Laborde Marine

CAREER

Please fill out this application online to send it to us electronically.
NOTE: Applications are active for 90 days. Only completed applications will be considered.

* indicates required field

* Position Applying For:
* Full Name:
Social Security Number:
* Address:
* Telephone Number:
Cell Number:
EMPLOYMENT HISTORY (Minimum Last 5 Years)
* 1. Name of Company:
Address:
* Telephone Number:
* Job Title:
* Employed Dates:
* Pay Rate:
* Reason For Leaving:
* Supervisor:
2. Name of Company:
Address:
Telephone Number:
Job Title:
Employed Dates:
Pay Rate:
Reason For Leaving:
Supervisor:
3. Name of Company:
Address:
Telephone Number:
Job Title:
Employed Dates:
Pay Rate:
Reason For Leaving:
Supervisor:
Explain any gaps in your employment history:
Do you have any special skills, training, or experience:
* If presently employed, may we refer to your present employer:	Yes No
List all USCG Licenses you have:
* Do you have a Merchant Mariner credential?	Yes No
* Do you have a TWIC card?	Yes No
* Do you have a valid drivers license:	Yes No
State of Issue:
License Number:
Have you ever applied to or worked for Laborde Marine?	If so, when:
Do you have any relatives/friends employed here?	If so, who:
Are you at least 18 years old?	Yes No
REFERENCES (not relatives, but people who you have known for at least five years and we may contact)
1 . Name:
Address:
Telephone:
2. Name:
Address:
Telephone:
3. Name:
Address:
Telephone:
EDUCATION
High School Name and Location:
Graduated:
From / To:
College Name and Location:
Graduated:
From / To:
Training School Name and Location:
Graduated:
From / To:
MILITARY SERVICE RECORD
Branch:
Enlistment Date:
Discharge Date:
Type of Discharge:

* Are you a U.S. Citizen or otherwise legally eligible to work in the U.S.?	Yes No
***Proof of employability (U.S. Citizenship or Immigration Status) will be required if you are offered employment
* Have you ever been counseled, written up, or asked to resign, terminated or otherwise disciplined at a job for work habits such as tardiness, absenteeism, or unsafely performing a job?	Yes No If yes, describe:
* Have you ever had a work related injury?	Yes No If yes, describe:
* Date available for work:
* This job may require working extended shifts of 28 or more straight days. Can you meet this requirement?	Yes No If no, describe:
* Have you ever been convicted of a felony or a misdemeanor crime? If yes, give the date, place, nature or conviction, and explanation of circumstances. Conviction will not necessarily disqualify you for employment.
* Have you ever used illegal drugs?	If yes, when?
* The essential functions of positions in this fleet may require working in extreme and changing environmental conditions (wind, sea conditions, rain, cold, heat, noise, fumes, confined spaces, cramped quarters), repetitive physical demands of standing, walking, lifting, and carrying weights of 50 pounds or more, pushing and pulling, climbing ladders, crawling, stooping, bending, reaching, crouching, squatting, kneeling, hearing, speaking, and seeing USCG corrected vision requirements. Can you perform these requirements? Yes No
*required I certify that the information on this application is true, correct, and complete and I authorize the company to investigate all statements contained in this application.** I understand that any misstatement or omission of fact, regardless of when discovered may result in the rejection of my application, or if already employed, may result in termination of employment. I hereby authorize all prior employers to release information related to my employment. I understand that any offer of employment made to me will be conditioned upon the results of medical examination (including drug screen) which will be required by the company. I understand that I will be required to submit a drug and/or alcohol testing from time to time, and agree and consent to such tests to the company. I understand that if employed, my employment will be for an indefinite period of time, and that I may terminate my employment at any time for any reason, and the company may do likewise. I further understand that no representative of the company has authority to enter into any agreement to the contrary, unless such agreement is in writing and is signed by the president of the company. I understand that all offers of employment are subject to satisfactory completion of a company physical, passing a drug screen and signing a mediation and forum selection agreement.