American Canadian Caribbean Line · The Small Ship Cruise Line

EMPLOYMENT APPLICATION

CONTACT INFORMATION

First Name

Middle Name

Last Name

Current Address

Permanent Address

Current Phone

Permanent Phone

POSITION

Positions applying for in order of preference

1.
2.
3.

What is the earliest date you can start?

Are you at least 18 years of age? Yes No

Have you ever completed an application with us before? Yes No

If yes, month/year of prior application

Do you know anyone who has, or will be working with ACCL? Yes No

If yes, who?

Have you ever been employed with ACCL? Yes No

If yes, provide dates

How did you year about our company?

Are you legally entitled to work in the United States? Yes No

Are you prevented from lawfully becoming employed in the country because of visa or immigration status? Yes No
(Proof of citizenship or immigration status will be required upon employment.)

Within the past seven (7) years, have you been convicted of a felony or released from incarceration? Yes No
(Conviction will NOT necessarily disqualify an applicant from employment.)

Do you currently have any legal or felony charges pending against you?
Yes No

If your answer to any of the above three questions is yes, please describe the circumstances of your conviction:

EDUCATION

Describe any specialized training, skills, apprenticeship, vessel experience, job-related training received in the U.S. military and/or vocational training gained:

Do you hold any USCG, CPR or first aid training certificates? Yes No

If yes, please describe:

List any technical skills, special skills or abilities you possess:

List any professional licenses/certificates you have obtained:

High School Attended	City/State	Course of Study	Degree/Certificate

College Attended	City/State	Course of Study	Degree/Certificate

Vocational School	City/State	Course of Study	Degree/Certificate

EXPERIENCE

Please provide experience or other information in support of your application:

EMPLOYMENT HISTORY

Employer 1

Address

Name of supervisor or manager		Telephone

State job title and briefly describe your work:

Employed (state month/year)
From:	To:
Monthly Salary/Hourly Wage
Start:	End:
Reason for leaving:

May we contact this employer? Yes No

Employer 2

Address

Name of supervisor or manager		Telephone

State job title and briefly describe your work:

Employed (state month/year)
From:	To:
Monthly Salary/Hourly Wage
Start:	End:
Reason for leaving:

May we contact this employer? Yes No

Employer 3

Address

Name of supervisor or manager		Telephone

State job title and briefly describe your work:

Employed (state month/year)
From:	To:
Monthly Salary/Hourly Wage
Start:	End:
Reason for leaving:

May we contact this employer? Yes No

Have you received a disciplinary suspension or been discharged from any position(s) within the last four years? Yes No (Answering yes will not necessarily result in your being denied employment.)

If yes, please explain:

Is there any reason you would be unable to perform the essential functions of this job with or without reasonable accommodation? Yes No (Answering yes will not necessarily result in your being denied employment.)

If yes, please explain:

COMMENTS

© 2002 American Canadian Caribbean Line, Inc. info@accl-smallships.com
For reservations, call (800) 556-7450
461 Water Street, P.O. Box 368, Warren, RI 02885

Developed and hosted by Adams Design Group, Ltd.