The Lost Sea Employment Application Please note: Fields marked with an * are required. Date:Name: *FirstLastPhone: *-Area CodePhone NumberAddress: *Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountryHow long at this address? *Do you have any relatives working at The Lost Sea? If yes, please list name and position:Person to be notified in case of emergency: *Address of person to be notified:Phone number of person to be notified:Do you have a valid drivers' license? *YesNoLicense #:Expiration Date:Have you ever been convicted of a felony? *YesNoHave you ever been bonded?YesNoHave you ever been refused a bond?YesNoIf yes, please explain:If yes, what branch?MILITARY SERVICE RECORD:Have you ever been in the Armed Forces? *YesNoWhat were your duties in the service? (Include special training)Dates of duty:Type of discharge:EDUCATIONAL BACKGROUND:Type of School *Grammar or GradeHigh SchoolCollegePost GraduateBusines or TradeotherName of School: *School Address: *Date Graduated: *Major or Course: *Are you a U.S. Citizen? *Do you want to work: *Full TimePart TimeI am available to work from this date: *To this date: *Are there any hours or dates you cannot work? *Do you have any problems working weekends? *PRIOR WORK HISTORY Please list in order, last or present employer first: 1. Name and Address: *Dates Worked From/To *Rate of Pay (start/finish): *Supervisor's Name and Title: *Reason For Leaving: *______2. Name and Address2. Dates Worked From/To2. Rate of Pay (start/finish):2. Supervisor's Name and Title:2. Reason For Leaving:______3. Name and Address3. Dates Worked From/To3. Rate of Pay (start/finish):3. Supervisor's Name and Title:3. Reason For Leaving:______4. Name and Address4. Dates Worked From/To4. Rate of Pay (start/finish):4. Supervisor's Name and Title:4. Reason For Leaving:PERSONAL REFERENCESExcluding former employers or relatives:1. Name: *1. Address: *1. Phone: *-Area CodePhone Number1. Known How Long? *______2. Name:2. Address:2. Phone:-Area CodePhone Number2. Known How Long?______3. Name:3. Address:3. Phone:-Area CodePhone Number3. Known How Long?type_submit_reset_140SubmitReset