Download application form for employment - Belize Telemedia Limited

Belize Telemedia Limited
APPLICATION FOR EMPLOYMENT
IMPORTANT:
We will consider this application carefully but it does not guarantee employment
You must meet our employment standards which will include good health
PRINT ALL ANSWERS CLEARLY. ACCURATELY AND CAREFULLY: - They will be checked.
NAME………………………………………………………………………………………………………………
LAST FIRST MIDDLE
MAIDEN NAME …………………………………………………………. Telephone…………………………...
HOME ADDRESS…………………………………………………………………………………………………
Number & Street City or Town District or Country
PLACE OF BIRTH………………………….DATE OF BIRTH………………………………………………….
Day Month Year
SINGLE……………………………..MARRIED…………………………….WIDOWED………………………
SEX………………………Height…………………..Age………………….Nationality……………………..…...
List names of Parents and/or Spouse:
NAME RELATIONSHIP OCCUPATION ADDRESS
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Type of work desired………………………….Salary…………………Right or Left Handed……………………
Types of Equipment you operate: e.g.
Office Machines, vehicles, etc.( State Type)
List the names of all relatives employed by
B.T.L. and relationship to you.
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Circle Highest Year of schooling completed: HIGH SCHOOL SIXTH FORM UNIVERSITY
1 2 3 4 1 2 1 2 3 4
List Schools Attended (Last one First)
NAME LOCATION COURSE OF STUDY FROM TO
(Month/Yr.) (Month/Yr.)
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Other qualifications or training:
(Correspondence and/or Part Time Courses.)
List Certificate or Diplomas if any.
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Are you suffering from illness or allergy? If yes, give details
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Have you ever been convicted of any crime? If yes, give details
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If married:
Date of marriage………………………….……. Dependents…………….……………………….
Age of dependents…………………………………………………………………………………………………
Do you plan to engage in other work while employed by B.T.L. ………………………………………………….
Whom shall we contact in case of emergency?
Name…………………..……….Home Telephone………………………Business Telephone…………..……….
Home Address………………………………………….Business Address………..………………………………
List three personal references of good standards other than relatives. Teachers, principals or former employees,
who can vouch for your character.
NAME ADDRESS TEL. NO YEARS KNOWN OCCUPATION
1.……………………………………………………………………………………….……………………………
2.…………………………………………………………………………………………….………………………
3.……………………………………………………………………………………………………………………
Present employment …………………………….Salary……………………Position…………………………….
Why do you wish to resign? ………………………………………………………………………………………..
Languages you speak, read or write: ……………………………………………………………………………….
Account for all employment since leaving High School (List last position first).
Names & Address of former Employer: From To Reasons for
Mth./Yr. Mth/Yr. Monthly Salary Leaving
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Additional Information (e.g. membership in Organizations, additional training, etc.)
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I herby declare that the information on this application is true and complete and that I have not withheld any
information which would adversely my application. I understand that I will be subject disqualification or
immediate dismissal if this statement is untrue.
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Signature
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Date