Explanation and Guide

Form:

Application Form

Purpose:

This is a form that is being filled out by applicants

when they are applying for a position in your
company.

Application for Employment

For Personnel use only
Employment Form
Last Name: ____________________ First Name: ______________________ MI: ___
Date of Application: _________________
Home Address: ______________________________________
Type(s) of Work Desired: _________________________________________________
SSS #:___________________

TIN#__________________

PAG-IBIG# ______________

PhilHealth#_______________

Home telephone #: _________________

Office telephone #: _________________

How Were You Referred to Us? (Circle only one.)

a.
b.
c.
d.
e.
f.
g.

By Your College
Advertisement
Employment Agency
By an Employee, If so, give name: ________________________________
Open house
Walk-in
Others, Please specify ____________________________________________

Provide All Information Requested.

Your complete application form will be maintained in our active files for six (6)
months from the date of application. You may submit a new application at any
time.
EMPLOYMENT RECORD
Starting with present or most recent, list all previous employers. Include
self-employment and summer and part-time jobs. If more space is required, please
continue on a separate sheet. You may attach a resume, but complete this
application as well.

Last or Present Company: __________________________________________________

Type of Business: _________________________________________________________
Type or Classification of Job: _______________________________________________
Address: ________________________________________________________________
Phone number: _________________
Brief Description of Job Duties: ____________________________________________
_______________________________________________________________________
Supervisor's Name: ___________________
Phone number: _______________________
Base salary: __________________________
Dates worked: From___________ To____________
Reason for leaving: ______________________________________________________
Last or Present Company: _________________________________________________
Type of Business: _______________________________________________________
Type or Classification of Job: ______________________________________________
Address: _______________________________________________________________
Phone number: _________________
Brief Description of Job Duties: ____________________________________________
______________________________________________________________________
Supervisor's Name: _____________________
Phone number: _________________________
Base salary: ___________________________
Dates worked: From _____________ To _______________
Reason for Leaving: ______________________________________________________

EDUCATIONAL HISTORY
High School: ___________________________ Year Graduated: _________
College: _______________________________ Year Graduated: _________
Course:________________________________
Post- Graduate Studies: ___________________ Year Graduated: _________
Degree: ________________________________
Other education/training ___________________ Year Graduated: ________
OUTSIDE ACTIVITIES
(Exclude those indicating race, color, religion, sex, national origin, age, or handicap.)
Professional memberships, certificates, or licenses held
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Past and Present Civic or Cultural Activities (include offices held)
____________________________________________________________________
____________________________________________________________________
Principal Hobbies
____________________________________________________________________
____________________________________________________________________
SPECIAL SKILLS
To be completed by Applicant for Office/Clerical Work
Typing: Yes____ Words per Minute: _________ No____
Dictation: Yes____ Words per minute: _________ No____
To be completed by Applicant for Shop/Plant Work
Type of Machines Operated:
__________________________________________________________________
__________________________________________________________________

Years of Experience: ________

Computer Skills
Hardware:
___________________________________________________
Software:
___________________________________________________
Please list Other Skills and/or Equipment/Language Experience You Have Acquired:
___________________________________________________
___________________________________________________
List Other Shop/Production Skills:
___________________________________________________
___________________________________________________
Served Apprenticeship:
Yes_______ Type: __________________________________
No_______
PROFESSIONAL/WORK REFERENCES
List two past supervisors and one person who is not related to you who have
knowledge of your qualifications for the position for which you are
applying.
Name: ______________________________________________
Title/Relationship: ____________________________________
Address: ____________________________________________
Phone no: ______________________
Occupation: _______________________________________
May We Contact Your Present Employer?
Yes ________ No _________
Wage or Salary Desired: _________________

Date Available: _________________

I hereby certify that the answers and other information on this application are true
and correct and I understand that any misrepresentation or omission of facts on
my part will be justification for separation from the company's service, if
employed. I understand that my employment may be contingent upon receipt of
an alien registration number, verification of birth, and any other pertinent
information bearing upon my employment, and that my continued employment
depends upon the will of the company or myself.
_______________________
Signature
Date: __________________