Employment : International Offshore Services

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PRE-EMPLOYMENT FORM

*Please fill out the following form and click submit application when finished.

Application are considered for all positions without regard to race, color, religion, sex, National origin, age, marital or veteran status, or disability.

Division Applying For:
(required)

Position Applying For:
(required)

Date of Application:

09/05/2010

Full Name:
(required)

Date of Birth:
(required)

E-Mail Address:

Address:
(required)

City:
(required)

State:
(required)

Zip Code:
(required)

Telephone Number:
(required)

Education:
(required)

Have you been employed here before?:
(required)

If Yes, give month and year.:

Are you employed now?:
(required)

How did you hear about us?:

Are you prevented from lawfully becoming employed in this country because of visa or immigration status? (Proof of citizenship or immigration status will be required upon employment):
(required)

On what date will you be available to work?:
(required)

Are you available to work::
(required)

Full Time

Part Time

Temporary

Are you on a lay-off and subject to recall?:
(required)

Have you been convicted of a crime within the last 10 years?:
(required)

If Yes, please explain.:

Certification/Training: (Welding, Crane Operator, Rigger, etc.):
(required)

Indicate special qualifications or skills::
(required)

Desired Salary:
(required)

PLEASE LIST CURRENT EMPLOYMENT AND LAST THREE JOBS (Fill in all spaces)

Employer #1

Employer Name:
(required)

Address:
(required)

City:
(required)

State:
(required)

Zip Code:
(required)

Phone Number:
(required)

Date Started:
(required)

Date Ending:
(required)

Supervisor's Name:
(required)

Position/Salary:
(required)

Reason for Leaving:
(required)

Employer #2

Employer Name:
(required)

Address:
(required)

City:
(required)

State:
(required)

Zip Code:
(required)

Date Started:
(required)

Date Left:
(required)

Supervisor's Name:
(required)

Position/Salary:
(required)

Reason for Leaving:
(required)

Employer #3

Employer Name:
(required)

Address:
(required)

City:
(required)

State:
(required)

Zip Code:
(required)

Date Started:
(required)

Date Left:
(required)

Supervisor's Name:
(required)

Position/Salary:
(required)

Reason for Leaving:
(required)

State any additional information you feel may be helpful to us in considering your application::
(required)

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