Lake Erie Towing Employment Application

Name (Last First Middle)
Permanent Address
Phone Number
Email Address
Date of Birth
If hired, can you provide authorization to work in the U.S.A	Yes No
Do you have a valid Drivers License?	Yes No
If yes, State and drivers license number
Do you have a valid CDL Endorsement?	Yes No
Have you ever Plowed Snow?	Yes No
Do you have a Captains License with Commerical Assistance Towing	Yes No
If yes, Please Explain Captain Experience
Have you ever been convicted of a felony?	Yes No
If yes, Please explain
Have you ever been employed by Lake Erie Towing?	Yes No
Do you have boating experience?	Yes No
If yes, Please explain
I will be available to work weekends and/or part time	Yes
I will be available to work 40 or more hours ANY SHIFT & ANY Day	Yes
dates available full time (_/_/2008 through _/_/2008)
I will be available to work only part-time	Yes
dates available part-time (_/_/2008 through _/_/2008)
If seeking part-time employment, describe your availability
Please include any dates you will need off
Employer 1
Employer 2
Employer 3
High School Name and Location
Highest Grade Completed as of June 2008	9 10 11 12
College Name & Location
Highest Grade Completed as of June 2008	1 2 3 4
Other Schooling (Please Specify)
Highest Grade Completed as of June 2008	1 2 3 4
Reference Name Address and Phone number (provide 2)
How are these people associated with you?	Business Personal Academic
How did you learn about working for Lake Erie Towing
Emergency Contact (Name, Address, Phone, Relationship)
Reason for seeking Employment with Lake Erie Towing
I have read the terms of this application and wish to submit	Yes