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Employment Inquiry Form

Personal Information
Name:
Address:  
City:
State:
Zip Code:  
Telephone:
Email:  
Best Time to Call:
Applying For:  
Salary Desired:  $ per
 
Education / Training

 

High School Name:
Location:
Certification/Major:
Graduated: Grad. Date:
GPA:
     
College Name:
Location:
Certification/Major:
Graduated: Grad. Date:
GPA:  
     
Other School Name:
Location:
Certification/Major:
Graduated: Grad. Date:
GPA:  
     
Employment History
Present Employer:
Phone:
Supervisor:  
Dates: (MM/YY)From: To:
Position:  
Responsibilities:
Rate of Pay: $ per
Reason for Departure:
   
Previous Employer:
Phone:
Supervisor:  
Dates: (MM/YY)From: To:
Position:  
Responsibilities:
Rate of Pay: $ per
Reason for Departure:
     
Previous Employer:
Phone:
Supervisor:  
Dates: (MM/YY)From: To:
Position:  
Responsibilities:
Rate of Pay: $ per
Reason for Departure:
     
Additional Skills / Training / Certifications
Please list any skills, training, or abilities you have which are pertinent to the position:
 
   
Agreement (Please Read Carefully Before Signing)

I certify that all the information on this application is accurate and complete to the best of my knowledge and understand that misleading or false statements will constitute sufficient cause for refusal of hire or termination of my employment.

I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with Voda Marine Services creates an actual or implied contract of employment.  I understand that, if I accept employment with Voda Marine Services, it will be on an at-will basis.  This means that either Voda Marine Services or I have the right to terminate the employment relationship at any time, for any reason, with or without cause. 

I agree to submit to drug and alcohol testing, if requested by Voda Marine Services.  I release Voda Marine Services, and its employees, plus other persons or companies, from any and all liability arising out of or related in any way to such testing.

I authorize Voda Marine Services to investigate information concerning my education, employment experiences and all other aspects of my background relevant to my proposed employment.  I release Voda Marine Services and its employees from all liability arising from such investigation.

I understand that all company property and must be returned and any indebtedness to the company must be paid on or before my last day of work. I authorize the company to deduct from my final paycheck and amount necessary to satisfy any unpaid obligation.

Voda Marine Services is an equal employment opportunity employer.  We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability.  We assure you that your opportunity for employment with Voda Marine Services depends solely on your qualifications.

  I heave read and agree to the terms shown above.
Name:  
Date (MM/DD/YY):  
 
 

After submitting, you will be taken back to our homepage. We will respond to your email in no more than one business day. Thanks!


1748 Australian Ave. #4, Riviera Beach, FL 33404

561.840.1414 phone

561.840.1670 fax

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