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    Applicant Information Sheet

    Uploaded by

    Mawe Mahusay
    The document is an application for a position, requesting personal details such as name, address, education history, employment record, references, and availability. It collects health, legal, and emergency contact information from the applicant. The applicant must sign to authorize an investigation into their background and release of reference information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Applicant Information Sheet

    Uploaded by

    Mawe Mahusay
    892 views3 pages
    The document is an application for a position, requesting personal details such as name, address, education history, employment record, references, and availability. It collects health, legal, and emergency contact information from the applicant. The applicant must sign to authorize an investigation into their background and release of reference information.

    Original Description:

    Apllication ssdfdsfsdf dfsdfsdfsdf

    Original Title

    Applicant Information Sheet (3) (2)[370]

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    The document is an application for a position, requesting personal details such as name, address, education history, employment record, references, and availability. It collects health, legal, and emergency contact information from the applicant. The applicant must sign to authorize an investigation into their background and release of reference information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    892 views3 pages

    Applicant Information Sheet

    Uploaded by

    Mawe Mahusay
    The document is an application for a position, requesting personal details such as name, address, education history, employment record, references, and availability. It collects health, legal, and emergency contact information from the applicant. The applicant must sign to authorize an investigation into their background and release of reference information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    APPLICANT INFORMATION SHEET

    Position Applied For: Please attach


    ID picture
    Date of Application: here

    FOR OFFICE USE ONLY


    Screening Results Pass Fail Decision HIRE
    Tests Written NOT HIRE
    Practical Position/ Status
    Others
    Interviews 1st Starting Rate
    2nd
    3rd Start Date
    Medical

    To Applicant: We deeply appreciate your interest in our organization and assure you that we are sincerely interested in your
    qualifications. Please read this form carefully and print your answers.

    PERSONAL BACKGROUND
    Full Name Nickname
    Last First M.I.
    Address 1
    (Current)
    Address 2
    (Permanent)
    Home Phone No. Mobile No. Email

    SSS No. TIN PAG-IBIG

    Date of Birth Place of Birth Age Gender

    Civil Status Name of Spouse No. of Children


    (if applicable) (if applicable)
    Citizenship Religion Height Weight

    EDUCATIONAL BACKGROUND
    Name of School and Address Course of Study / Honors Received Inclusive Years Did you graduate?
    Elementary
    From: Yes
    To: No
    High School
    From: Yes
    To: No
    College
    From: Yes
    To: No
    Graduate
    From: Yes
    To: No
    Others
    From: Yes
    To: No
    Extra-Curricular Activities (including civic activities):

    Competitive Exams (indicate Rating and Date Taken):

    EMPLOYMENT RECORD
    Position/s Held and Reason for
    Name of Employer and Address Last Salary
    Inclusive Dates Leaving
    Company

    Address Phone

    Name of Supervisor

    Company

    Address Phone

    Name of Supervisor

    Company

    Address Phone

    Name of Supervisor

    Other experiences, skills (e.g., IT skills) or qualifications (certifications):

    HEALTH RECORD
    1. Do you have physical disabilities or limitations? Yes No If yes, specify:

    2. Have you had a major illness in the past five (5) years? Yes No If yes, specify:

    3. Are you currently under treatment for persistent illness? Yes No If yes, specify:

    4. Have you had a major accident in the past five (5) years? Yes No If yes, specify:
    Additional Information
    1. Have you ever been convicted of any crime?

    2. Have you ever been terminated or forced to resign?

    3. Are you willing to work long hours or on weekends?

    4. Do you have relatives or friends in this company? If


    yes, please specify.
    5. Do you have family members or relatives connected
    with a competitor company? If yes, please specify.

    6. How were you informed of this vacancy?

    7. What is the minimum starting salary that is acceptable


    to you?
    8. If your application is considered favorably, when will
    you be available for work?

    REFERENCES
    Name/ Company/ Position Contact Numbers

    1.

    2.

    3.

    CONTACT PERSON/S IN CASE OF EMERGENCY


    Name/ Relationship Contact Numbers

    1.

    2.

    JOB APPLICATION WAIVER

    I certify that all of the information given to you on my application for employment (Applicant Information Sheet) is true and
    correct. I understand that the falsification of any information is grounds for refusal to hire, and, if I am hired, grounds for
    immediate termination.

    I authorize you to inquire into my background and check any reference on my behalf. I authorize any individual or
    organization to release to you any information concerning my previous employment, specifically releasing such parties from
    liability for any damage caused by giving you any information.

    Printed Name and Signature Date

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