Apply Online - All Coast LLC.

Personal Information

Date

Legal Name

Last*

First*

Middle

Personal Email Address*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Home Phone (With area code)*

Mobile Phone (With area code)*

Are you over 18 years of age?*

Yes
No

Position Applying For*

Expected Salary

Are you legally authorized to work in the United States?*

Yes
No

Do you have any relatives, including those by marriage or adoption, working with All Coast, LLC?*

Yes
No

Explanation:*

If yes, please provide their name(s):

How did you hear about us? (Referral Source)

Have you served in the military?*

Yes
No

Explanation:*

If yes, please provide the branch, dates, and skills obtained.

Have you ever been convicted of a felony or misdemeanor that has not been expunged?*

Yes
No

Explanation:*

If you answered yes, provide date(s) and explanation.

Have you ever been arrested on any charges for a felony or misdemeanor that are currently pending?*

Yes
No

Explanation:*

If you answered yes, provide date(s) and explanation.

Education

Note: *Graduation year will be used solely for the purpose of facilitating reference checking

High School

Name	Location (City, State & Country)	Graduation Year

College or University

Name	Location (City, State & Country)	Graduation Year

Technical or Business

Name	Location (City, State & Country)	Graduation Year

Valid Driver’s License

Yes
No

Valid Merchant Mariner Document (Z-Card)

Yes
No

Valid Transportation Worker Identification Credential (TWIC)

Yes
No

List additional skills, activities, certifications or licenses you possess which would help you perform the duties of the position you are seeking.

Experience #1

Job Title:

Company Name and Address:

Country/Location Where You Worked:

Start Date

End Date

Reason for Leaving

Salary or Wage

Is this company in the oil and gas industry?

Yes
No

Was the job onshore or offshore?

Onshore
Offshore

Duties (must be listed):

Experience #2

Job Title:

Company Name and Address:

Country/Location Where You Worked:

Start Date

End Date

Reason for Leaving

Salary or Wage

Is this company in the oil and gas industry?

Yes
No

Was the job onshore or offshore?

Onshore
Offshore

Duties (must be listed):

Experience #3

Job Title:

Company Name and Address:

Country/Location Where You Worked:

Start Date

End Date

Reason for Leaving

Salary or Wage

Is this company in the oil and gas industry?

Yes
No

Was the job onshore or offshore?

Onshore
Offshore

Duties (must be listed):

Applicant Statement (Must Agree to Submit Form)*

I Agree

1. I certify that I have read and fully understood all questions asked in this application and my answers are true and complete.

2. I further understand that this application is not, and is not intended to be an offer, contract or a guarantee of employment for a specified period of time.

3. All Coast, LLC is an equal opportunity employer. We consider all applicants on the basis of their qualifications for the job in question and without regard for race, color, national origin, sex, religion, age, disability, or other characteristics protected by applicable law.

Applicant Legal Name:*

Date

Signature and Date before submitting*

Applicant Signature (Checking this box is equivalent to a handwirtten signature.)

Email

This field is for validation purposes and should be left unchanged.

Application for Employment

Personal Information

Education

Experience #1

Experience #2

Experience #3