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Seasonal Employment Application

* Date:

* Name:

Comments:

Permanent Address (W-2 will be sent to this address)

* Street:

* City:

* State:

* Zip Code:

* Home Phone:

Cell Phone:

* E-mail:

Local Seasonal Address, if different from above

Street:

City:

State:

Zip Code:

Local Phone:

Age

*Please check one:

16 & over

18 & over

School Attended

High School

Name:

City\State:

Years Attended:

Diploma:

College

Name:

City\State:

Years Attended:

Diploma:

Other

Specify:

Dates Available for Work

* Start Date:

* Finish Date:

* Availablability:

References

* 1. Name:

Relationship:

Phone #:

* 2. Name:

Relationship:

Phone #:

* 3. Name:

Relationship:

Phone #:

Friends or Relatives Employed by HY-LINE

1. Name:

2. Name:

Please list all Past and Present Employment beginning with your most recent.
(if none are available enter "none")

* Name of Company:

* Address:

* Telephone:

* Date of Employment:

* Supervisor's Name:

* Reason for Leaving:

* Name of Company:

* Address:

* Telephone:

* Date of Employment:

* Supervisor's Name:

* Reason for Leaving:

* Name of Company:

* Address:

* Telephone:

* Date of Employment:

* Supervisor's Name:

* Reason for Leaving:

* I authorize HY-LINE Cruises to verify any and all information
contained within this application:

* Indicates a required field.