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REV 7.


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: ___________________________
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.

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

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

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

Name and Address Number
of years
Major/Subject Course Graduated? Degree/Certificate
College or University

High School

Vocational School


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
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.

Applicants Signature: ______________________________________ Date: _____________________________

REV 7.2011
[To be filled out by Employee]
(Please Print)
(Including apartment number)







EMPLOYEES SIGNATURE: ____________________________ DATE: _________________________

Indicate multiple locations if applicable




Rev 4.2010
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.
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, J apan, 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
____ Two or More Races (Not Hispanic or Latino) - All persons who identify with more than one of the above five
_____ Decline self-identification
_________________________________________________ __________________
Applicants 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
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
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 spouses wages (or the total of both) are $1,500 or less.
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.) . . . . . . . . . . . . . .
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 . . . . . . . . . . . . . . . . . .
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.)

For accuracy,
complete all
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-4
Department 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
1 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 . . . . . . . . . . . . . . .

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.
Employees signature
(This form is not valid unless you sign it.)
8 Employers 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 Securify
U.S. Citizenship and Immigration Services
OMB No. 1615-0047; Expires 08/31/12
Form I-9, Employment
Eligibility 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{NOT
specify which document(s) they will accept from an employee. The refusal to hire an individual because thC documents have a
future expiration date may also constitute illegal discrimination.
Section 1. Employee Information and Yerification (fo be completed
Print Name: Last
Address (Street Name and Number)
I am aware that federal law provides for
imprisonment and/or fines for false statements or
use of false documents in connection with the
completion 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) :
A citizen of the United States
Anoncitizennational ofthe United States (sre instruetions)
Ahxfirlpmanmtresident(Alien #)
ao ,U* authorized to work (Alien # or Admission #)
if amlicrble -
Employee's Signature
Dale (month/day/year)
Preparerand/orTranslatorCertification (Tobecunplaedandsignedfsectionlispreparedbyapersonotherthantheemployee)Iattest,under
penalty of perjury, that I have sssisted in the completion of this
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
(fo be completed arul signed by employer. Examine one documentJiom List A
exarnine one doament
List B and one
List C, as listed on the reverse of this
and record the title, number, and
expiration 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, that
the 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
A. 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.
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
All documents must be unexpired
Documents that Establish Both Docuilents that Establish I)ocuments that Establish
Identity and Employment Identity Employment Authorization
Authorization OR ANI)
l. U.S. Passport or U.S. Passport Card Drive/s license or ID card issued by
a State or outlying possession ofthe
United States provided it contains a
photograph or information such as
name, date of birth, gender, heigh!
eye color, and address
1. Social Security Account Number
card other than one that specifies
on the face that the issuance of the
2. Permanent Resident Card or Alien
Regishation Receipt Card (Form
card does not authorize
employment in the United States
2. Cefiifrcation of Birth Abroad
issued by the Department of State
(Form FS-545) Foreign passport that contains a
temporary I-55 I stamp or temporary
I-551 printed notation on a machine-
readable immigrant visa
ID card issued by federal, state or
local government agencies or
entities, provided it contains a
photograph or information such as
name, date of birth, gender, heighq
eye 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 (Form
3. School ID card with a photograph
4. Voter's registration card
Original or certified copy of birth
certihcate issued by a State,
@&ty, municipal authority, or
territory of the United States
bearing an official seal
5. In the case of a nonimmigrant alien
authorized to work for a specific
employer incident to status, a foreign
passport with Form I-94 or Form
I-94A bearing the same name as the
passport and containing an
endorsement of the alien's
nonimmigrant status, as long as the
period ofendorsement has not yet
expired and the proposed
employment is not in conflict with
any restrictions or limitations
idenlified on the form
5. U.S. Military card or draft record
6. Military dependenfs ID card
7. U.S. Coast Guard Merchant Mariner
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 Canadian
government authority
For persons under age 18 who
are unable to present a
document listed above:
7. Identification Card for Use of
Resident Citizen in the United
States (Form I-179)
Passport from the Federated States of
Mironesia (FSM) or the Republic of
the Marshall Islands (RMI) with
Form I-94 or Form I-94A indicating
nonimmigrant admission under the
Compact of Free Association
Between the United States and the
10. School recordorreportcard
8. Employment authorization
document issued by the
Deparbnent of Homeland Security
11. 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
Intercrui ses Shoreside & Port Servi ces 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 Shoresi de & Port Servi ces to initiate automatic deposits to my account at the
financial institution named below. I also authorize Intercrui ses Shoresi de & Port Services to make withdrawals
from this account in the event that a credit entry is made in error.
I agree not to hold Intercrui ses Shoresi de & Port Servi ces 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 Intercrui ses Shoresi de & Port Servi ces 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:


Secondary Account Information
Name of Financial Institution:
Routing Number:
Percentage: _______________
Amount: _______________
Account Number:


Employee Signature: Date:
Attaching a voided check or deposit slip will assist in processing but is not necessary