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Job Application - Repair Technician

PLEASE NOTE: Complete all parts of the application. If your application is incomplete, or does not clearly show the experience and/or training required, your application may not be accepted. If you have no information to enter in a section, please write N/A.

Name and Address
Name (First, Mi, Last) Sex Male   Female Social Security Number
Mailing Address
City, State, and Zip Code
Home Phone Cell Phone
Email Address May we use e-mail to contact you? Yes   No
Additional Information
Have you been an employee of this organization in the past? Yes   No
I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States. **
Education
(Schools attended or special training received)
School From To Did you graduate?
Location Type of Degree or diploma
School From To Did you graduate?
Location Type of Degree or diploma
Job Type/Shift
Full Time Part Time Permanent Temporary
Certification
Oceanic Aqualung Scubapro Mares
Poseidon Atomic Dive Rite Other
Work History
Job Title From To Hrs/Week Employer
Address Phone Supervisor May we contact this employer?
Yes No
Reason for Leaving?
Job Title From To Hrs/Week Employer
Address Phone Supervisor May we contact this employer?
Yes No
Reason for Leaving?
References
Personal Professional
Reference Name Reference Name
Relationship Phone Relationship Phone
Reference Name Reference Name
Relationship Phone Relationship Phone
About Yourself
Employment with Dolphin is on an "at-will" basis. Employment at-will may be terminated at the will of either Dolphin or the employee. Employment may be terminated with or without cause, and with or without notice, at any time by your or Dolphin.
I certify that all answer and statements on this application are true and complete to the best of my knowledge. I understand that should an investigation disclose untruthful or misleading answers, my application my be rejected , my name removed form consideration, or my employment with this company terminated.