Please fill out each row that applies to you in the table below:

Provide the details of your Current/Most Recent Job in the table below.

Are you currently employed?

Yes

No

Company Name	Dates Employed	Telephone Number
Job Title	Work Performed	Supervisor
Reason for Leaving

Include your last seven (7) years of employment history starting with the most recent and working backwards in time. Incomplete information could disqualify you you from further consideration.

For each of your past job experiences, click the "Add Job" button below and fill out the table that appears.

I understand that Seals Eastern Inc. is a smoke free, drug free workplace and that Seals Eastern Inc. reserves the right to test all applicants and employees for illegal drugs.

I further certify that I am a genuine applicant for employment and this application is being submitted solely for the purpose of seeking employment with the employer and for no other reason.

I agree to furnish such additional information and complete such examinations as may be required to complete my employment file. This application for employment shall be considered active for a period of time not to exceed 90 days.

I also understand that misrepresentation or omission of information or facts may result in my rejection or dismissal. If hired, I agree to abide by all the rules and policies of the employer.

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

I certify that I have read and understood all of this employment application. It is agreed and understood that the employer or his agents may investigate my background to ascertain any and all information of concern to my employment history, whether same is of record or not, and I release my employers and other persons named herein from all liability for any damages on account of furnishing such information. I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks which are pertinent to the job. I also understand that if offered a job, it may be conditioned on the results of the drug test.