JOB

APPLICA
TION
FORM

Eligibility : ______________________ PHOTO

Field of Study : ______________________

Name:_________________________________________________________________
First Name Middle Name Family Name

Mailing Address:________________________________________________________

_____________________________________ (No.: _______________________

1. Age ____ 2. Birth Date ______________ 3. Place of Birth ___________________

4. Citizenship ______________________ 5. Religion _______________________

6. Home Address _______________________________________________________

7. Marital Status : Single ❒ Married ❒ Separated ❒ Widow ❒

8. Name of Spouse ____________________________________________________

9. Spouse’s Occupation/ Employer _________________________________________

10. No. of Children _____________ 11. Their Ages __________________________

12. Father’s Name Occupation Highest Educational Attainment

__________________ ________________ ____________________________

13. Mother’s Name Occupation Highest Educational Attainment

__________________ ________________ ____________________________

14. Are your parents living? Father ________ Mother ________

 Office for Recruitment, Examination and Placement
Civil Service Commission

P2

15. Please list all secondary schools, colleges, and universities attended. Enclose with
this application official transcripts of college/university grades or records beyond
secondary school level.
SECONDARY SCHOOLS, DATES EDUCATIONAL ATTAINMENT/
COLLEGES AND GRADUATE LOCATION ATTENDED DEGREE RECEIVED
SCHOOLS ATTENDED (State in Full)
FROM TO

16. State major and minor fields of study and discuss your basis of selection.
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17. Distinctions, Honors, and Awards (academic, extracurricular, business, community,

or others_____________________________________________________________

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18. College Extracurricular/Business or Community Activities or Involvement

Activities Number of Years of Position held ,if any
Membership/Involvement

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____________________________________ _______________________ _________________________

____________________________________ _______________________ __________________________

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19. Briefly describe your involvement in the activities listed in Item 18 and their
importance to you. ____________________________________________________
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P3

20. Did you have part-time work while in college? If yes, describe it briefly.
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21. Describe your avocations and hobbies:

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22. Full-time Positions Held. List each position separately with most recent job first.
(Use additional sheet if necessary)
a. Employer _________________________________________________________
Nature of Business __________________________________________________
Job Title __________________________________________________________
Employer’s Address _________________________________________________
Date Employed _________________ Monthly Salary ______________________
Responsibilities ____________________________________________________
____________________________________________________
____________________________________________________
Reason for leaving___________________________________________________

b. Employer __________________________________________________________
Nature of Business ___________________________________________________
Job Title ___________________________________________________________
Employer’s Address __________________________________________________
Date Employed __________________ Monthly Salary _____________________
Responsibilities _____________________________________________________
_____________________________________________________
_____________________________________________________
Reason for leaving ___________________________________________________
c. Employer __________________________________________________________
Nature of Business ___________________________________________________
Job Title ___________________________________________________________
Employer’s Address __________________________________________________
Date Employed __________________ Monthly Salary _____________________
Responsibilities _____________________________________________________
______________________________________________________
______________________________________________________
Reason for leaving ___________________________________________________

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 P4

23. Training Programs/Seminars/Conferences Attended

Training/Seminar : _______________________________________________
Conducted by : _______________________________________________
Inclusive dates : _______________________________________________

Training/Seminar : _______________________________________________
Conducted by : _______________________________________________
Inclusive dates : _______________________________________________

Training/Seminar : _______________________________________________
Conducted by : _______________________________________________
Inclusive dates : _______________________________________________

24. Please make a candid self-assessment of what you consider to be your strengths and
areas of improvement:
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25. Briefly describe what you believe to be your three most substantial accomplishments
and explain why you view them as such.

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P5
26. Please describe a situation in which you felt you had some responsibility. This
situation may be taken from family, school, business, community, or military life.
Describe how this situation developed, your involvement or participation in it,
the outcome, and what you learned from this experience.
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27. Please explain why you would like to work in the government.
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P6
28. What is your vision of good government?
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29. What are your future plans (family, career, etc.)?

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30. Describe your health condition. Do you have any disability or illness at the present
time? ❒ No ❒ Yes If yes, please explain.
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31. Please provide the name(s) and address(es) of reference persons whom we can talk
to, if necessary, about your qualifications.

______________________________
____________________________________
Name of Reference Person Name of Reference Person
______________________________ ____________________________________
Title of Position Title of Position

_______________________________ ___________________________________
Address Address
_______________________________ ____________________________________
Telephone Telephone

32. I certify that the statements made by me in answer to the foregoing questions are
true, complete and correct to the best of my knowledge and belief. I understand
that any false statements or any required information withheld from this form may
provide grounds for dismissal from the government service, if hired.

Signature:________________________________

JV3:JOBAPPL/061097Y