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Employment Application

You may apply for positions at Blessey via the form below, or download the application (PDF format) and mail it to us at: P.O. Box 23734, Harahan, LA  70183.

All Fields Must Be Completed for Your Application to be Accepted.

It is the policy of Blessey Marine Services, Inc. to provide equal opportunity in employment and advancement to all persons without regard to race, color, religion, age, gender/sex, national origin, disability or any other protected status under state and federal law.
Applying for Positon As
 Date
PERSONAL INFORMATION
Last Name First Name Middle Name
Current Address
Street Address City State ZIP/Postal Code
Social Security Number (xxx-xx-xxxx) Driver's License Number
Residence Telephone No.
(xxx-xxx-xxxx) 		Pager Telephone No.
(xxx-xxx-xxxx) 		Cellular Telephone No.
(xxx-xxx-xxxx)
Previous Address
Street Address City State ZIP/Postal Code
Yes No Are you 18 years of age or older?
Yes No Are you currently employed?
Yes No Have you ever filed an application with us before?
If so, please give date
Yes No Are you able to provide proof that you are legally entitled
to work in the United States?
On what date would you be available for work?
Yes No Can you travel if your assignment requires it?
Yes No Are you available to work overtime or over 40 hours per week?
Employment Experience
Please state the names of your present and all previous employers in chronological order. If you have been self-employed, or are currently self-employed, please give the name of your firm, company or operations.
1) Employer Name
 Name of Supervisor
Address City State ZIP Phone
State Job Title
 Describe Your Work
 Reason for Leaving
Employed From To
Starting Wage Final Wage
2) Employer Name
 Name of Supervisor
Address City State ZIP Phone
State Job Title
 Describe Your Work
 Reason for Leaving
Employed From To
Starting Wage Final Wage
3) Employer Name
 Name of Supervisor
Address City State ZIP Phone
State Job Title
 Describe Your Work
 Reason for Leaving
Employed From To
Starting Wage Final Wage
Have you ever been convicted of a felony or misdemeanor
Yes No
Note: An individual will not be denied employment solely because of a felony or misdemeanor conviction, but all circumstances must be considered.

If yes, please give the date of said conviction and all circumstances and details involving said conviction
Education
Please list all schools and technical training you have received.
Schools Years Completed Diploma/Degree Course of Study
Elementary School 4 5
6 7
8
High School 9 10
11 12
College/University 1 2
3 4
Vocational/Technical 1 2
3 4
Describe all other training, experience, skills and special educational experiences:
Describe any job-related training received in the United States military:
References
Please state the name, address & telephone numbers of 3 references who are not related to you.
Name Address Telephone Number
Name Address Telephone Number
Name Address Telephone Number
Yes No Do you understand the requirements of the job for which you are applying?
Yes No Can you perform the requirements of this job with or without reasonable accommodation?

CERTIFICATION BY APPLICANT

I hereby authorize Blessey Marine Services, Inc. (hereinafter “Blessey”) and its representatives, agents, employees or designees to contact my current or any previous employer for the purpose of requesting any and all information concerning my previous employment and any pertinent information which they may have concerning my employment. I also authorize Blessey and its employees, agents, representatives, and designees to investigate all statements contained in this application for employment, contained in my resume and/or provided in my job interview as may be necessary in arriving at an employment decision. I further authorize all present and former employers, along with the personal references listed in the application, to give Blessey, its employees, agents, representatives and designees’ any and all information concerning my previous employment with said employers.

I understand that Blessey requires certain applicants to undergo a post-offer, pre-employment physical examination and drug test as a condition of employment. I hereby give my consent to any such test or examination and consent to the release of the results of any such test or examination to Blessey. I understand that information provided to Blessey may be disclosed.

I understand that the submission of this application for employment to Blessey does not create a promise of employment or the creation of an employment contract or a term of employment. I understand that if I become employed with Blessey that any employment relationship with Blessey will be of an “at-will” nature. This means that I, as an employee, have the right to resign at any time with or without cause and with or without notice, and that Blessey has the right to discharge me from employment at any time with or without cause and with or without prior notice. I further understand that this “at-will” employment relationship may not be changed by anything anyone tells me or by any written document or conduct or representation unless I am provided and execute a written employment contract signed by the president of Blessey.

I understand that in submitting this application that it will be considered active for no more than one year. If I intend to be considered for employment thereafter, I must reapply for a position with Blessey.

I understand that false information, information that Blessey considers to be misleading, or the failure to provide a complete response to any question, whether on this application or in an interview with Blessey’s representative, will disqualify me from further consideration for employment. I understand also that if Blessey subsequently determines, after I am hired, that I either failed to provide necessary information, provided misleading information, provided false information, this determination should be satisfactory reason for Blessey to terminate my employment.

I certify that all information stated by me in this application is true and complete. I have read and understand the foregoing statement contained in this section entitled “Certification by Applicant.”

Full Name Initials Date (mm/dd/yyyy)