General Position

Personal Information

Title *

First Name *

Middle Initial

Last Name *

Address *

Apt#

City *

State *

Zip/Postal Code *

County *

Email *

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Primary Phone * *

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Is Primary Phone a Cellphone? Yes No

Secondary Phone

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Cellular Phone *

Where did you hear about us? *

Comment

Professional Information

Please Answer ALL Questions Below

Are you a US Citizen?

What is your primary craft?

Do you have a TWIC card?

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Resume

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Voluntary Affirmative Action Information

The purpose of this Voluntary Supplement is to comply with government record keeping, reporting and other legal requirements. Periodic reports are made to the government on the following information. However, the completion of this voluntary supplement is optional. In addition, your cooperation is voluntary and YOU DO NOT HAVE TO ANSWER THESE QUESTIONS TO BE CONSIDERED FOR EMPLOYMENT WITH THE ORGANIZATION.

If you choose to volunteer the requested information, please note that all Voluntary Supplement sheets are kept in a Confidential File and are not a part of your Application for Employment or personnel file. Inclusion or exclusion of any data will not affect your employment opportunities with this organization. We are proud to be an Equal Opportunity Employer.

Gender

Ethnic Background

Veteran Status

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Password Information

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Password

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