Scribd
Upload
274 views

Job Application

The document contains a job application from Sergei Mazur for the position of 3rd Mate. It includes personal information, employment history, education details, references, and a disclaimer signed by the applicant.

Uploaded by

Sergei Mazur
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
274 views

Job Application

The document contains a job application from Sergei Mazur for the position of 3rd Mate. It includes personal information, employment history, education details, references, and a disclaimer signed by the applicant.

Uploaded by

Sergei Mazur
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

EMPLOYMENT / JOB APPLICATION

PERSONAL INFORMATION

FULL NAME: _Mazur_______Sergei________Sergeevich________ DATE:10.02.2024


__________________
First Middle Last

ADDRESS: 62 Antique str. Appt 21


Street Address Apt/Suite

Sevastopol Russia 299014


City State Zip Code

E-MAIL: [email protected]_____________ PHONE: +79781843718

COUNTRY (): ______Russia________

DATE AVAILABLE: ______15.02.2024_________

POSITION APPLIED FOR: ____________3rd Mate_________________

EMPLOYMENT DESIRED: ✘ FULL-TIME PART-TIME SEASONAL

EMPLOYMENT ELIGIBILITY

HAVE YOU EVER WORKED FOR THIS EMPLOYER? YES* ✘ NO

*IF YES, WRITE THE START AND END DATES: ____________________________________


HAVE YOU EVER BEEN CONVICTED OF A FELONY? YES* ✘ NO

*IF YES, PLEASE EXPLAIN: ____________________________________________________

EDUCATION

HIGHEST SCHOOL: ___Nakhimov Naval School_____ CITY / STATE: ___Sevastopol________

FROM: _____01.09.2017________ TO: _________10.06.2021______

GRADUATE? ✘ YES NO DIPLOMA: ______Navigator______

COLLEGE: _____________________ CITY / STATE: _____________________

FROM: _____________________ TO: _____________________

GRADUATE? YES NO DEGREE: _____________________

OTHER: _____________________ CITY / STATE: _____________________

FROM: _____________________ TO: _____________________


CURRENT EMPLOYMENT

EMPLOYER 1: AV-MARINE
Company / Individual

Page 1 of 2
E-MAIL: ________ [email protected]____________ PHONE: ____ +7 978 847 53 64______

ADDRESS: Kerchenskaya str., 4, office 1


Street Address Apt/Suite

Sevastopol Russia 299011


City State Zip Code

STARTING PAY: $___2600____ HOUR ✘ SALARY ENDING PAY: $_3300____ HOUR ✘ SALARY

JOB TITLE: __3rd Mate / 2nd Mate__ RESPONSIBILITIES: According STCW

FROM: _____ 26.10.2022_____ TO: _____ 21.12.2023______

REFERENCES
(PROFESSIONAL ONLY)

FULL NAME: _______________________________ RELATIONSHIP: ______________


First Last
COMPANY: ________________________________ TITLE: ______________

E-MAIL: __________________________________ PHONE: _____________________

FULL NAME: _______________________________ RELATIONSHIP: ______________


First Last
COMPANY: ________________________________ TITLE: ______________

E-MAIL: __________________________________ PHONE: _____________________

BACKGROUND CHECK CONSENT

IF ASKED, ARE YOU WILLING TO CONSENT TO A BACKGROUND CHECK? ☐ YES ☐ NO

DISCLAIMER

Applicant understands that this is an Equal Opportunity Employer and committed to excellence through
diversity. In order to ensure this application is acceptable, please print or type with the application being
fully completed in order for it to be considered.

Please complete each section EVEN IF you decide to attach a resume.

I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this
application leads to my eventual employment, I understand that any false or misleading information in my
application or interview may result in my employment being terminated.

SIGNATURE ___________________ ______________ DATE _______31.01.2024___________

PRINT NAME _______Mazur Sergei____________

Team Tankers International Ltd.


Williams House 4th Floor
20 Reid Street
Hamilton HM 11
Bermuda
Global Phone/Whatsapp:+16828475769

Page 2 of 2

You might also like