Home Fleet Safety Employment Contact Join Our Team Our Employees Are Our Strength Send Us Your Information Please fill out the form below to initiate the hiring process. Upon reviewing your information, we will contact you if we feel that your experience and certifications meet our needs and requirements. If you do not have an answer for a particular question, simply put "N/A" or "None." Specific Position Applying For First Name Middle Name Last Name Address Street Address City State Zip Code Phone Number Are You A U.S. Citizen? Yes No Do You Have Reliable Transportation? Yes No Do You Have A Driver's License or State ID? Yes No TWIC Expiration Date MMC Expiration Date Mariner Rating MMC Issue Number Please list class, grade and type of license, including route, tonnage, horsepower, propulsion & endorsements Check your valid Maritime Certifications, Credentials & Training Basic STCW VSO DPO DP Basic PEC/Safe Gulf First Aid ARPA Radar Unlimited DP Advanced Huet Crane RFPEW RFPNW SEMS GMDSS Rigging Medical Care Provider Security Awareness None Of The Above Date Available To Start Are You Currently Employed? Desired Salary List Most Recent Employer First Name Of Employer Phone Supervisor's Name Salary Reason for leaving Address Position Held Date of Hire Last Date Employed Name Of Employer Phone Supervisor's Name Salary Reason for leaving Address Position Held Date of Hire Last Date Employed Name Of Employer Phone Supervisor's Name Salary Reason for leaving Address Position Held Date of Hire Last Date Employed Name Of Employer Phone Supervisor's Name Salary Reason for leaving Address Position Held Date of Hire Last Date Employed Name Of Employer Phone Supervisor's Name Salary Reason for leaving Address Position Held Date of Hire Last Date Employed Send My Info! CALL FOR 24 Hour Support 985.693.7601 13334 West Main P.O. Box 1428 Larose, LA 70373 kent@kimsusan.com © 2021 Kim Susan, LLC All rights reserved. Powered By CypressTech Computer Solutions - Morgan City Photography provided by David Hanstine Photography