legally employed in this country because of visa or immigration status? NO YES Do you know anyone else who has worked or is currently working at MarineLab? How did you hear about the position? Education/ Training Information Undergraduate College/University attended Degree earned Subject area/major Postgraduate work, if any: College/University: Degree earned: Subject area/ major 11/16/2018 Page 1 of 5

2 Professional Certifications/ Training Name/Course/Institution Date of course & Expiration date, if any Water Safety, First Aid & SCUBA Certifications Please check any or all certifications you hold or have held in the past. Write the expiration date for each certification, if applicable. American Red Cross Lifeguard Other Lifeguard Agency: Other water safety certification (describe) Other certifications (describe) Expire(s)(d) Expire(s)(d) Please describe any experience you have in supervising in-water activities 11/16/2018 Page 2 of 5

3 Boating Certifications & Experience US Coast Guard Master s License Other US Coast Guard licenses (list) I have operated the following types of vessels: Powerboats under 16 Powerboats Sailboats over 25 Sailboats under 25 Other (please describe) I have crewed on the following types of vessels: Powerboats under 16 Powerboats Sailboats over 25 Sailboats under 25 Other (please describe) 11/16/2018 Page 3 of 5

4 Specific Work Experience Please describe your experience working with children, if any: Miscellaneous Please use this space to tell us about any special experiences (travel), skills (foreign languages), talents or projects that you feel will contribute to our MarineLab program. 11/16/2018 Page 4 of 5

5 References Please list the name, relationship, and contact information (either phone or address) of three people who will provide a reference. We recommend former employers, teachers, etc. We will not accept references by personal friends or relatives. Name Relationship Please attach a formal resume. I, hereby attest that the above information is true and correct to the best of knowledge. I also hereby authorize Marine Resources Development Foundation and/or its agents to make an independent investigation of my background, references, character, past employment, criminal or police records, including those maintained by both public and private organizations and all public records for the purpose of confirming the information contained on this application and/or obtaining other information that may be material to my qualifications for employment. I release MRDF and/or its agents and any person or entity that provides information pursuant to this authorization from any and all liabilities, claims, or lawsuits in regards to the information obtained from any and all of the above referenced sources used. Signed: Date: Please mail completed application form and resume to: Ginette Hughes, CEO MarineLab P O Box 787 Key Largo, FL OR to ginettehughes@mrdf.org Or fax to /16/2018 Page 5 of 5