Marine Travel

EMPLOYMENT APPLICATION

An equal opportunity employer, Marine Travel

does not discriminate in hiring or terms and conditions of employment because of an individual’s race, color, religion, gender, gender identity, national origin, citizenship, age, disability, sexual orientation, marital status or any other protected category recognized by state, federal or local laws.

/ / _

Date of Application

Each inquiry on this application must be fully answered or completed. Otherwise, you will not be considered for employment. PERSONAL INFORMATION

Last Name First Name Middle Name Are you authorized for employment in the Canada?

Yes No

Present Street Address City State Zip How long have you lived there? Yrs. Mos.

Previous Street Address City State Zip How long did you live there? Yrs. Mos.

Home Phone Number (including Area Code) Email Address Are you under the age of 18?

Yes No

EDUCATION

Type of School Name and Location of School Degree/Area of Study Number of Years

Attended

Graduated

(Check One)

HIGH SCHOOL

Name Yes No

City State

COLLEGE

Name Yes No

City State

OTHER

Name Yes No

City State

Have you ever been discharged or asked to resign from a job(s)? oYes oNo If yes, please provide details, including place(s) of employment, location(s), date(s), supervisor’s name(s), and circumstances of the discharge(s) or resignation(s):

EMPLOYMENT HISTORY

List employment starting with your most recent position. Account for any time during this period that you were unemployed by stating the nature of your activities. If you have less than four places of employment, include personal references to be contacted. May we contact your current employer? Yes No Dates

Name and Address of Employer

Position Held and Supervisor

List Major Duties

Wages

Reason for Leaving

Name

Your Job Title Starting

Final

Address

Phone Supervisor

Name

Your Job Title

Address

Phone Supervisor

Name

Your Job Title Starting

Final

Address

Phone

Supervisor

Name

Your Job Title Starting

Final

Address

Phone Supervisor

Starting

Final

SPECIAL SKILLS

Other skills applicable to position applied for (e.g. computer proficiency) What languages do you speak fluently?

MISCELLANEOUS

Is there any additional information involving a change of your name or assumed name that will permit us to check your work record? Have you previously been employed by any Limited Brands, Inc. Division? Employment Date(s) Division(s) Employed Position(s) Held o Yes o No

List names of any person you know now employed by any Limited Brands, Inc. Division: At Marine Travel a good attendance record is an important part of every associate’s overall performance. Do you know of any reason you may not be able to comply with Marine Travel attendance policy?

PERSON TO CONTACT IN CASE OF EMERGENCY

This information is to facilitate contact in the event of any emergency and is not used in the selection process. Full Name Address Phone

AVAILABILITY

SUN MON TUE WED THUR FRI SAT

AM

PM

Start date: End date: Min # hours available weekly: Max. # hours available weekly: Available start date:

Will you be available to work: Thanksgiving (week) o Yes o No Christmas (week prior) o Yes o No Christmas (week of) o Yes o No Other _

PLEASE READ THIS STATEMENT CAREFULLY

I hereby affirm that the information given by me on the application for employment is complete and accurate. I understand that any falsification or omission either on this application, or otherwise providing false information to the Company will be immediate grounds for dismissal, no matter when the falsification or omission is discovered. I authorize a thorough investigation to be made in connection with this application concerning my character, general reputation, personal characteristics, employment, education, and criminal record, whichever may be applicable for employment purposes. I understand this investigation may include personal interviews with third parties such as family members, business associates, financial sources, friends, neighbors, and others with whom I am acquainted. I further understand I have the right to make a written request within a reasonable period of time for complete and accurate disclosure of the nature and scope of the investigation. It is my understanding that as a prerequisite to consideration for employment, I must agree to submit to any post-employment examinations, physical or other, as the Company may lawfully require. The Company will pay the reasonable cost of any such examination which may be required. If I am hired, I agree that my employment and compensation can be terminated with or without cause, and without notice at any time, at the option of British Consulting Group or myself. I understand that, unless modified in written agreement signed by both me and the Vice President of Human Resources or the President of Marine Travel, no representative of Marine Travel has the authority to make any agreement for employment for a specified time or to make any other agreement contrary to the foregoing. I have read and affirm as my own the above statements. Applicant’s Signature Date

AUTHORIZATION

I authorize the procurement of consumer reports and/or investigative consumer reports by the Company as part of the pre-employment background investigation and at any time during my employment. SIGNATURE DATE

PRINT

NAME

REFERENCE FORM

Date:

Candidate’s Name: Phone:

If you are a former Limited Brands Associate, please verify the last four digits of your social security number: Supervisor

Name:

Relationship:

Company:

Position:

Address: _

Work Phone: Cell Phone:

Home Phone: Length of time known?

Contact this candidate