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Employment

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Contact Info

First Name (Required)

First Name (Required)

Last Name (Required)

Last Name (Required)

Street Address (Required)

Street Address (Required)

Street Address Line 2

Street Address Line 2

City (Required)

City (Required)

State (Required)

State (Required)

Zip Code (Required)

Zip Code (Required)

Email Address (Required)

Email Address (Required)

Phone Number (Required)

Phone Number (Required)

000-000-0000 or (000) 000-0000

How did you hear about us?

Referred by someone

Website

Facebook

Instagram

Walk-in

Referral - Referred by a Mandeville Seafood Employee? Employee Name:

Referral - Referred by a Mandeville Seafood Employee? Employee Name:

Availability

How quicky are you available to begin work? (Required)

Immediately

1-2 Weeks

Over 3 Weeks

How many hours a week are you look to work? (Required)

Less than 10 hours

10-20 hours

20-30 hours

30-40 hours

AM: 9am - 3pm / PM: 3pm - 9pm

Monday Availability

AM

Tuesday Availability

AM

Wednesday Availability

AM

Thursday Availability

AM

Friday Availability

AM

Saturday Availability

PM

Please check the type of work you're interested in (Required)

Full Time

Part Time

Seasonal/Holiday

Are you willing to work the following?

Overtime

Weekends

Holidays

Employment Information

Position applying for (Required)

Select an option

What hourly rate do you want to earn? (Required)

What hourly rate do you want to earn? (Required)

Are you a citizen of the United States? (Required)

Yes

No

If no, are you authorized to work in the U.S?

Yes

No

Have you ever been convicted of a felony? (Required)

Yes

No

If yes, please explain

If yes, please explain

Have you ever worked for Mandeville Seafood?

Yes

No

If so, when?

If so, when?

Education Information

High School

High School

Address

Address

Start Date

Start Date

End Date

End Date

Did you graduate?

Yes

No

College

College

Address

Address

Start Date

Start Date

End Date

End Date

Did you graduate

Yes

No

Other

Other

Address

Address

Start Date

Start Date

End Date

End Date

Did you graduate

Yes

No

Employment History

Is this your first job?

Yes

No

Are you currently employed?

Yes

No

Employer 1

Company Name

Company Name

Job Title

Job Title

Employer Phone

Employer Phone

Responsibilities

Responsibilities

Start Date

Start Date

End Date

End Date

Reason for leaving

Reason for leaving

Employer 2

Company Name

Company Name

Job Title

Job Title

Employer Phone

Employer Phone

Responsibilities

Responsibilities

Start Date

Start Date

End Date

End Date

Reason for leaving

Reason for leaving

Employer 3

Company Name

Company Name

Job Title

Job Title

Employer Phone

Employer Phone

Responsibilities

Responsibilities

Start Date

Start Date

End Date

End Date

Reason for leaving

Reason for leaving

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