Jonesport Shipyard Employment Application Form

Work Experience
Please list present and former employers beginning with the most recent, or attach a resume here.
Upload Resume:
.pdf preferred; other acceptable file types are .txt, .rtf, .doc, and .docx

Employer 1
Employer:
Job Title:
Immediate Supervisor & Title:
Address:
Phone Number:

Area CodePhone Number
Permission to contact Employer 1?

YesNo
Comment:
Summarize the nature of work performed and job responsibilities:
Reason for leaving:

Employer 2
Employer:
Job Title:
Immediate Supervisor & Title:
Address:
Phone Number:

Area CodePhone Number
Permission to contact Employer 2?

YesNo
Comment:
Summarize the nature of work performed and job responsibilities:
Reason for leaving:

Employer 3
From:

MonthYear
Employer:
Job Title:
Immediate Supervisor & Title:
Address:
Phone Number:

Area CodePhone Number
Permission to contact Employer 3?

YesNo
Comment:
Summarize the nature of work performed and job responsibilities:
Reason for leaving:

Review and Submit
The information provided on this form is complete and accurate to the best of my knowledge.*

I agree

Should be Empty:

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