Application Name First Middle Last Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email Address* Please select the department for which you are applyingAccountingDock ShopElectric ShopEnvironmentalFabrication ShopGov’t & EstimatingHuman ResourcesInside Machine ShopInsul. & Sht. Metal ShopITLabor ShopLyon Downriver ServicesOutside Machine ShopPaint ShopPipe ShopPurchasingRigging & Crane ShopSafetySecurityStructural ShopTech Weld ShopQAWarehouseHave you filed an application here before?YesNoHave you been employed here before?YesNoAre you currently employed?YesNoAre you legally eligible for employment in the United States?YesNoDo you currently have a DBIDS (Defense Biometric Identification System) Card or Security Clearance? Or have you held one in the past?YesNoCurrent or Most Recent EmployerDates EmployedPosition HeldSupervisor NameSupervisor Phone NumberHighest Level of Education CompletedList Any Trade School or Special Training ReceivedComments or Additional WorkResume Upload (Please Submit for consideration)*Please upload your resume in a WORD (.doc) or PDF (.pdf) format.Accepted file types: pdf, doc, docx, pages.Please Up To List 3 References BelowNamePhoneCompanyRelationship How many years of experience do you have in your current trade/position?*Example of trade positions: Structural Welder, Ship Fitter, Electrician (Marine), Outside Machinist, Inside Machinist, Rigger, Crane Operator, Pipe Welder, Pipe Fitter, Fabricator, Insulation & Sheet Metal, etc.Trade/PositionYears of Experience How many years of experience do you have in the Shipyard Industry?If less than 5 years, how many total?Have you held/acquired any certifications? If yes, please list them by certification name and year.Example Certifications: NAVSEA, ABS, USCG & 6G Pipe/ 6G Plate/ 6Gr (restricted plate); welding in stainless steel, aluminum plate, flux core, Copper Nickel (CuNi) a plus+; all positions. NCCCO or NACB. Certification InYear Received If offered the position, when are you able to start?* What was your last Rate of Pay?per hour/ annuallyWhat compensation are you looking for?per hour/ annuallyWhat is your reason for leaving each job?Voluntary InformationSexMaleFemaleReferral SourceAdvertisementFriendRelativeWalk-inVoluntary Self-Identification of DisabilityYes, I have a disability (or previously had a disability)No, I don't have a disabilityI don't wish to answerVeteran Status I do not want to identify my veteran status I am not a veteran I am a veteran but not covered by the definitions listed in this form Disabled Veteran Recently Separated Veteran Armed Forces Service Medal Veteran Active Duty Wartime or Campaign Badge Veteran Race / EthnicityHispanic or Latino - A person of Cuban, Meixcan, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.)White (Not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.Black or African American (Not Hispanic or Latino) - A person having origins in any of the black racial groups of Africa.Native Hawaiin or Other Pacific Islander (Not Hispanic or Latino) - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.American Indian or Alaska Native (Not Hispanic or Latino) - A person having origins in any of the original peoples of North and South American (including Central America), and who maintain tribal affiliation or community attachment.Two or More Races (Not Hispanic or Latino) - All persons who identify with more than one of the above fice races.