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Online Job Application
General Information
Position applied for
Position applied for
Captain
Relief Captain
Pilot
Steersman
How have you heard about the job?
Advertisement
Current employee
Relative
Our website
Other
Employee who told you about the job?
First name
Middle name
Last name
Social Security Number
-
-
Date of Birth
Drivers License No.
(your duties require you to drive a company vehicle)
Do you have a TWIC card?
Yes
No
MMD
License Reference Number
Do you agree to give permission to have a record check completed by submitting this application?
Yes
No
Street address
City/Town
State
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachussetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip
Home phone
Work phone
Cell phone
Best time to call
E-mail
Are you at least 18 years old?
Yes
No
Can you swim?
Yes
No
Have you ever worked for this company? If yes give dates
In what capacity did you work for Higman Marine?
Do you have relative(s) currently working for Higman Marine?, if yes give name of relative(s)
Are you legally eligible for employment in the US?
Yes
No
Have you ever been convicted of a
felony or misdemeanor?
No
Yes
If yes please explain (Year convicted, charge, sentence and probation time)
If listed above, are you clear of all prior convictions?
Yes
No
Military Experience
Have you ever served in the US Armed Forces?
Yes
No
Branch of Service ?
Rank Attained
Selective Service Classification
Are you a member of the active reserve?
Yes
No
Are you subject to recall?
Yes
No
Education / Training
Name
Address
No. of yrs
Graduated
Grade School
Yes
No
High School
Yes
No
College or University
Yes
No
Trade, Business or Correspondence School
Yes
No
If you have served an apprenticeship, at what company?
(list name, city & state, craft and years)
What work do you consider yourself best suited for, and why?
Work Experience - Wheelmen
(Please fill in cities that apply. Example: From:
Brownsville, TX
To:
Mobile, AL
Geographical Areas of Operational Experience
Gulf Intracoastal Waterway
From
To
Lower Mississippi River
From
To
Upper Mississippi River
From
To
Ohio River
From
To
Illinois River
From
To
Cumberland River
From
To
Tennessee River
From
To
Mobile River
From
To
Tombigbee Waterway
From
To
Black Warrior River
From
To
Atchafalaya River
From
To
Arkansas River
From
To
Vessel Horsepower
Lowest
Highest
Tow size (# of barges)
Work Experience - Tankerman
1. Have you attended any deckhand training classes?
Yes
No
2. Is all your deckhand experience been on board training?
Yes
No
3. Years of experience as a tankerman not including deck time
4. Do you have heater barge experience?
Yes
No
5. Do you have crude product experience?
Yes
No
6. Do you have vapor recovery experience?
Yes
No
7. Is all your tankerman experience on board vessels?
Yes
No
8. Have you ever worked as a shore tankerman?
Yes
No
If so, by whom were you employed?
9. Do you have experience in dual transfers (loading and discharging)?
Yes
No
Current or last Employer
Employer name:
Address:
Position:
Employment dates:
Supervisor:
Approx. monthly salary:
Why do you desire an employment change:
Previous Employment
(Give your business record
for the past eight years beginning with last employer. If attending school, describe manner of occupying vacation time)
Name
Phone
From(dd/mm/yyyy)
To (dd/mm/yyyy)
Position
Supervisor
Reason for leaving
Personal References
(no relatives)
List three people who are not related to you who have not already been listed under your previous employment, who are familiar with your qualifications
Name & Address
Business Connections
Years Acquainted
Additonal information
List special accomplishments, licenses held, awards (exclude information which would reveal sex, race, religion, national origin, age, ancestry, handicap or other protected status)
Additional information you would like us to consider
Attachments
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