APPL I C ATI O N F O R

SEAG O I N G EM PL O YM E N T
Applicant Information (Please use all-capital letters)
Family Name First Name

Maia Tiago
Permanent Address Nearest International Airport
Rua General Oliveira Galvao, 1120, Tirol, PC 59015-120.
Natal-RN
Home Phone Number Mobile Phone Number Alternate Phone Number Email Address
[email protected]

Position(s) Applied For: How did you hear about this position(s)? How much notice is required by your current employer?

Souschef - CDP - Chef tournant - Executive Souschef online none

Are you age 21 or older? Do you have any tattoos? Do you have any piercings?
(UK residents, do not answer this question) (Women—other than one hole in each ear)
✔ Yes No Yes ✔ No Location(s): Yes ✔ No Location(s):

Do you have a current passport? Passport Number Date Issued Place Issued Expiration Date
✔ Yes No YC289842 21112016 Sydney 20112026
Do you have a Seaman’s Book/ID Book? Book/ID Number Date Issued Place Issued Expiration Date

Yes ✔ No

Do you have a USA Seaman’s C1/D visa? Visa Number Date Issued Place Issued Expiration Date

Yes ✔ No

List any languages spoken other than English and your fluency level:

1. french
___________________ ✔ Fluent Conversational Basic 2. ___________________ Fluent Conversational Basic

3. spanish
___________________ Fluent ✔ Conversational Basic 4. ___________________ Fluent Conversational Basic

Do you know a sign language? (American, Canadian, Australian, or UK)

1. __________________ Fluent Certified 2. _______________ Fluent Certified 3. ________________ Fluent Certified

Have you been convicted of any felony within the last seven years? If yes, has the felony conviction been annulled, expunged, or sealed by a court?

Yes ✔ No Yes ✔ No

If yes, please describe in full (provide additional information on an attached piece of paper, if necessary):

Have you previously applied to Princess Cruises? Have you previously worked for another cruise line?

Yes ✔ No ✔ Yes No If Yes, which one(s) _______________________________________________

Hollanjd America

Education
Level Name of School City, State, Country Degree Earned Graduated

High School Yes No

Business/Trade School Yes No

College Yes No

Graduate Study Mausi Sebess Buenos Aires, Argentina Chef de Cuisine ✔ Yes No

Other (explain) Yes No

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 APPL I C ATI O N F O R
SEAG O I N G EM PL O Y M EN T (cont’d)

Employment History
Start with your most recent employer and list all jobs held. Please account for any periods of unemployment. Even if you submit a C/V or
résumé, please list your work history below. If you need more room, copy this section, paste on another piece of paper, fill in, and attach.
Company Name City, State, Country Position Dates (MM/YY to MM/YY) Reason for Leaving

Light Years Byron Bay, Australia Souschef 01122017 to 01052019 work visa finished
Darren Crisp Gold Coast, ,Australia Head Chef 01112013 to 01082017 business sold
HAL USA CDP 05122012 to 01062013 end of contract

References
May we contact your current employer for a reference? Name Company Email

Yes ✔ No If Yes, provide his/her information: Title Daytime Phone

May we contact your previous employer for a reference? Name Company Email

Darren Crisp [email protected]

✔ Yes No If Yes, provide his/her information: Title Daytime Phone

Mr
Please provide two additional references (even if you answered Yes to either question above)
Reference 1: Name Email Daytime Phone

Géraldine Rumeau, Head Chef de Cuisine, Le 1728, Paris, France. +33 6 82 21 74 68.
+33 6 82 21 74 68
Describe your connection to the reference (include company and title if relevant)

work
Reference 2: Name Email Daytime Phone

Jody Mcleod, Former HAL Executive Chef, Corporate Chef at Carolina Meadows

Describe your connection to the reference (include company and title if relevant)

work
Authorization
I hereby authorize the company to which I have applied to investigate my education, employment experience, and all other aspects
of my background relevant to possible employment, including all statements made by me on this form and any release supplement
thereto. I also agree to release the company to which I have applied and any person to whom such inquiry is directed from all liability
arising directly or indirectly from any such investigation.
I further understand and agree that acceptance of this form does not constitute an employment agreement, and that if I am employed,
my employment is for no definite period and may be terminated at will at any time without previous notice and with or without cause.
I certify that the information herein is accurate and complete to the best of my knowledge and understand that any omission or
misrepresentation of fact may be considered reason for disqualification or dismissal.
Applicant Signature Applicant Name (please print) Date

Tiago Maia 10102021

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 APPL I C ATI O N F O R
SEAG O I N G EM PL O Y M EN T (cont’d)

UK Residents Only
Previous sea experience (if applicable)
Rank Dates (MM/YY to MM/YY) Vessel Type Gross Tonnage Owner/Operator Engine Type

If previously employed at sea, list STCW 95 qualifications (i.e., Certificate of Competency/License)

Date Issued Certificate Type Expiration Date

If you have the following certifications, please list if applicable or available

CPSC/Lifeboat Certificate Number Basic Sea Survival Certificate Number

National Insurance number

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