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JOB APPLICATION FORM - Santa Laurensia

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<strong>JOB</strong> <strong>APPLICATION</strong> <strong>FORM</strong><br />

SANTA LAURENSIA SCHOOL<br />

Please use capital letters to fill in this form<br />

<strong>JOB</strong> APPLIED FOR:<br />

1._____________________________<br />

2._____________________________<br />

Salary & Remuneration package expected<br />

Date availability to work<br />

:__________________________________________________________<br />

:__________________________________________________________<br />

I. PERSONAL IN<strong>FORM</strong>ATION<br />

Full name :________________________________________________________________( Male / Female )<br />

Place & Date of Birth :_____________________________________Marital Status :_________________________<br />

Nationality<br />

Current Address<br />

:______________________________________Religion :_______________________________<br />

:_____________________________________________________________________________<br />

_____________________________________________________________________________<br />

Home phone<br />

Alternate Address<br />

(If applicable)<br />

:______________________________Mobile ph. :______________________________________<br />

:_____________________________________________________________________________<br />

______________________________________________Phone :________________________<br />

Page 1


Name<br />

M/<br />

F<br />

Place &<br />

Date of<br />

Birth<br />

(DD/MM/YY)<br />

Education Degree<br />

Place of Work<br />

Husband/<br />

Wife/<br />

Fiancee<br />

Child 1<br />

Child 2<br />

Child 3<br />

• Continue on a separate sheet if necessary<br />

Name<br />

M/<br />

F<br />

Place & Date<br />

of Birth<br />

(DD/MM/YY)<br />

Education Degree<br />

Place of Work<br />

Father<br />

Mother<br />

Sibling<br />

1<br />

Sibling<br />

2<br />

Sibling<br />

3<br />

• Continue on a separate sheet if necessary<br />

Page 2


II.<br />

EDUCATION/QUALIFICATIONS<br />

Name of School/University Location Dates Major & Degree<br />

• Continue on a separate sheet if necessary<br />

Language Proficiency<br />

Written<br />

(Fair/Good/Very Good)<br />

Oral<br />

(Fair/Good/Very Good)<br />

• Continue on a separate sheet if necessary<br />

Course of Study/Training Dates Qualification<br />

• Continue on a separate sheet if necessary<br />

Page 3


III.<br />

EMPLOYMENT<br />

Name of Company :___________________________________________Location :_________________________<br />

Position :_________________________________________Period :_________________________<br />

Job description<br />

:______________________________________________________________________________<br />

_____________________________________________________________________________<br />

_____________________________________________________________________________<br />

Salary :__________________________Reason of Leaving :_______________________________<br />

Name of Company :___________________________________________Location :_________________________<br />

Position :_________________________________________Period :_________________________<br />

Job description<br />

:_____________________________________________________________________________<br />

_____________________________________________________________________________<br />

_____________________________________________________________________________<br />

Salary :__________________________Reason of Leaving :_______________________________<br />

Name of Company :___________________________________________Location :_________________________<br />

Position :_________________________________________Period :_________________________<br />

Job description<br />

:_____________________________________________________________________________<br />

_____________________________________________________________________________<br />

_____________________________________________________________________________<br />

Salary :__________________________Reason of Leaving :_______________________________<br />

• Continue on a separate sheet if necessary<br />

Page 4


IV.<br />

WORKING REFERENCES<br />

Name of Reference<br />

Company & Address<br />

:____________________________________________Position :_________________________<br />

:______________________________________________________________________________<br />

______________________________________________Phone :_________________________<br />

Name of Reference<br />

Company & Address<br />

:____________________________________________Position :_________________________<br />

:______________________________________________________________________________<br />

______________________________________________Phone :_________________________<br />

V. AUTHORIZATION & DECLARATION<br />

I certify that information contained in this application is true and complete. I understand that false information may be<br />

grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the<br />

verification of any or all information listed above.<br />

I declare that I have not been convicted, nor had any criminal proceedings against me, nor have I been warned, either orally<br />

or in writing, in relation to a sexual offence or child abuse. I declare that there are no such proceedings pending against me<br />

at the date of this declaration. I know of no reason why I should be considered unsuitable for work with children, the elderly<br />

or disabled, and I have not been dismissed from such a post for malpractice.<br />

The undersigned:______________________________________Date:__________________________<br />

Page 5

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