PeterPan Seafoods, Inc.

Application

In order to be eligible for hire with Peter Pan Seafoods, you must be at least 18 years of age. Also, you must have United States employment authorization (we do not assist in that process) and pass a pre-employment drug test.

Personal Information:

Last Name
First Name
Middle Name
Phone
Email Address
Street Address
City
State
Zip

Peter Pan Seafoos, Inc. is an Equal Opportunity Employer. We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-job related medical condition or handicap, or any other legally protected status.

Position:

Position Applied For
Facility Location
Rate of Pay Expected
Date Available for Work
Are you Legally Entitled to Work in the U.S.? (Proof of Citizenship or immigration status will be required upon employment)	Yes No
Were you Previously Employed By Us?	Yes No
If Yes, When and Where?
Can You Work?	Full Time Part Time Overtime

List any Skill of Qualifications which you feel would especially fit you for work with our organization:

Education:

Name and Address of School	Dates Attended
High	From To Last Year Completed	Degree/Diploma Course of Study
College/Other (Specify)	From To Last Year Completed	Degree/Diploma Course of Study

Have you been convicted of a misdemeanor within the last 3 years or a felony within the last 7 years?
Yes
No

If Yes, please explain (conviction of a misdemeanor or felony is not necessarily a bar to employment):

Employment Experience

JOB 1:
Employer		From To
Address		Ending Salary
Telephone Number(s)		Work Performed
Job Title		Supervisor
Reason for Leaving

JOB 2:
Employer		From To
Address		Ending Salary
Telephone Number(s)		Work Performed
Job Title		Supervisor
Reason for Leaving

JOB 3:
Employer		From To
Address		Ending Salary
Telephone Number(s)		Work Performed
Job Title		Supervisor
Reason for Leaving

THIS SECTION TO BE COMPLETED ONLY IF YOU ARE APPLYING FOR WORK IN ALASKA

Our seafood processing plants in Alaska are located in remote, and often isolated site where only limited medical care is available for any conditions from which you now suffer. Therefore, please give careful consideration to the state of your personal health if you are currently receiving medical attention for any disease, illness or injury.

Are you available to work all hours and/or shifts including overtime?	Yes No
Are you available to work everyday, Monday through Sunday?	Yes No
Are you age 18 or older?	Yes No

Conditions of Employment
(please read carefully before submitting)

Peter Pan Seafoods, Inc. believes and follows the principal of nondiscrimination in employment and intends to comply with all Federal, State and other applicable laws concerning civil rights. The facts set forth in my application for employment are true and complete. I understand that if employed, false statements on this application shall be considered sufficient cause for dismissal.

You are hereby authorized to make any investigation of my personal history as stated, and I agree to authorized all persons, schools, companies, or other organizations to supply any accurate information concerning my background. I further understand that I have a right to disclosure of such information reported, as provided by law.

Additionally, I understand that nothing contained in this employment application, or in the granting of an interview, is intended to create an employment contract between Peter Pan Seafoods, Inc. and me for either employment or for providing of any benefit.

I agree to these Terms and Conditions	Yes No
Full Name