APPLICATION FOR EMPLOYMENT

Important Notice: Please complete all questions on this application neatly and legibly. All applicants will be required to furnish proof of identity and legal work authorization in the US once an offer of employment is made. ISR is an equal opportunity employer and will not discriminate against any employee or applicant for employment in any manner prohibited by law. If you feel you have been unfairly treated or discriminated against for any reason, please call this to the attention of the President of Intenational Ship by addressing a letter to the President of the company.

Review of Drug Policy

Employment is conditioned on the successful completion of the screening process. By submitting this application, you represent that the information provided on this form is given voluntary and may be used in filling reports required by the state and federal government and agencies and for any other porpose no prohibited by the law. International Ship requires all individuals who successfully complete the initial employment screening process to submit to a drug screening program, which may include the taking blood and/or urine samples, and require that all employees submit to drug and alcohol testing during the course of their employment. The result of such screening and testing will be initially disclosed to decision makers for International Ship and may be the basis for disqualifying any candidate for employment and for termination during employment. Inernational Ship reserves the right to utilize the information in any way it deems necessary, such as but not limited to civil, criminal and administrative proceedings, and any other similar matters. By submitting this application, I agree to foregoing and further agree to hold Internatinal Ship harmless for any claims resulting from such screening and testing for drug and/or alcohol abuse.

Personal Data

First Name    
Middle Name
Last Name    
Present Address    
City    
State    
Zip
Phone    
Years    
Former Address    
City    
State    
Zip
Phone
Years    

Position you are applying for
Other   
Grade
Date Available
Shift
Years Experience
Salary Desired
Certifications

Additional Personal information

Last year of education completed Select Grade
Vocational or other training
Military experience
Years of working in shipyard 1 Where
Years of working in shipyard 2 Where
Years of working in shipyard 3 Where
Years of working in shipyard 4 Where
Have you ever been employeed by international Ship Repair & Marine Services, Inc.?
If yes, when
Reason for leaving

Past Employment

Employer's information 1
Name
Address
Phone
Dates of employment From:
To:

Position
Title
Salary
Supervisor's name
Reason for leaving
Terminated?
If terminated state why

Employer's information 2
Name
Address
Phone
Dates of employment From
To:

Position
Title
Salary
Supervisor's name
Reason for leaving
Terminated?
If terminated state why

Employer's information 3
Name
Address
Phone
Dates of employment From
To

Position
Title
Salary
Supervisor's name
Reason for leaving
Terminated?
If terminated state why

Contact Information

Person to contact in case of emergency
Name Relationship
Phone Number Address

A contact person who knows how to reach you at all times
Name Reference
Phone Number Address

Agreement

I UNDERSTAND AND that all statements made by me in connection with my application for employment may be checked by International Ship.I authorize International Ship to contact my prior employers, even if they are not listed on this application as well as other resources of information, regarding my background, and I hereby authorize and direct each such employer and source of information to answer any and all questions regarding my prior employment and background. I hereby indemnify International Ship, each of my prior employers, and each of the other sources of information contacted and agree to hold them harmless from any claims araising from this authorization and direction.

I UNDERSTAND further that any misstatements or omissions in this appliction will result in a decision not to hire me or to discharge me if discovered only after hire.

I ACKNOWLEGE AND AGREE that if at any time I am subjected to any type of discrimination or harassment. I will contact International Ship's Human Resources Director or the president in writing immediately to obtain assistance in the resolution of this matter.

I HEREBY REPRESENT AND WARRANT that I have read and fully understand the foregoing and seek employment under these contiditions of my own free will and accordance with my own judgement.