Maritime Employment
Employers Request Form

Please complete the form below for each Job ID.  You may request staffing for up to three positions per form.  To request staffing for more than three positions per job, please contact us at (251) 973-1828.
Company Name
Address 1
Address 2
City
State
Zip
Phone
Email
Preferred method of contact
Phone       Email
Job ID
Job Start Date
Position 1
Number of Openings
Required Qualifications / Certifications / Licenses
Position 2
Number of Openings
Required Qualifications / Certifications / Licenses
Position 3
Number of Openings
Required Qualifications / Certifications / Licenses
Additional Comments
 
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