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Hartge Yacht Harbor- Celebrating 150 years

Employment Application

We are currently accepting Employment Applications.

NOTE: fields with *  field names must contain entries. Other fields are optional.

Applicant's Full Name *
Date * [mm/dd/yyyy]
Address * Address, City, State, Zip
Cell Phone Home
Phone
Work
Phone
Email *
DOB * [mm/dd/yyyy]
Sex * Female
Male
Education
High School
Name of High School, City and State
Years
Completed
Education
College
Name of College/University, City and State
Years
Completed
Business/
Technical
School
Name of Business or Technical School, City and State
Years
Completed
Reference#1 Personal reference. Not a relative or former supervisor.
Phone Relationship
Reference#2 Personal reference. Not a relative or former supervisor.
Phone Relationship
Employment#1 List most recent employment first.
Position
Address
Phone Supervisor's
Name
Reason for
Leaving
Employment#2 Position
Address
Phone Supervisor's
Name
Reason for
Leaving
Employment#3 Position
Address
Phone Supervisor's
Name
Reason for
Leaving
Medical Please list any medical conditions (allergies, asthma or heart conditions)
If you have medical condition(s) listed above,
please list any medication(s) you take for that condition.
Position
Applied for
Boating
Experience
Boat Repair
Experience
Slips          •        Service        •        Serenity
38° 50' 10"N
76° 32' 40"W
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contact us
4 4 3 - 6 0 7 - 6 3 0 6
We monitor
VHF Ch. 09
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H a r t g e  Y a c h t  H a r b o r  •  4 8 8 3  C h u r c h   L a n e  •  G a l e s v i l l e,  M D  20765
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