JOB

APPLICATI
ON 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 r Married r Separated r

Widow r

8. Name of Spouse _______________________________________________________

9. Spouses Occupation/ Employer ___________________________________________
10. No. of Children _____________ 11. Their Ages ____________________________
12. Fathers Name

Occupation

__________________
13. Mothers Name
__________________
14. Are your parents living?

Highest Educational Attainment

________________
Occupation
________________
Father ________

________________________
Highest Educational Attainment
________________________
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,
COLLEGES AND GRADUATE
SCHOOLS ATTENDED

LOCATION

DATES
ATTENDED
FROM

EDUCATIONAL ATTAINMENT/
DEGREE RECEIVED
(State in Full)

TO

16. State major and minor fields of study and discuss your basis of selection.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________

17. Distinctions, Honors, and Awards (academic, extracurricular, business, community,

or others_____________________________________________________________
____________________________________________________________________
____________________________________________________________________
18. College Extracurricular/Business or Community Activities or Involvement
Activities

Number of Years of
Membership/Involvement

Position held ,if any

___________________________________

______________________

_________________________

___________________________________

_______________________

_________________________

____________________________________

_______________________

_________________________

____________________________________

_______________________

__________________________

____________________________________

________________________

__________________________

____________________________________

________________________

__________________________

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.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
21. Describe your avocations and hobbies:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
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 __________________________________________________________
Employers Address _________________________________________________
Date Employed _________________ Monthly Salary _____________________
Responsibilities ____________________________________________________
_________________________________________________________________
Reason for leaving__________________________________________________
b. Employer __________________________________________________________
Nature of Business ___________________________________________________
Job Title ___________________________________________________________
Employers Address __________________________________________________
Date Employed __________________ Monthly Salary ____________________
Responsibilities ______________________________________________________
___________________________________________________________________
Reason for leaving ___________________________________________________
c. Employer ___________________________________________________________
Nature of Business ___________________________________________________
Job Title ___________________________________________________________
Employers 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:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
25. Briefly describe what you believe to be your three most substantial accomplishments
and explain why you view them as such.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

next page +
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.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
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?
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
29. What are your future plans (family, career, etc.)?
___________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
30. Describe your health condition. Do you have any disability or illness at the present
time? r No r Yes If yes, please explain.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
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
______________________________
Title of Position

____________________________________
Name of Reference Person
____________________________________
Title of Position

_______________________________
Address
_______________________________
Telephone

___________________________________
Address
____________________________________
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