Apply for Able Seaman/Third Mate

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Summary
Title:Able Seaman/Third Mate
ID:1001
Location:New London, CT
Department:Vessel Crew
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Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
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Application for Employment
PERSONAL INFORMATION
Yes   No
Yes   No
Yes   No
Yes   No
EMPLOYMENT DESIRED
Full Time   Part Time   Seasonal
Yes   No
Yes   No
EDUCATION

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School 1

Yes   No

School 2

Yes   No

School 3

Yes   No

School 4

Yes   No

School 5

Yes   No
EMPLOYMENT HISTORY

Give your full employment record, starting with your current or most recent employment

Employer 1

Yes   No

Employer 2

Yes   No

Employer 3

Yes   No

Employer 4

Yes   No

Employer 5

Yes   No
REFERENCES

Please provide three references (not relatives).

Reference 1

Reference 2

Reference 3
AUTHORIZATION

The facts set forth in this application and any supplemental information are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

Referral
* Have you been referred by a current employee?
Yes
No
If yes, please provide name of current employee who referred you
Crew Application-MMC
* Have you previously applied for a position with Cross Sound Ferry Services, Inc?
Yes
No
If yes, approximate date of application(s)
* Have you served in the United States Armed Forces?
Yes
No
Branch
Rank at entry
Rank at discharge

MERCHANT MARINER CREDENTIAL

* Do you have a current Merchant Mariner Credential?
Yes
No
License/Endorsements Held
Ordinary Seaman
Able Seaman
Oiler
Third Mate Unlimited
1600 Gross Ton Mate
500 Gross Ton Mate
Unlimited Master
1600 Gross Ton Master
500 Gross Ton Master
100 Gross Ton Master
Chief Engineer
DDE Unlimited Engineer
First Assistant Engineer
Second Assistant Engineer
Third Assistant Engineer
Copy of Merchant Mariner Credential
Copy of Medical Card
Other License/Endorsements Held
* Do you have a current Transportation Worker Identity Credential (TWIC)?
Yes
No
Copy of TWIC
Please state any other relevant information you would like us to consider when reviewing your application

PREEMPLOYMENT STATEMENT

I certify, that the information in this application is correct and complete to the best of my knowledge and belief.  I realize that misrepresentation of facts called for on this application will be cause for rejection of this application or dismissal after employment.

If I am hired, I agree to conform to the rules and regulations of Cross Sound Ferry Services, Inc., and understand that my status as an employee shall not create any employment contract or term, express or implied, or limit the reasons for dissolution of the employment relationship. Rather, I understand that my employment relationship with Cross Sound Ferry Services, Inc., will be at will, which means that either one of us can terminate the relationship at any time with or without cause and with or without notice. I understand that no employee without the written approval of the President of the Company or his designee has the authority to enter into any other employment agreement, including one for any specified period of employment.

I hereby give authorization that you may contact my personal, educational and business references, and further it is my understanding that employment is subject to acceptable replies from these references.

* Applicant Signature

SEASONAL EMPLOYMENT

Thank you for applying for employment with Cross Sound Ferry Services, Inc. during the 2024 season.  Your application for employment will be carefully considered and selection of applicants for employment during the 2024 season will be made on the basis of applicant’s qualifications, experience, and evaluation of any prior service with Cross Sound and the needs of the company.

Any position available is for the 2024 season only, so that if you are selected for the 2024 season and desire a job in 2025, it will be necessary to re-apply in 2025.

Decisions regarding seasonal employment are made on a year-to-year basis, so employees selected for the 2024 season should not expect that a job would be available for any subsequent season.

NEW EMPLOYEES WILL BE PUT ON A THIRTY (30) DAY PROBATION PERIOD.  Cross Sound Ferry Services, Inc. reserves the right to terminate any employee in the event they do not meet the necessary requirements and/or qualifications of the position.  I fully understand that this job may require weekends, and holidays.

* Applicant Signature

I consent to undergo a pre-employment physical examination that will include a drug/alcohol screen.  In addition, if I am hired, I understand that I may be requested to undergo drug/alcohol screening at such times as deemed desirable in the sole discretion of Cross Sound Ferry Services, Inc.  I consent, as a condition of continued employment, to submit to such drug/alcohol screening as requested by Cross Sound Ferry Services, Inc.  I hereby authorize the examining physical and any involved laboratories to release the results to all such physical examinations and or drug/alcohol screens to Cross Sound Ferry Services, Inc. and release from any liability to any nature whatsoever all entities or person furnishing such information to Cross Sound.  I also agree to release Cross Sound Ferry Services, Inc. its agents and employees of any liability of any nature whatsoever related to the drug/alcohol screen or the use of this drug/alcohol information.

* Applicant Signature
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
I Choose Not to Respond
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond
Veteran Status: (Please check all that apply)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
I Choose Not to Respond

I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.
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