First Name Address: Phone 1: Phone: E-mail Nationality Passport/I Birth Date Height Weight Hair Color Eye Color Gender Visa Type Visa Exp Date Chris N/A NOM Fib Middle: City: Pen-n#: Last Name: Cloud Fort Lauderdale State: 0o You Smoke?: Will you submit to drug test?: Do you require daily Medication? Have you ever been convicted? Fl Zip: 33316 Country USA Date Last Checked-In 9/8/2013 8:54:00 AM Current Location SE USA (Florida) - Ft. Lauderdale No Yes No No Wackenhut Background Check Completed: No CrewInsight Character Analysis Compkted:No Preferences and Qualifications "Meer Position: Either back on a remote, oft-grid island, or aboard a vessel as Enginaer/mate 1st Position: 2nd Position: Private/Charter: Power/Sail TernpfPerm Engineer Estate Manager Either Either Either Minimum Salary: 55000.00 Per Month 1st License: Nona 2nd License: None DiveQualification: Rescue Marital Status: Team/Solo/WiliTeam Team mate: Teammate 1st Position Teammate 2nd Position Chefs, from what Cu nary School did you graduate? Year:0 Please mark those cuisines in which you specialize: Single sob Spanish No French No Dutch No German No Italian No Enginea's self rating 1-10 Refrigeration: 0 Hydraulics:0 If Yes Please Explain If Yes Please Explain STCW Certified? No Dive Guide Yes Fishing Guide No Electrician Yes Carpenter Yes Massage Therapist No Nurse/Paramedic No Nanny No Heicopter Pilot No Airplane Pilot No Please mark those with which you are proficient: Vegetarian No Diabetic: No Pritikin: Northern lights: No Asian: No lights: Yos Caterpillar: Yes Deutz: No Cummins: Yos MTU: Yes Detr French Cuisine No Kosher: No Italian: No LowFat: No oit Yes KaMeWa: Yes Paxman: No Mercedes: No Mann: No No m Elecbical:9 EFTA_R1_02096563 EFTA02705730

