PORT OF GALVESTON APPLICATION _— fsrosenssta, si FLOOR PO BOX 3285 FoR EMPLOYMENT ¢Aveston, Texas 77553 [We consider applications for all positions without regard to race, color, religion, creed] gender, national origin, age, disability, sexual orientation, citizenship status, genetic information or any other legally protected status. (PLEASE PRINT) Poon Apia For ] Bae opts] 1 Advertisement 7 Relative © Inquiry (1 Employment Agency [1 Friend 5 Other rr a ne ‘ies br war a a Te tae Tae NAT ‘Sal Saar Nal Wale ‘Best time to contact you at home is IF you are mdr 18 years of ane, can you provide required proof of your eligibility to work? Dye CNe "lave you evr filed an application with us before? nmin ¥08 ONO TF Yes, gve date “lave you ever been employed with us before? Yes No Ie, give date Do any of your frends or relatives, other than spouse, work here? OY ONe ‘ve you currently employed? V¥es No May we contact your present employer? a snows Yes ONO ‘Are you prevented from lew fully bosoming employed inthis ‘country because of Vien or Immigration Stats? Proof of eittzenship or immigration status wil Be requted upon employment. wun O Yes No Date available for work _/__/__._ What is your desired salary range? ‘Aro you availble fo work: Fullime (please indicate 123 shit) Cr Partime (please indicate Mornings ARernoon Evenings) 1 Temporary (please indicate dates available _f__-_/_/_) ‘re you currently on “lay-off status and subject to recall. Can you travel if job requires it? Dye Ne /D¥e No ‘WE ARE AN EQUAL OPPORTUNITY EMPLOYEREDUCATIONEMPLOYMENT EXPERIENCE Start with your present oF last job, Include any jobvelaid miliary service assignments and volunteer lctvnics. You may exciude organizations which indicate race, cle, religion, gener, national origin, isbiliies or other protected status. 1, (Rote "ae “Rlophow Ronen on Rewen fr Lewvne “Tape Nome aie i Teas fr Lang "Taephone Namba) eb Te Fupenier Tomar Ione 4, | Brats “Tasphone Namie) bie Bepanicor Tessa for Lang If you need additional space, please continue on a separate sheet of paper. List professional, trade, business or civic activities and offices held. You may exclude membership which would reveal gender, race, religion, national origi, age, ancesty, disability or other ‘protected satus: