Apply Now! | Otto Candies, LLC

Apply Now!

First Name:

Middle Initial:

Last Name:

Suffix:

Street Address:

City:

State

Zip:

Social Security Number:

Email:

Phone Number:

Alternative Phone
Number:

How many years have you lived at your present address?

If less than 5 years please give additional addresses

Address #1

Address #2

Where can you be reached on short notice?

Where did you hear of Otto Candies, LLC?

Have you ever worked for Otto Candies?:

If yes, please list work time. I worked
for Otto Candies

from to
mm/dd/yyyy

Reason for Leaving:

Are you 18 years old or older?

Have you ever been convicted of a felony?:

If so, please explain:

Do you have any objection to working foreign?

Do you have relatives working for Otto Candies?

Please list:

Do you have a current Drivers
License?:

DL #:
State:

Do you have an automobile:
License Plate #:

Estimated drive time from your home to our office:

Do you have a valid passport?

Passport #

Emergency Contact Name:
Relationship:

Emergency Contact Address:

Emergency Contact Phone Number:

Category:   Exp. Date:

Category:   Exp. Date:

Category:   Exp. Date:

Category:   Exp. Date:

Category:   Exp. Date:

Category:   Exp. Date:

“Z” Card Number:

Exp. Date:

Type (OS-AB-QMED):

STCW ’95: Yes No

Nautical Institute DP Operator:
Limited
Unlimited
N/A

Schedule First Choice:

Schedule Second Choice:

Position or type of work requested:

Second Choice: