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Application For Employment - Edited

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rashekelinton70
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53 views6 pages

Application For Employment - Edited

Uploaded by

rashekelinton70
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CONFIDENTIAL EMPLOYMENT APPLICATION FORM

Note: To avoid delay in consideration of your qualifications, this record must be filled out completely in your own
hand writing.

By whom were you referred to the Company: Caribbean Jobs

Name: Rasheke Oseany Linton


Last First Middle Maiden Name

Present Address: Lot 15, 34 way 2 North Greater


Number & Street Postal Area Parish
portmore
Telephone Number(s): 1-876-823-8292

Permanent Address: Lot 15, 34 way 2 North Greater portmore


Number & Street Postal Area Parish

How long have you been a resident of your present address: 20 yrs. mths.

Age: 32 06 04 92
Date of Birth _____/____/_____ 10
5 ft. _________ins.
Height: _______
Day Mth Year

Place of Birth: Kingston


Town/City Postal Area Parish Country

Gender: Male [ ] Female [ ]

Marital Status Single [ ] Married [ ] Divorced [ ] Separated [ ] Widowed [ ]

What is your Nationality: Jamaica


n
National Insurance Number: TRN:

1
Number of Dependents: ________________

Is your Spouse employed? Yes [ ] No [ ]

If yes, state name of employer

Who should be notified in case of emergency?

Name: Lutchman Charmaine Relationship to you: Mother


Last First Middle

Address: Lot 15, 34 way 2 North Greater


Number & Street
portmore Postal Area Parish/Country

Telephone Number: 1-876-874-3491


3

What is the state of your health? Good [ ] Fair [ ] Poor [ ]

Do you have any physical impairment(s)? Yes [ ] No [ ]

If yes, explain:

Indicate position being applied for: Procurement Supervisor


Salary/Wage desired: If hired when could you start working: / /
Day Month Year

What means will you use to get to work if selected? 150000-190000


Do you have a Driver’s Licence? Yes [ ] No [ ]

Are you willing to do shift work? Yes [ ] No [ ]

Are you willing to work overtime? Yes [ ] No [ ]

EDUCATION
Name of School Years Attended Did you Certificate/ Subjects/
graduate? Dip/Degree received Major areas of studies
From To
Secondary Ardenne 8 CXC
2004 2009 Yes Yes
High passes
College/ University of eligible for
2010
University technology 2009 Engineering
Degree
Others

Give details of any other training (past/current) academic or otherwise:


4

GENERAL
Are you presently a member of any Professional Societies, Committees and/or Community Organizations?

Yes [ ] No [ ]

If yes, state the names of the Societies and/or Organizations:

Have you ever been employed by this Company? Yes [ ] No [ ]

If yes, state where, when and in what capacity:

REFERENCES
Give the following particulars of two professional references – Employers or Supervisors who are well acquainted with your
present and past work:

Name Occupation Address Telephone Number

Give the following particulars of two character references – individuals who are well acquainted with you personally:
Name Occupation Address Telephone Number

EMPLOYMENT RECORD
List your past or present job first, and then list all employment over the past five (5) years in order of the latest one first. For
jobs held more than three (3) years ago, you need to list only those of three (3) months duration or more, be sure to list all
work experience related to the type of work for which you are applying, regardless of how trivial it might seem:

Description of what you did –


responsibilities and Reason for or
Dates: Month & Employers accomplishments Salary wishing to leave
Year
From To
Name:

Address:
5

Name:

Address:

Name:

Address:

Do you have any friends or relatives employed by this Company? Yes [ ] No [ ]

If yes, state their names, relationship and job titles:

I authorize my former and present employers to furnish information they have concerning me, whether on record
or not, and I release them and/or their Company from all liability for any damages arising from issuance of such
information. I certify the information on this application to be true and accurate and I understand that in case of
employment, any false statement(s) may be considered sufficient cause for dismissal.

Signature: Date: July 25,2024


NOTE: Good physical condition is one of the qualifications for employment, and a medical examination will
be given as part of the employment procedure.

Do not write below this line

FOR HUMAN RESOURCE DEPARTMENT USE ONLY

Date Referred to: Results Comments


6

Date Reporting: ______________________________ Position: _________________________________

Department: ______________________________ Supervisor: ______________________________

Salary/Wage: ______________________________

________________________________ ______________________________________
Date Signed for Human Resource Department

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