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Premier Pacific Seafoods

333 First Avenue West


Seattle, WA !"" #$%&' $!&(!)!* +hone , #$%&' $!&(!!"% Fax

Application for Employment (*E'&(+(%A&(O'


-AS. /A01 S.311. A4431SS 62.8 S.A.1 ;2+ 6541 F23S. 0244-1

Phoenix Processor Ltd. Partnership

SS Ocean Phoenix - M/V Excellence


We are an eq al opport nity employer. Applications !ill "e considered acti#e for $ year.

PLEASE %OMPLE&E E'&()E APPL(%A&(O'

S562A- S16732.8 /70913 +:5/1 01SSA<1 +:5/1 Are you "! years old or over? 81S /5

4A.1 +5S2.25/ 41S2314 3A.1 5F +A8 1=+16.14 4A.1 A>A2-A9-1 F53 W53?

4o you have the legal right to work in the 7nited States? 81S /5

EMPLO,ME'& -(S&O),
L(S& .ELOW ALL P)ESE'& A'* PAS& EMPLO,ME'&/ .E0(''('0 W(&- ,O1) MOS& )E%E'& /A01 5F 10+-5813 S.311. A4431SS 62.8 .1-1+:5/1 /70913 4A.1S 5F 10+-5801/. F350 /A01 5F 10+-5813 S.311. A4431SS 62.8 .1-1+:5/1 /70913 4A.1S 5F 10+-5801/. F350 /A01 5F 10+-5813 S.311. A4431SS 62.8 .1-1+:5/1 /70913 4A.1S 5F 10+-5801/. F350 S.A.1 ;2+ 6541 -AS. WA<1S 53 SA-A38 31AS5/ F53 -1A>2/< .5 0ay we contact present employer? 81S /5 S.A.1 ;2+ 6541 -AS. WA<1S 53 SA-A38 31AS5/ F53 -1A>2/< .5 8573 +5S2.25/ 53 .2.-1 41S63291 8573 47.21S 0ay we contact present employer? 81S /5 /A01 5F S7+13>2S53 S.A.1 ;2+ 6541 -AS. WA<1S 53 SA-A38 31AS5/ F53 -1A>2/< .5 8573 +5S2.25/ 53 .2.-1 41S63291 8573 47.21S 0ay we contact present employer? 81S /5 /A01 5F S7+13>2S53 8573 +5S2.25/ 53 .2.-1 41S63291 8573 47.21S /A01 5F S7+13>2S53

What skills, training or experiences do you feel qualify you for work with this company?

WO)5 E6PE)(E'%E
+A%&O), 23 O+ ,EA)S4 Euality 6ontrol Fish +acker 0achine 5perator Foreperson 0ALLE, 23 O+ ,EA)S4 6ook <alley :elp :ousekeeping E'0('EE)('0 23 O+ ,EA)S4 Assistant 1ngineer Auxiliary Watch 9aader .ech Wiper Welder 0arine 3efrigeration 0arine 1lectrician Fishmeal .echnician *E%5 23 O+ ,EA)S4 6aptain 0ate 4eckhand 4eckDoss OPE)A&(O'S 23 of ,EA)S4 +urser 0edic

E*1%A&(O'
%O1)SE 'AME S%-OOL A'* O+A**)ESS S&1*, *A&ES O+ S%-OOL *E0)EE/*(PLOMA :2<: S6:55>ocational, .rade or 6ommercial 65--1<1 5.:13

+lease list any 7S6< certificates or licenses@ AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA >56A.25/A- .3A2/2/<BS+162A- 6573S1 5F S.748@ AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA 4o you have any other special skills or training? #iCeC languages, mechanical, etcC' AAAAAAAAAAAAAAAAAAAAAAAAAAAAA :ave you or any relative of yours worked on Doard the SS Ocean Phoenix or M/V Excellence? 81S

/5

2f so, when? AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA :ow did you hear aDout +remier +acific Seafoods, 2ncC? AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA IMPORTANT 7 %O'*(&(O'S O+ EMPLO,ME'& 7 PLEASE )EA* %A)E+1LL, .E+O)E S(0'('0 2 certify that my answers to the aDove are true and recogniFe that any potential future employment is suDGect to termination without notice should any of the aDove statements De found false or inaccurateC 2n understand that a reference check may De made and hereDy agree to authoriFe all persons, school, companies, or other organiFations and agencies to supply any accurate information concerning my DackgroundC 2 further understand that 2 have a right to disclosure of such information reported, as provided Dy lawC Further, 2 understand and agree that any potential future employment will De for no definite period and may, regardless of the date of payment of wages andBor salary, may De terminated at any time without previous noticeC 2 understand and accept the conditions of this statementC AAAAAAAAAAAAAAAAAAAA 4A.1 AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA S2</A.731 5F A++-26A/.

%O'SE'& &O O.&A('('0 %O'S1ME) )EPO)&S )EA* %A)E+1LL, .E+O)E S(0'('0 "C 2 understand that my offer of employment would De contingent on facts received through consumer reportingC 2 hereDy authoriFe the company to oDtain consumer reports relevant to the scope of my employmentC 2 understand the Dackground checks andBor consumer reports will not De oDtained until after the interview process Dut Defore an offer of employmentC 2 understand that 2 have the right to make a written request within a reasonaDle amount of time to receive additional detailed information aDout the nature and scope of any investigative report or other consumer reports that are made, including the name, address and telephone numDer of the consumer reporting agencyC 2 hereDy authoriFe any present or former employers, consumer reporting agencies, educational institutions, criminal Gustice agencies, department of motor vehicles, puDlic agency, financial institution, or any other person or agency having knowledge of me to suDmit information or opinions aDout myself, including data received from other sources, in order that my employment qualifications may De evaluatedC 2 hold said persons andBor organiFations Dlameless and without liaDility for statements or opinions made regarding my character, experience or qualificationsC

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9y my signature Delow, 2 acknowledge that 2 have read and understood all of the aDove statementsC

print your name signature date 'O&E8 (n order for s to process yo r application/ yo m st complete this form.

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