REV 7.2011

APPLICATION FOR EMPLOYMENT

INTERCRUISES SHORESIDE & PORT SERVICES is an equal opportunity employer and does not discriminate on the basis of race, religion, color, national origin, age, sex, gender, disability, genetic information, or any other characteristic protected by law.

Referral Source: ☐ Walk-in ☐ Employee ☐ Relative ☐ Website ☐ Other: ___________________________

PERSONAL INFORMATION Please print clearly

Last Name: First Name: Email:

Current Street Address: City: State: Zip:

Home Telephone Number: Cell Phone Number:

Other name which you have been previously employed under:

Are you at least 18 years of age?

If hired, are you able to provide documents to establish your eligibility to work in the United States? ☐ Yes ☐ No

Have you since the age of 18 been convicted of a Felony? ☐ Yes ☐ No If yes, please explain:

Have you ever been asked to resign from a position? ☐ Yes ☐ No If yes, please explain.

EMPLOYMENT DESIRED Position: Date Available: Can you travel if the work requires it?

☐ Yes ☐ No Have you previously been employed by Intercruises: ☐ Yes ☐No If yes, please indicate dates and location: Would you be willing to work at any Intercruises location? ☐ Yes ☐ No

Type of work desired: ☐ Full Time ☐ Part time ☐ Seasonal ☐Summer only

Are you willing and able to work: ☐ Overtime ☐ Holidays ☐ Weekends ☐ Evenings ☐ Nights

Hours Available

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

From: To:

SPECIAL SKILLS – TRAINING List any special skills/trainings that are related to the position for which you are applying:

List additional languages spoken aside from English:

Computer skills:

REV 7.2011

EDUCATION Name and Address Number

of years Major/Subject Course Graduated? Degree/Certificate

College or University

High School

Vocational School

Other

EMPLOYMENT HISTORY Start with most recent

Company Name: Start Dates: End Date:

Address: City:

State: Zip: Telephone Number: Position:

Reason for Leaving: Start Wage: End: Supervisor:

Summary of Responsibilities: May we contact for Reference ☐ Yes ☐No ☐ Notify me prior

Company Name: Start Dates: End Date:

Address: City:

State: Zip: Telephone Number: Position:

Reason for Leaving: Start Wage: End: Supervisor:

Summary of Responsibilities: May we contact for Reference: ☐ Yes ☐No ☐ Notify me prior

Company Name: Start Dates: End Date:

Address: City:

State: Zip: Telephone Number: Position:

Reason for Leaving: Start Wage: End: Supervisor:

Summary of Responsibilities: May we contact for Reference: ☐ Yes ☐No ☐ Notify me prior

CERTIFICATION AND AUTHORIZATION I understand that this application is not intended to be a contract of employment and that any employment is strictly on at-will basis, meaning that I or Intercruises may terminate my employment at any time, for any reasons consistent with applicable state or federal laws. I authorize Intercruises Shoreside & Port Services to conduct a thorough background investigation of my work and personal history, and verify all data provided on this application and during interviews. I hereby release the company and its representatives from any liability that might result from such an investigation. I authorize individuals, schools, and companies named to provide any requested information and release them from all liability for providing the requested information. Intercruises Shoreside & Port Services is a drug free work place and in the event of employment I understand that I will be subject to random drug testing and positive results may result in termination. In the event of employment, I understand that false or misleading information provided on this application or interview may result in termination.

Applicant’s Signature: ______________________________________ Date: _____________________________

REV 7.2011

NEW HIRE OR REHIRE

ADDITIONAL INFORMATION

[To be filled out by Employee]

EMPLOYEE INFORMATON EMPLOYEE NAME: (Please Print) ADDRESS: (Including apartment number)

CITY: STATE: ZIP:

HOME TELEPHONE NUMBER: CELULAR NUMBER: OTHER TELEPHONE NUMBER:

EMAIL ADDRESS: (Please Print) GENDER: ☐MALE ☐FEMALE

EMERGENCY CONACT INFORMATION PRIMARY CONTACT NAME:

RELATIONSHIP:

TELEPHONE NUMBER:

SECONDARY TELEPHONE NUMBER:

SECONDARY CONTACT NAME:

RELATIONSHIP:

TELEPHONE NUMBER:

SECONDARY TELEPHONE NUMBER:

EMPLOYEE’S SIGNATURE: ____________________________ DATE: _________________________

OFFICE USE ONLY Indicate multiple locations if applicable

HIRE DATE: ☐PART TIME ☐SEASONAL ☐FULL TIME ☐PERMANENT

EMP ID NUMBER:

PORT LOCATION: POSITION: CRUISE LINE: RATE:

PORT LOCATION:

POSITION: CRUISE LINE: RATE:

PORT LOCATION:

POSITION: CRUISE LINE RATE:

Rev 4.2010

EQUAL EMPLOYMENT OPPORTUNITY (EEO) SELF-IDENTIFICATON FORM

Instructions: Employees are treated during employment without regard to race, color, religion, sex, national origin, age, marital status or veteran status, medical condition or handicap, or any other legally protected status.

Employers are subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, the employer invites employees to voluntarily self-identify their race or ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual.

PLEASE PRINT

This form will be kept in a confidential file separate from your employment file.

Name (Last, First, MI): ____________________________________________________________

Street Address: ____________________________________________________________

City, State, Zip Code: ____________________________________________________________

Position: ________________________

Gender Identification (check one)

____ Female ____ Male

Race/Ethnic Identification (check one):

____ Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.

If you did not check “Hispanic or Latino” above, please select one of the following race/ethnic identifications.

____ White (Not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. ____ Black or African American (Not Hispanic or Latino) - A person having origins in any of the black racial groups of Africa. ____ Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands. ____ Asian (Not Hispanic or Latino) - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. ____ American Indian or Alaska Native (Not Hispanic or Latino) - A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment. ____ Two or More Races (Not Hispanic or Latino) - All persons who identify with more than one of the above five races.

_____ Decline self-identification

_________________________________________________ __________________ Applicant’s Signature Date

Form W-4 (2011)Purpose. Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Consider completing a new Form W-4 each year and when your personal or financial situation changes.

Exemption from withholding. If you are exempt, complete only lines 1, 2, 3, 4, and 7 and sign the form to validate it. Your exemption for 2011 expires February 16, 2012. See Pub. 505, Tax Withholding and Estimated Tax.

Note. If another person can claim you as a dependent on his or her tax return, you cannot claim exemption from withholding if your income exceeds $950 and includes more than $300 of unearned income (for example, interest and dividends).

Basic instructions. If you are not exempt, complete the Personal Allowances Worksheet below. The worksheets on page 2 further adjust your withholding allowances based on itemized deductions, certain credits, adjustments to income, or two-earners/multiple jobs situations.

Complete all worksheets that apply. However, you may claim fewer (or zero) allowances. For regular wages, withholding must be based on allowances you claimed and may not be a flat amount or percentage of wages.

Head of household. Generally, you may claim head of household filing status on your tax return only if you are unmarried and pay more than 50% of the costs of keeping up a home for yourself and your dependent(s) or other qualifying individuals. See Pub. 501, Exemptions, Standard Deduction, and Filing Information, for information.

Tax credits. You can take projected tax credits into account in figuring your allowable number of withholding allowances. Credits for child or dependent care expenses and the child tax credit may be claimed using the Personal Allowances Worksheet below. See Pub. 919, How Do I Adjust My Tax Withholding, for information on converting your other credits into withholding allowances.

Nonwage income. If you have a large amount of nonwage income, such as interest or dividends, consider making estimated tax payments using

Form 1040-ES, Estimated Tax for Individuals. Otherwise, you may owe additional tax. If you have pension or annuity income, see Pub. 919 to find out if you should adjust your withholding on Form W-4 or W-4P.

Two earners or multiple jobs. If you have a working spouse or more than one job, figure the total number of allowances you are entitled to claim on all jobs using worksheets from only one Form W-4. Your withholding usually will be most accurate when all allowances are claimed on the Form W-4 for the highest paying job and zero allowances are claimed on the others. See Pub. 919 for details.

Nonresident alien. If you are a nonresident alien, see Notice 1392, Supplemental Form W-4 Instructions for Nonresident Aliens, before completing this form.

Check your withholding. After your Form W-4 takes effect, use Pub. 919 to see how the amount you are having withheld compares to your projected total tax for 2011. See Pub. 919, especially if your earnings exceed $130,000 (Single) or $180,000 (Married).

Personal Allowances Worksheet (Keep for your records.)A Enter “1” for yourself if no one else can claim you as a dependent . . . . . . . . . . . . . . . . . . A

B Enter “1” if: { • You are single and have only one job; or• You are married, have only one job, and your spouse does not work; or . . .• Your wages from a second job or your spouse’s wages (or the total of both) are $1,500 or less.

} B

C Enter “1” for your spouse. But, you may choose to enter “-0-” if you are married and have either a working spouse or more than one job. (Entering “-0-” may help you avoid having too little tax withheld.) . . . . . . . . . . . . . . C

D Enter number of dependents (other than your spouse or yourself) you will claim on your tax return . . . . . . . . D

E Enter “1” if you will file as head of household on your tax return (see conditions under Head of household above) . . E

F Enter “1” if you have at least $1,900 of child or dependent care expenses for which you plan to claim a credit . . . F

(Note. Do not include child support payments. See Pub. 503, Child and Dependent Care Expenses, for details.) G Child Tax Credit (including additional child tax credit). See Pub. 972, Child Tax Credit, for more information.

• If your total income will be less than $61,000 ($90,000 if married), enter “2” for each eligible child; then less “1” if you have three or more eligible children.• If your total income will be between $61,000 and $84,000 ($90,000 and $119,000 if married), enter “1” for each eligible child plus “1” additional if you have six or more eligible children . . . . . . . . . . . . . . . . . . G

H Add lines A through G and enter total here. (Note. This may be different from the number of exemptions you claim on your tax return.) H

For accuracy, complete all worksheets that apply.

{• If you plan to itemize or claim adjustments to income and want to reduce your withholding, see the Deductions and Adjustments Worksheet on page 2. • If you have more than one job or are married and you and your spouse both work and the combined earnings from all jobs exceed $40,000 ($10,000 if married), see the Two-Earners/Multiple Jobs Worksheet on page 2 to avoid having too little tax withheld. • If neither of the above situations applies, stop here and enter the number from line H on line 5 of Form W-4 below.

Cut here and give Form W-4 to your employer. Keep the top part for your records.

Form W-4Department of the Treasury Internal Revenue Service

Employee's Withholding Allowance Certificate Whether you are entitled to claim a certain number of allowances or exemption from withholding is

subject to review by the IRS. Your employer may be required to send a copy of this form to the IRS.

OMB No. 1545-0074

20111 Type or print your first name and middle initial. Last name

Home address (number and street or rural route)

City or town, state, and ZIP code

2 Your social security number

3 Single Married Married, but withhold at higher Single rate.

Note. If married, but legally separated, or spouse is a nonresident alien, check the “Single” box.

4 If your last name differs from that shown on your social security card,

check here. You must call 1-800-772-1213 for a replacement card.

5 Total number of allowances you are claiming (from line H above or from the applicable worksheet on page 2) 5

6 Additional amount, if any, you want withheld from each paycheck . . . . . . . . . . . . . . 6 $

7 I claim exemption from withholding for 2011, and I certify that I meet both of the following conditions for exemption.• Last year I had a right to a refund of all federal income tax withheld because I had no tax liability and

• This year I expect a refund of all federal income tax withheld because I expect to have no tax liability.If you meet both conditions, write “Exempt” here . . . . . . . . . . . . . . . 7

Under penalties of perjury, I declare that I have examined this certificate and to the best of my knowledge and belief, it is true, correct, and complete.

Employee’s signature

(This form is not valid unless you sign it.) Date

8 Employer’s name and address (Employer: Complete lines 8 and 10 only if sending to the IRS.) 9 Office code (optional) 10 Employer identification number (EIN)

For Privacy Act and Paperwork Reduction Act Notice, see page 2. Cat. No. 10220Q Form W-4 (2011)

Department of Homeland SecurifyU.S. Citizenship and Immigration Services

OMB No. 1615-0047; Expires 08/31/12

Form I-9, EmploymentEligibility Ve rifi cafion

Read instructions carefully before completing this form. The insfructions must be available during completion of this form,

ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuals. Employers CAII{NOTspecify which document(s) they will accept from an employee. The refusal to hire an individual because thC documents have afuture expiration date may also constitute illegal discrimination.

City

Section 1. Employee Information and Yerification (fo be completedPrint Name: Last

Address (Street Name and Number)

I am aware that federal law provides forimprisonment and/or fines for false statements oruse of false documents in connection with thecompletion of this form.

Middle Initial Maidqr Name

Apt. # Dale of BifiJr (month/day/yur)

Zip Code Social Secuitv #

I attmt under penalty of perjury, that I am (check one of the following) :

f, A citizen of the United States

[-l Anoncitizennational ofthe United States (sre instruetions)

fl Ahxfirlpmanmtresident(Alien #)

! ao ,U* authorized to work (Alien # or Admission #)

until (emi if amlicrble -

Employee's Signature Dale (month/day/year)

Preparerand/orTranslatorCertification (Tobecunplaedandsignedfsectionlispreparedbyapersonotherthantheemployee)Iattest,underpenalty of perjury, that I have sssisted in the completion of this form and that to the best of my knowledge the information is true aad correct.

Preparr's/Translator's Si gnature kint Name

Address (Street Name and Number, City, State, Zip Code) Date (month/day/year)

Section 2. Employer Review and yerification (fo be completed arul signed by employer. Examine one documentJiom List Aexarnine one doament from List B and one from List C, as listed on the reverse of this fitm, and record the title, number, andexpiration date, if any, af the document(s).)

List A List B ANI) List C

Document title:

Issuing authority:

Docummt #:

Exp r attor D ate ( if any ).

Document #:

Exptr aluo n D ate ( if a ny ) :

CERTIFICATION: I attest under penalty of perjury, that I have examined the document(s) presented by the above-named employee, thatthe above-listed document(s) appear to be genuine and to relate to the employee named, that the employee began employment on(month/&ry/year) and that to the best of my knowledge the employee is authorized to work in the United States, (State

Signature ofEmployer or Au

Business or

tionA. New Name (if applicable) B. Date of Rehire (month/day/year) ({applicable)

Docummt Title: Drcummt#: Exptt rtion D ate ( if an y ) :

I atteS, undei penalty of perjury, that to the best ofmy knowledge, this employee is authorized to work in the United States, and ifthe employee presented

document(s), the document(s) I have examined appear to be genuine and to relate to the individual.

ORrlilt,r.r':li/./r'1;,

atz/,72,

llrjt:;..,,.Z''1,.;?1../1

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t:1,'/;1,/t,

emploSrment agencies may omit the date lhe employee began amplolment )

C. Ifemployee's previous grant ofwork authorization has expired, provide the information below for the document that establishss cunent employment authorization.

Fom I-9 (Rev. 08/07109) Y Page 4

LISTS OF ACCEPTABLE DOCTJMENTSAll documents must be unexpired

LIST A LIST B LIST C

Documents that Establish Both Docuilents that Establish I)ocuments that EstablishIdentity and Employment Identity Employment Authorization

Authorization OR ANI)

l. U.S. Passport or U.S. Passport Card Drive/s license or ID card issued bya State or outlying possession oftheUnited States provided it contains aphotograph or information such as

name, date of birth, gender, heigh!eye color, and address

1. Social Security Account Numbercard other than one that specifieson the face that the issuance of the

2. Permanent Resident Card or AlienRegishation Receipt Card (FormI-ssl)

card does not authorizeemployment in the United States

2. Cefiifrcation of Birth Abroadissued by the Department of State

(Form FS-545)Foreign passport that contains a

temporary I-55 I stamp or temporaryI-551 printed notation on a machine-readable immigrant visa

ID card issued by federal, state orlocal government agencies orentities, provided it contains a

photograph or information such as

name, date of birth, gender, heighqeye color, and address 3. Certification of Report of Birth

issued by the Department of State(Form DS-1350)4. Employment Authorization Document

that contains a photograph (Formr-766)

3. School ID card with a photograph

4. Voter's registration card Original or certified copy of birthcertihcate issued by a State,

@&ty, municipal authority, orterritory of the United States

bearing an official seal

5. In the case of a nonimmigrant alienauthorized to work for a specificemployer incident to status, a foreignpassport with Form I-94 or FormI-94A bearing the same name as thepassport and containing an

endorsement of the alien's

nonimmigrant status, as long as theperiod ofendorsement has not yetexpired and the proposed

employment is not in conflict withany restrictions or limitationsidenlified on the form

5. U.S. Military card or draft record

6. Military dependenfs ID card

7. U.S. Coast Guard Merchant MarinerCard

5. Native American tribal document

8. Native American tribal document

6, U.S. Citizr;n ID Card (Form I-197)9. Drivels license issued by a Canadiangovernment authority

For persons under age 18 whoare unable to present adocument listed above:

7. Identification Card for Use ofResident Citizen in the UnitedStates (Form I-179)

Passport from the Federated States ofMironesia (FSM) or the Republic ofthe Marshall Islands (RMI) withForm I-94 or Form I-94A indicatingnonimmigrant admission under the

Compact of Free AssociationBetween the United States and the

FSM orRMI

10. School recordorreportcard 8. Employment authorizationdocument issued by theDeparbnent of Homeland Security11. Clinic, doctor, or hospital record

12. Day-care or nursery school record

Illustrations of many of these documents appear in Part 8 of the Handbook for Employers (M-274)Form I-9 (Rev. 08/07/09) Y Page 5

Rev 10.2011

Direct Deposit Agreement

Authorization Agreement

Intercruises Shoreside & Port Services in an effort to protect the environment manages a paperless payroll and provides various options for Direct Deposit of wages earned. All employees are eligible to participate in direct deposit and can deposit to multiple accounts.

To enroll in direct deposit, please review and fill out the information requested below. • I hereby authorize Intercruises Shoreside & Port Services to initiate automatic deposits to my account at the

financial institution named below. I also authorize Intercruises Shoreside & Port Services to make withdrawals from this account in the event that a credit entry is made in error.

• I agree not to hold Intercruises Shoreside & Port Services responsible for any delay or loss of funds due to incorrect or incomplete information supplied by me or by my financial institution or due to an error on the part of my financial institution in depositing funds to my account.

This agreement will remain in effect until Intercruises Shoreside & Port Services receives a written notice of cancellation from me or my financial institution, or until I submit a new direct deposit form to the Payroll Department.

Employee Information Please Print Clearly

First Name: _________________________ Middle Initial: ____ Last Name: _____________________________ Social Security #: __________________________

I wish to: Initiate Deposit Change Information Paycard

Primary Account Information

Name of Financial Institution:

Routing Number: Percentage: _______________ Amount: _______________

Account Number: Checking

Savings

Secondary Account Information

Name of Financial Institution:

Routing Number: Percentage: _______________ Amount: _______________

Account Number: Checking

Savings

Signature

Employee Signature: Date:

Attaching a voided check or deposit slip will assist in processing – but is not necessary