Captain Roster Application — Lakeside Yacht Charters

Personal Information

First Name Required

Last Name Required

Phone Number Required

Email Address Required

City

State

USCG License

License Type Required Master 25 GRT minimum required for 7–12 passenger operations

MMC / License Number

Issue Date

Expiration Date

Tonnage Limit

Endorsements

Great Lakes / Near Coastal Assistance Towing Sail Other (describe in notes)

Required Credentials

TWIC Card Status Required

TWIC Expiration Date

Drug Test Status Required

FCC Restricted Radiotelephone Permit

CPR Certification

First Aid Certification

Boating Experience

Years on Great Lakes

Vessel Types Operated

Familiarity with Chicago-Area Harbors

Diversey Harbor Belmont Harbor Monroe / DuSable Harbor Burnham Harbor Calumet Harbor Other (note below)

Experience Summary

Professional References

Provide two professional references. Prior charter companies, marina operators, or vessel owners preferred.

Reference 1

Full Name

Relationship

Phone

Reference 2

Full Name

Relationship

Phone

Acknowledgment & Agreement

By submitting this application, I confirm that all information provided is accurate and complete. I understand that inclusion on the Lakeside Yacht Charters captain referral list does not constitute employment or a guarantee of engagement. Any work performed with a charterer is an independent contractor arrangement between myself and the charterer directly. Lakeside Yacht Charters bears no liability for the captain-charterer relationship. I consent to credential verification and a background check as part of this screening process.

I have read and agree to the terms above.

Sending...

Application Received

Thank you for applying to the Lakeside Yacht Charters captain roster. We'll review your credentials and follow up within 3–5 business days.