| First Name |
Last Name
|
| Street Address |
|
| City |
State
Zip
|
| Country |
|
| Phone |
Fax
|
| Cell |
Beeper
|
| e-mail |
|
| Preferred Method of Contact |
Home Phone
e-mail
Beeper
Other
|
|
|
| Where are you working now? |
|
| Job Title |
|
| Why are you considering leaving? |
|
| Specific job responsibilities |
|
|
|
| How many years of marine industry experience? |
|
| Supervised up to how many employees? |
|
| What boat companies have you worked for? |
|
| What area has most of your experience been in? |
|
|
|
| What type of position are you looking for? |
|
| What is your salary range requirement? |
$
to $
|
| Will you relocate? |
Yes
No |
| What are your relocation preferences? |
|
|
|
| How much notice would you give present employer? |
|
| When could you be available to begin work? |
|
| Additional Comments |
|
| How did you hear about us? |
|
|
|