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 Seafoods, 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
Referred By:
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
High School	Last Year Completed	Degree/Diploma Course of Study
College/Other (Specify)	Last Year Completed	Degree/Diploma Course of Study

Have you been convicted of a crime or released from prison within the last 10 years?
Yes
No

If Yes, please explain. Include conviction(s), court(s), state(s), year(s). (A conviction 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 sites where only limited medical care is available. Therefore, please give careful consideration to these essential job functions:

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 applicable Federal, State and other applicable laws concerning equal employment opportunities.

The facts set forth in my application for employment are true and complete. I understand that if employed, false or incomplete statements on this application shall be considered sufficient cause for dismissal.

You are hereby authorized to make any investigation of my education and work history, and I agree to authorize all persons, schools, companies, or other organizations to supply information concerning my background.

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

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