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Employment Application
Island Queen Ferry to Martha's Vineyard
Sailing with pride for over 60 years!
First Name
Last Name
M.I.
Suffix
Street Address
Apartment/Unit #
City
State
Zip Code
Cell Phone
Phone
Email Address
Available start date?
Approximate end date?
Are you a citizen of the United States?
Yes
No
If no, are you authorized to work in the U.S.?
Yes
No
Have you ever worked for this company?
Yes
No
If yes, when?
Have you ever been convicted of a felony?
Yes
No
If yes, explain
Why do you want to work for the Island Queen?
EDUCATION
HIGH SCHOOL
High School
City
State
From
To
Did you graduate?
Yes
No
COLLEGE
College
City
State
From
To
Did you graduate?
Yes
No
Degree
OTHER
Other
City
State
From
To
Did you graduate?
Yes
No
Degree/Certification
Special Skills / Training / Certification/ Boating Experience
REFERENCES
Please list three professional or school references, who are not members of your family
Reference #1
Full Name
Relationship
Organization/Company
Phone
City/Town
State
Reference #2
Full Name
Relationship
Organization/Company
Phone
City/Town
State
Reference #3
Full Name
Relationship
Organization/Company
Phone
City/Town
State
PREVIOUS EMPLOYMENT
PREVIOUS EMPLOYMENT #1
Company
Phone
Job Title
Supervisor
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
Yes
No
PREVIOUS EMPLOYMENT #2
Company
Phone
Job Title
Supervisor
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
Yes
No
PREVIOUS EMPLOYMENT #3
Company
Phone
Job Title
Supervisor
Responsibilities
From
To
May we contact your previous supervisor for a reference?
Yes
No
MILITARY EMPLOYMENT
Branch
Rank at Discharge
Type of Discharge
If other than honorable, explain
From
To
LEGAL NOTICE
IT IS UNLAWFUL IN MASSACHUSETTS TO REQUIRE OR ADMINISTER A LIE DETECTOR TEST AS A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT. AN EMPLOYER WHO VIOLATES THE LAW SHALL BE SUBJECT TO CRIMINAL PENALTIES AND CIVIL LIABILITY.
DISCLAIMER AND ACCEPTANCE
I certify that statements made by me on this form are true and correct. I understand that if employed, any false statement on this application can be considered cause for dismissal. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
I agree to the terms above, by checking the I AGREE box:
I AGREE
Date
SUBMIT
