Job Application Form
Nunavut Eastern Arctic Shipping (NEAS)
Mariners interested in applying for a specific position, or
who would like to be listed in our inventory as available for
future positions, should download and complete this
Application/Registration form.
email completed form to: [email protected] or fax printout to (514) 523-7875
Part 1: Personal Information
FIRST NAME
LAST NAME
MARITAL STATUS
NATIONALITY
BIRTHDATE
PLACE OF BIRTH
yyyy/mm/dd
ADDRESS:
TELEPHONE #:
MUNICIPALITY/COMMUNITY:
CELL/MOBILE:
POSTAL CODE/ZIP:
EMAIL ADDRESS:
PROVINCE/TERRITORY &/OR COUNTRY
NEAREST AIRPORT:
Emergency Contact Info:
Name:
Relationship:
Telephone:
Part 2: Education, Skills, Experience
Professional experience:
Company
From
To
Job title/role
Skills and other notes:
Education (list schools and courses, Grades/Levels completed)
School/Course
Level completed
Notes on programs
Language skills. Highlight in bold type appropriate categories and add your comments
Example:
None Fair Good Very Good
Spoken:
English
French
Other ___________
None Fair Good Very Good
None Fair Good Very Good
None Fair Good Very Good
Written:
English
French
Other ___________
None Fair Good Very Good
None Fair Good Very Good
None Fair Good Very Good
Reading:
English
French
Other ___________
None Fair Good Very Good
None Fair Good Very Good
None Fair Good Very Good
OTHER SKILLS
Please list any other skills you can offer NEAS:
A:
B:
C:
Part 3. Travel Documents and Medical Certificates
Valid Canadian passport? Answer here with an ‘X’:
Yes {__} No [__]
Seafarer’s Medical
Certificate
If yes, type CDN number Expiry Date:
below:
Other certificates (list
below)
1.
2.
3.
4.
Date issued
Place Issued
Additional details regarding certificates and experience:
Expiry Date