LaCasse Maritime - Crew Request Form




		This is the crew request form. To apply for a position, please fill out the crew application. Thank you.

		First Name:
		Last Name:
		Telephone (include area code):
		Fax:
		E-mail address:



		Boat Name:
		Size:
		Number of Crew:
		Position(s) to fill:
		Country Registration (Flag):
		Charter Private
		Cruising Intinerary:
		Anticipated length of employment:
		Male Female Either
		Smoker Non-smoker
		Uniform Size:
		Salary Range:
		Comments/Special Requests:



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