Romeo Papa Boats - Online Employment Application -

Personal Info:

Todays Date:

Last Name:

First Name:

Present Address:

City:

State:

Zipcode:

Permanent Address:

City:

State:

Zipcode:

Home Phone:

Cell Phone:

Email:

Referred By:

Position Desired

Position:

Date you can start:

Salary Desired:

Are you currently employed?

Yes

If so may we inquire of your present employer?

Yes

Ever applied to this company before?

Yes

If so When?

Where:

Education History

Check the schools that apply:

Graduate High School

Graduate College

Graduate Trade, Correspondence School

Graduate Business School

High School Name:

High School Location:

Years Attended High School:

College Name:

College Location:

Subject Studied in College:

Years Attended College:

General Information

Armed Forces Check those that apply:

Armed Forces Rank:

Work or Special Training/Skills:

Subjects of Special Study/Research:

Former Employers (List Below Last Four Employers, Starting With Last One First)

Name of Employer:

Position:

Salary:

Employer Address:

Reason For Leaving:

Start Date:

End Date:

Name of Employer 2:

Employer Address 2:

Position 2:

Salary 2:

Reason for leaving 2:

Start Date 2:

End Date 2:

Employer Name 3:

Employer Address 3:

Postion 3:

Salary 3:

Reason for leaving 3:

Start Date 3:

End Date 3:

Employer Name 4:

Employer Address 4:

Position 4:

Salary 4:

Reason for leaving 4:

Start Date 4:

End Date 4:

Give Below The Names Of Three References Not Related To You, Whom You Have Known At Least One Year.

Name of Reference 1:

Address of Reference 1:

Business of Reference 1:

Years known Reference 1:

Name of Reference 2:

Address of Reference 2:

Business of Reference 2:

Years known Reference 2:

Name of Reference 3:

Address of Reference 3:

Business of Reference 3:

Years known Reference 3:

Authorization

"I certify that the facts contained in this application ar true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

I agree and checking this box represents your signature.

I agree