ATTACH
PHOTO
HERE
The Apollo Group
AP P L I C AT I O N F O R E M P L O Y M E N T
U SI N G LE G I BLE P RI N T , P LE A SE C O MP LE TE T H I S F O RM I N I T S E N T I RE T Y
1. Personal Information
Last Name:
First Name: Middle Name(s):
Date of Birth (mm/dd/yyyy): Birth Place (city):
Country of Birth: Nationality:
Gender: Male Female Hair Color:
Weight: ______lbs. or ______kgs. Height: _____feet _____inches or ______cm
Do you have Tattoos? No Yes
Are the tattoos visible when wearing short-sleeved shirts, shorts or skirts? No Yes
2. Contact Information
Permanent Address
Street 1: Street 2:
City: State/Province:
Zip/Postal Code: Country:
Phone Numbers (include country codes and area codes) and E-mail
Home Phone: Mobile Phone:
E-mail Address:
3. Dependant Information
Marital Status: Single Married Divorced Widowed Other
Number of children under 18 years of age?
Emergency Contact Information
In the event of an emergency, I would like the company to contact the following person or persons:
Person 1 Relationship:
Last Name:
First Name: Middle Name(s):
Home Phone: Mobile Phone:
E-mail Address:
Person 2 Relationship:
Last Name:
First Name: Middle Name(s):
Home Phone: Mobile Phone:
E-mail Address:
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TAG Form 18.1 140628
4. Position Desired
Position Desired: Salary Desired (USD):
Have you worked on cruise ships before: Yes No If yes, list last company:
5. Documentation Information
Passport Information
Passport Number: Passport Nationality:
Date of Issue (mm/dd/yyyy): Place of Issue:
Date of Expiration (mm/dd/yyyy):
Crew Visas
Type: Yes/No Date of Expiration Visa No: Type:
(mm/dd/yyyy):
C1/D: Yes No
C1: Yes No
D: Yes No
Schengen: Yes No
Other 1: Yes No
Other 2: Yes No
STCW Certification
Type: Yes/No Date of Expiration Certificate Number:
(mm/dd/yyyy):
Elementary First Aid (BST) Yes No
Fire Prevention & Fire Fighting (BST) Yes No
Personal Safety & Social Responsibility (BST) Yes No
Personal Survival Techniques (BST) Yes No
Crowd Management & Passenger Safety Yes No
Crisis Management & Human Behavior Yes No
Security Awareness Yes No
Seaman’s Books
Type: Yes/No Date of Expiration Number: Nationality:
(mm/dd/yyyy):
National: Yes No
Flag State 1: Yes No
Flag State 2: Yes No
Other Certificates
Date of Date of
Type Yes/No or Not Applicable: Issue Expiration Comments:
(mm/dd/yyyy): (mm/dd/yyyy):
Ship’s Cook Yes No N/A
Other 1: Yes No N/A
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TAG Form 18.1 140628
6. Employment History
List most recent employer first
Employer/Company Name: Company Phone No:
Position Held: Supervisor Name:
From (mm/dd/yyyy): To (mm/dd/yyyy):
Starting Salary in USD: Ending Salary in USD:
Reason for Leaving:
Employer/Company Name: Company Phone No:
Position Held: Supervisor Name:
From (mm/dd/yyyy): To (mm/dd/yyyy):
Starting Salary in USD: Ending Salary in USD:
Reason for Leaving:
Employer/Company Name: Company Phone No:
Position Held: Supervisor Name:
From (mm/dd/yyyy): To (mm/dd/yyyy):
Starting Salary in USD: Ending Salary in USD:
Reason for Leaving:
7. Education
No. of From To
School Name and City Major/Diploma
Years (mm/dd/yyyy): (mm/dd/yyyy):
High School:
College:
University:
Apprenticeship:
Other:
8. Languages
Language: Proficiency Level Speak: Proficiency Level Write:
English (mandatory): Beginner Intermediate Fluent Beginner Intermediate Fluent
Spanish: N/A Beginner Intermediate Fluent N/A Beginner Intermediate Fluent
French: N/A Beginner Intermediate Fluent N/A Beginner Intermediate Fluent
German: N/A Beginner Intermediate Fluent N/A Beginner Intermediate Fluent
Other 1____________________: Beginner Intermediate Fluent Beginner Intermediate Fluent
Other 2 ________________________________: Beginner Intermediate Fluent Beginner Intermediate Fluent
I hereby certify that all information contained in this application form is true and correct, and I understand that any mis-representation or
intentional omissions are grounds for denial of hire or reason for dismissal.
________________________________________ ________________________
Signature of Applicant Date (mm/dd/yyyy)
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TAG Form 18.1 140628
Please do not write in the space below. This section is to be completed by the recruitment agency.
Agency Name: Location:
Prescreened: Yes No Name of Prescreener: Date of Prescreen:
References checked: Yes No References checked by:
Criminal Background Check: Yes No Background checked by:
Applicant has been provided with: Job Description General BYSS Departmental BYSS
Interview Results:
Apollo Interviewer: Date: Division:
Comments / Observations: Approved Position:
Approved Salary: Overall Rating 5 4 3 2 1
English 5 4 3 2 1 Tech. Prof. 5 4 3 2 1
Attitude 5 4 3 2 1 Grooming 5 4 3 2 1
Social Skill 5 4 3 2 1 Energy 5 4 3 2 1
Org. Fit 5 4 3 2 1 Confidence 5 4 3 2 1
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TAG Form 18.1 140628
