Ship Visit Online Application

Ship Visit Welcome Team Application

ONLINE APPLICATION FORM

Your Contact Information

Welcome and thank you for your interest in serving seafarers and the maritime community. Please check up to three [3] of the following positions that may interest you:

Ship Visitor

Welcome Driver

Welcome Host

First name

Last name

Address, City, State, Zip

Occupation (former, if retired):

What languages do you speak, read and write?

Daytime Phone

Evening Phone

Days/Hours Available to Volunteer

Please list any clubs, or organizations (including faith organizations) in which you are a member or participant:

References

Please list two references (not relatives) who know about you and your ability to work with others:

Personal Reference

Name:

Years Known:

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Professional Reference

Name:

Years Known:

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Emergency Contact Information

Name:

Relationship:

Phone

Signature

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By submitting the above form:

I attest that the above information is accurate and correct to the best of my knowledge.
I understand and agree that:
— Volunteers must be aged 21 in order to be authorized to drive SMGG vehicles.
— I have a valid CA driver’s license and a clean driving record. I will secure a DMV printout for consideration if I wish to volunteer as a driver.
— I am eligible for, and I will secure a TWIC card and I will be reimbursed for the TWIC card after I have completed the learning requirements and one shift of volunteer service.

Thank you for taking time to complete the application and for your interest in offering time and talent to IMC/SMGG. We will contact with final details within five [5] business days of the receipt of your application

THANK YOU FOR YOUR SUPPORT OF SEAFARERS!

Seafarers Ministry of the Golden Gate at The International Maritime Center
An Ecumenical Alliance for Maritime Welfare and Community Connectedness

Serving the Bay Area Since 1946
4001 7th Street in Port View Park
Oakland CA 94607 | 510-978-4747
info@smgg.org | www.smgg.org

Connecting the Community to Care for Seafarers

and the Spirit of the Maritime Industry

Ship Visit Welcome Team Application

ONLINE APPLICATION FORM

Your Contact Information

References

Emergency Contact Information

Robert A. Wilkins
Executive Director/Chief Program Officer

Connecting the Community to Care for Seafarers

and the Spirit of the Maritime Industry

Ship Visit Welcome Team Application

ONLINE APPLICATION FORM

Your Contact Information

References

Emergency Contact Information

Robert A. Wilkins Executive Director/Chief Program Officer

Robert A. Wilkins
Executive Director/Chief Program Officer