GLOBAL SHIP SERVICES

245 S.E 1st Street Suite 332

Miami, Fl, 33131

Voice (305) 374-8649 Fax (305) 374-4342

www.globalshipservices.com

email :personnel@globalshipservices.com

This form is for ship companies interested in requesting crew from Global's pool of qualified candidates.  Please complete and fax to the number above.  You may also email your request .                                                                                                            


 

 

CREW MEMBER REQUEST FORM

 

 

Requested By: _________________________________________________________________

 

Position Required:__________________________________  Sign In Date:__/__/__

 

Nationality:____________________________________________________________________

 

Languages:___________________________________________________________________

 

Shipboard Experience:_______ Yes______  No

 

Sex:________    Age:_____

 

Pay Scale:___________________________________________________________________

 

Pay Vacation:________________________________________________________________

 

Airline Ticket Pay:_____________________________________________________________

 

Length/Term of Contract:________________________________________________________

___________________________________________________________________________

 

Ship Company_______________________________________________________________

 

Vessel Name:_________________________________   Flag:_________________________