P.O. Box ******, Mobile, AL ***** P.O. Box ******, Mobile, AL 36619

Phone 251-***-**** Fax 251-***-**** Phone 251-***-**** Fax 251-***-**** E-Mail Address: ac0n69@r.postjobfree.com

Dawn

Thank you for your interest in Compass Marine and Global Marine. Please follow these instructions when filling out your application. Employment Application: Please fill out COMPLETELY and write legibly. Employment History: Please fill out completely. Please list dates of employment, and reasons for leaving.

Paycheck Mailing Agreement: Read Carefully. DO NOT enter anything in the

“I hereby authorize to” line. Please fill out the bottom section with name, address, phone, and SSN in its entirety. Have at least one person witness. Be sure you list any good phone number to reach you. (It does not need to be notarized). Special Power of Attorney: Fill in your name, have witnessed, and be sure and check if you would like your check mailed to you or held at the office for pick up or direct deposited. (It does not need to be notarized). Consumer Report Authorization: Please be sure and sign this form. Employment Placement Contract: Please enter your name of the first line. Please read the contract completely. Sign, have witness sign, and date. Release Form: Please list anyone’s name on this form that we are authorized to release your checks or information regarding your checks to. If they are not listed on this form, they will NOT be allowed to pick up or receive any information regarding your paychecks while you are out on a boat. If you are the only one you want information released to, then list your name on the line. Please sign, date, and have your witness sign.

Fax, e-mail or mail us back your application with copies of: Valid Drivers License or state issued ID, Social Security Card, Passport (if you have one), TWIC Card, and any other Licenses, Cards, or Endorsements you may hold. P.O. Box 190729, Mobile, AL 36619 P.O. Box 190729, Mobile, AL 36619 Phone 251-***-**** Fax 251-***-**** Phone 251-***-**** Fax 251-***-**** E-Mail Address: ac0n69@r.postjobfree.com

Dawn

EMPLOYMENT APPLICATION

PLEASE PRINT

Specific position applied for: Date / / Full Name:

Last First Middle

Address:

Number Street

City State Zip Social Security No.

Are you a U.S. Citizen ? If no, Visa or Alien Card Number Do you hold a Driver License? State I.D.? License number Do you currently hold a TWIC? Expires Do you currently have a valid Passport? Passport No. Do you have reliable transportation to travel to and from site of crew change? Do you currently hold a valid Merchant Mariners Document? Mariner Rating Expires Reference # Have you previously been employed through Compass Marine or Global Marine? Date available for work Are you presently employed? Please list class, grade, type of license, Include route, tonnage, horsepower, propulsion, & endorsements

List your valid Maritime Certifications, Credentials, and Training. Basic STCW PEC/SafeGulf HUET SEMS VSO First Aid Crane GMDSS

Life Boatman ARPA RFPEW Rigging DPO Radar Unlimited RFPNW Medical Care Provider DP Basic DP Advanced Security Awareness How did you hear about our company? Military Service: Branch Date of Service Final Rank Discharge Status Initials:

P.O. Box 190729, Mobile, AL 36619 P.O. Box 190729, Mobile, AL 36619 Phone 251-***-**** Fax 251-***-**** Phone 251-***-**** Fax 251-***-**** E-Mail Address: ac0n69@r.postjobfree.com

Dawn

Applicants Name: LIST MOST RECENT EMPLOYERS FIRST

Name of Employer:

Address:

Phone: Position:

Supervisor: Date of Hire:

Last Date of Employment:

Reason for leaving:

Name of Employer:

Address:

Phone: Position:

Supervisor: Date of Hire:

Last Date of Employment:

Reason for leaving:

Name of Employer:

Address:

Phone: Position:

Supervisor: Date of Hire:

Last Date of Employment:

Reason for leaving:

Name of Employer:

Address:

Phone: Position:

Supervisor: Date of Hire:

Last Date of Employment:

Reason for leaving:

Initials:

P.O. Box 190729, Mobile, AL 36619 P.O. Box 190729, Mobile, AL 36619 Phone 251-***-**** Fax 251-***-**** Phone 251-***-**** Fax 251-***-**** E-Mail Address: ac0n69@r.postjobfree.com

Dawn

EMPLOYMENT PLACEMENT CONTRACT

This contract is entered into by, hereafter referred to as the applicant, and between employment service COMPASS MARINE, INC. and/or GLOBAL MARINE CONSULTANTS, LLC. hereinafter referred to as “the COMPANY.”

Acceptance means agreement by applicant with an employer to begin work. It is agreed that applicants shall have the right to refuse any employment offer that is referred by The COMPANY. If applicant has been offered AND has accepted a position by phone, fax, or in person, the fee is earned by The COMPANY. The rate of charge is (14) fourteen days pay based on your starting daily gross rate at time of acceptance. The fee for trip work is calculated on a percentage basis, The COMPANY will charge 20% of the gross trip, (not to exceed the standard fee if the position has been changed to a permanent job placement). No down payment is required. Payments will be made in installments until the fee is paid in its entirety. No more than (6) six installments if the company pays Bi-weekly, or Semimonthly, and not more than (10) ten installments if the company pays weekly. No exceptions. If any installment is not paid when due, the remaining unpaid balance shall become due immediately at the option of The COMPANY. Applicant understands and agrees that each paycheck received by The COMPANY will be deposited into the escrow account of The COMPANY at a FDIC insured banking institution to be held in trust by The COMPANY. Applicant further understands and agrees that all installment payments will be paid by Applicant from this Escrow account and Applicant agrees that it will hold The COMPANY harmless from any and all liability arising from the transactions associated with this Escrow account. After The COMPANY receives each installment payment from Applicant from the Escrow account, The COMPANY will then issue a check for the balance to Applicant or Applicant’s designee/assignee listed in the Release Form associated with Applicant’s application. Applicant’s acceptance of an introduction by The COMPANY shall take precedence over any previous application applicant may be filled with said employer. Applicant’s signature on Special Power of Attorney, and or Paycheck Mailing Agreement acknowledges that payroll checks from employer shall be sent to The COMPANY until all advancements and fee are paid in full.

Applicant further understands that the expenses applicant incurs to and from job interview are applicant’s responsibility. Applicant gives the employer and The COMPANY the right to investigate all references and to secure additional information about applicant. Applicant hereby releases from liability the employer and its representatives, and The COMPANY for seeking such information and all other persons, corporations, or organizations for furnishing such information. If applicant is terminated or quits for ANY reason: including, but not limited to, intoxications, dishonesty, unexcused tardiness, unexcused absenteeism, insubordination, misrepresentation of skills, The COMPANY is entitled to and will demand payment in full on unpaid balance. If applicant is terminated, or quits, applicant agrees to pay any unpaid balance due at time of separation from employer, and applicant authorizes The COMPANY to withhold any amount owed on any advancements and unpaid balance from applicant’s payroll check or checks. If any payment obligation under this employment placement contract is not paid when due, the applicant promises to pay all costs of collection, including reasonable attorney fees, whether or not a lawsuit is commenced, as part of the collection process.

Applicant hereby certifies that the statements on this application are true and correct and are given for the purpose of securing employment. The employer is authorized to obtain a consumer report and to verify the statements contained in this application. Applicant has read and understands the conditions set forth in this employment placement contract. Applicant hereby holds harmless The COMPANY from any and all liability and will indemnify The COMPANY from any and all liability arising from the execution of this Employment Placement Contract and other application materials and all other liability associated with the Applicant’s job placement, wages, injuries, and any other liability. This agreement and services offered and any dispute arising hereunder of any type shall be governed by the Laws of the State of Alabama and Applicant agrees to litigate any and all claims in the federal and or state courts of Alabama in Mobile County, Alabama. In no event shall any litigation arising out of this transaction and service be had in any other venue. Applicant’s Signature Witness Signature

Initials: Date: P.O. Box 190729, Mobile, AL 36619 P.O. Box 190729, Mobile, AL 36619 Phone 251-***-**** Fax 251-***-**** Phone 251-***-**** Fax 251-***-**** E-Mail Address: ac0n69@r.postjobfree.com

Dawn

PAYCHECK MAILING AGREEMENT

I, hereby authorize, to

(company name to be filled in at time of employment) mail or direct deposit my payroll checks for placement in an Escrow account at a FDIC Insured Banking Institution to: COMPASS MARINE, INC. and/or GLOBAL MARINE CONSULTANTS, LLC. Initial

This agreement will continue and remain in full force and effect until installment payments totaling $ have been paid by me to COMPASS MARINE, INC. and/or GLOBAL MARINE CONSULTANTS, LLC. It shall continue until such time as the total fee has been paid by me and collected by COMPASS MARINE, INC. and/or GLOBAL MARINE CONSULTANTS, LLC. Upon completion, all future payroll checks are to be paid directly to me at the following address:

NAME SIGNATURE

ADDRESS WITNESS

CITY/STATE/ZIP CODE WITNESS

AREA CODE/ PHONE NUMBERS SECONDARY PHONE NUMBER

SOCIAL SECURITY NUMBER E-MAIL ADDRESS (REQUIRED)

Initials:

P.O. Box 190729, Mobile, AL 36619 P.O. Box 190729, Mobile, AL 36619 Phone 251-***-**** Fax 251-***-**** Phone 251-***-**** Fax 251-***-**** E-Mail Address: ac0n69@r.postjobfree.com

Dawn

SPECIAL LIMITED POWER OF ATTORNEY

COMPASS MARINE, INC. and/or GLOBAL MARINE CONSULTANTS, LLC. Hereinafter referred to as “the COMPANY.”

KNOWN BY ALL MEN AND THESE PRESENTS, that I,

desiring to execute a SPECIAL LIMITED POWER OF ATTORNEY have made, constituted and appointed and by these presents do make The COMPANY my Attorney - In - Fact for me in my name, place and stead to perform the following matters : To endorse and deposit into the Escrow account of The COMPANY at an FDIC insured Banking Institution the proceeds of my check from my employer. To sign all necessary forms, which I may now, or in the future, require to obtain employment through The COMPANY. FURTHER, I do authorize my aforesaid Attorney - In - Fact to perform all necessary acts in execution of the aforesaid authorization with the same validity as I could effect if personally present. Any act or thing lawfully done hereunder by my said attorney shall be binding on myself, my heirs, legal and personal representative, and assigns. Provided, however, that all business translated hereunder for me or my account shall be transacted in my name, and that all endorsements and instruments executed by my said attorney for the purpose of carrying out the foregoing powers shall contain my name, followed by that of my said attorney and the designation “Attorney - In - Fact”. I hereby authorize The COMPANY to receive my payment of my fee to The COMPANY from said Escrow account.

Choose One: Hold; payroll check, and check stub at COMPASS MARINE, INC. and/or GLOBAL MARINE CONSULTANTS, LLC. INITIAL Mail; payroll check, and check stub to me. INITIAL Direct Deposit; payroll check, and e-mail check stub to me. INITIAL PRINT NAME WITNESS

SIGNATURE WITNESS

ROUTING NUMBER ACCOUNT NUMBER

NAME OF BANK NAME ON ACCOUNT

P.O. Box 190729, Mobile, AL 36619 P.O. Box 190729, Mobile, AL 36619 Phone 251-***-**** Fax 251-***-**** Phone 251-***-**** Fax 251-***-**** E-Mail Address: ac0n69@r.postjobfree.com

Dawn

Initials:

STATE OF

COUNTY OF

PAYCHECK RELEASE FORM

This is to certify that the undersigned specifically instructs COMPASS MARINE, INC. and/or GLOBAL MARINE CONSULTANTS, LLC. its agents and employees to release payroll checks, and information regarding the undersigned to . The undersigned hereby releases COMPASS MARINE, INC. and/or GLOBAL MARINE CONSULTANTS, LLC.. from any and all liabilities for such release and will indemnify and save harmless a said COMPASS MARINE, INC. and/or GLOBAL MARINE CONSULTANTS, LLC. from any liability from said release. The above named individual has permission to pick up, endorse, and cash checks at any FDIC Insured Banking Institution.

This release agreement can be terminated by the undersigned at any time written notice but to the detriment of any legal rights obligations incurred to such terminations.

Date:

Signed:

Social Security Number:

Witness:

P.O. Box 190729, Mobile, AL 36619 P.O. Box 190729, Mobile, AL 36619 Phone 251-***-**** Fax 251-***-**** Phone 251-***-**** Fax 251-***-**** E-Mail Address: ac0n69@r.postjobfree.com

Dawn

NOTICE TO APPLICANTS/EMPLOYEES REGARDING CONSUMER REPORTS A consumer report containing information concerning your employment history, criminal records, and motor vehicle records may be obtained in connection with your application for and/or continued employment with the company. A consumer report containing injury and illness records and medical information may be obtained after a tentative offer of employment has been made.

Before any adverse action is taken, based in whole or in part on the information contained in the consumer report, you will be provided a copy of the report from the potential employer, the name, address, and telephone number of the reporting agency, a summary of your rights under the Fair Credit Reporting Act, as well as additional information on your rights under the law.

CONSENT TO OBTAINING CONSUMER REPORTS

READ CAREFULLY BEFORE SIGNING

I HAVE READ THE ABOVE “NOTICE TO APPLICANTS/EMPLOYEES REGARDING CONSUMER REPORTS” AND HEREBY AUTHORIZE THE EMPLOYER TO OBTAIN CONSUMER REPORT AS DESCRIBED.

PRINT YOUR NAME

SIGNATURE

DATE

Initials: __

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