APPLICATION FOR EMPLOYMENT:
Thank you for your interest in Clear Harbor. Please provide all information requested. All information will be held in strictest confidence. By completing this application, you are certifying that all information you provide is truthful and accurate.

NOTE TO CALL CENTER AGENT APPLICANTS:
Currently we are recruiting for the following day and evening shifts. While we have many shifts available, our greatest need is from 6:30 PM – 3:00 AM
. W e cannot guarantee a day time (8:00 – 5:30) shift and if selected you may be required to work the shift where the need is the greatest. If there is anything that would prevent you from working a 6:30 PM – 3:00 AM shift please indicate your preference.

 

 
======================  
   
DESIRED POSITION :
 
DESIRED LOCATION:
 
   
 
Applicant General Information:
   
FIRST NAME:
 
MIDDLE NAME:
 
LAST NAME:
 
NICKNAME:
 
 

 

 
DATE OF BIRTH:
 
PLACE OF BIRTH:
 
NATIONALITY:
 
DESIRED SCHEDULE:
 
TELEPHONE (MAIN):
 
CELL PHONE:
 
EMAIL ADDRESS:
 
MAILING ADDRESS:
 
PHYSICAL ADDRESS:
 
 
ARE YOU ELIGIBLE TO WORK IN THE SELECTED COUNTRY:
HAVE YOU EVER APPLIED FOR EMPLOYMENT WITH CLEAR HARBOR BEFORE:
DO YOU HAVE A HIGH SCHOOL DIPLOMA:
WHAT TYPE OF TRANSPORTATION WILL YOU BE USING TO GET TO AND FROM WORK:
ARE YOU WILLING TO WORK NIGHTS (UNTIL 3:00AM) AND / OR WEEKENDS:
FIRST PREFERRED SHIFT (approx. times, No shift guaranteed):
SECOND PREFERRED SHIFT (approx. times, no shift guaranteed):
 
BRIEFLY TELL US WHY WE SHOULD HIRE YOU AS AN ASSOCIATE AT CLEAR HARBOR:

 
   
   
  Previous Employment Information:
Please provide the following information for your two most recent employers, starting with the most recent.
EMPLOYER 1
 
EMPLOYER:
PHONE:
POSITION:
LOCATION:
SUPERVISOR:
TITLE:
START DATE:
END DATE:
SALARY:
PER
REASON FOR LEAVING:
PLEASE DESCRIBE YOUR JOB DUTIES:
MAY WE CONTACT YOUR EMPLOYER:
 
   
 
EMPLOYER 2
 
 
EMPLOYER:
PHONE:
POSITION:
LOCATION:
SUPERVISOR:
TITLE:
START DATE:
END DATE:
SALARY:
PER
REASON FOR LEAVING:
PLEASE DESCRIBE YOUR JOB DUTIES:
MAY WE CONTACT YOUR EMPLOYER:
 
     
     
  References:
Please list two to three persons who are not related to you who are familiar with your character and your qualifications.

REFERENCE 1
 

NAME:
PARISH:
PHONE:
YEARS KNOWN:
 

 

 


 

 

REFERENCE 2

 

 

NAME:
PARISH:
PHONE:
YEARS KNOWN:
 

 

 

 

 

 

REFERENCE 3
 

 

NAME:
PARISH:
PHONE:
YEARS KNOWN:
 

 

 

 

 

 

 
  Education:
Please provide the name of all schools attended beyond Primary level. Please indicate the date you obtained your CXC certificate and grade average. Please indicate college, university or technical institute degrees held and when you earned the degree. For CXC, please indicate your overall grade average. For college, university or technical institutes, please indicate your Grade Point Average (GPA).

 

EDUCATION 1
 

 

NAME OF SCHOOL:
START DATE :
END DATE :
CXC/DEGREE DATE :
GRADE:
 

 

 

 

 

 

EDUCATION 2
 

 

NAME OF SCHOOL:
START DATE :
END DATE :
CXC/DEGREE DATE :
GRADE:
 

 

 

 

 

 

EDUCATION 3
 

 

NAME OF SCHOOL:
START DATE :
END DATE :
CXC/DEGREE DATE :
GRADE:
 

 

 

 

 

 

EDUCATION 4
 

 

NAME OF SCHOOL:
START DATE :
END DATE :
CXC/DEGREE DATE :
GRADE:
 

 

 

 

 

 

 
  APPLICANT STATEMENT
Please read the following information closely before signing below.

 

 

WHAT IS YOUR DESIRED SALARY RANGE:

PER  

IF OFFERED THE POSITION, WHEN WOULD YOU BE ABLE TO START:

 

 

 

I certify that all information I have provided in this application in conjunction with employment at Clear Harbor Ltd. is true, complete and correct. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect will be sufficient to (i) cancel further consideration of this application or (ii) immediately discharge me from the employer’s services, whenever it is discovered.
 

 

 

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview.
 

 

 

I understand that this application is valid for six months. I understand that if I am not offered a position within this period, I must reapply for employment by completing a new application.