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The CRADLE Application Form

The document is an application form for a position at The CRADLE, requiring personal history, language proficiency, education, employment record, references, and other relevant information. Applicants must provide detailed answers and certify the accuracy of their statements. It also includes sections for administrative staff skills and additional information such as hobbies and legal history.

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muyoka
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9 views6 pages

The CRADLE Application Form

The document is an application form for a position at The CRADLE, requiring personal history, language proficiency, education, employment record, references, and other relevant information. Applicants must provide detailed answers and certify the accuracy of their statements. It also includes sections for administrative staff skills and additional information such as hobbies and legal history.

Uploaded by

muyoka
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
You are on page 1/ 6

CR/JA/01

INSTRUCTIONS Do NOT write in this space


Please answer each question
clearly and completely.
TYPE OR PRINT LEGIBLY

1-14 PERSONAL HISTORY

1 Position Applied for 8 ID Number


2 Name 9 Passport Number (if
applicable
3 Sex Male 10 Nationality
4 Date of birth 11 P.O Box Number
5 Day time landline 12 Postal Code
phone number
6 Mobile number 13 Town/City, Country
7 Email

15. KNOWLEDGE OF LANGUAGES

LANGUAGES READ WRITE SPEAK UNDERSTAND


(please specify) Easily Not Easily Not Easily Not Easily Not
easily easily easily easily
✔ ✔ ✔

✔ ✔

16. FOR ADMINISTRATIVE STAFF ONLY

Indicate speed in words per English Other languages (specify)


minute
Typing
Shorthand

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CR/JA/01
17. LIST ANY OFFICE MACHINES OR EQUIPMENT AND COMPUTER PROGRAMS YOU USE. (Your
proficiency will be tested if invited for an interview).

Office
machines/equipment
Computer programs

18. EDUCATION: Give full details

A. UNIVERSITY AND COLLEGES or equivalent


NAME OF INSTITUTE, ATTENDED FROM/TO DEGREE TITLE GRADE OBTAINED
PLACE & COUNTRY
Month/Year Month/Year
Please give complete
address

B. SECONDARY SCHOOLS OR OTHER FORMAL TRAINING


NAME OF INSTITUTE, ATTENDED FROM/TO CERTIFICATES OR GRADE OBTAINED
PLACE & COUNTRY DIPLOMAS
Month/Year Month/Year
Please give complete OBTAINED
address

19. LIST PROFESSIONAL SOCIETY AND ACTIVITIES IN CIVIC OR PUBLIC AFFAIRS.

20. LIST ANY SIGNIFICANT PUBLICATION YOU HAVE WRITTEN (DO NOT ATTACH)

21. EMPLOYMENT RECORD

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CR/JA/01
Starting with your present post, list in REVERSE ORDER every employment you have had. If you need
more space, attach additional pages of the same size.

A. PRESENT POST ( LAST POST, IF NOT PRESENTLY EMPLOYED


FROM TO GROSS SALARY EXACT TITLE OF YOUR POST
Month/Year Month/Year (before tax)

Name of your employer Type of business


Address of your Number and kind of
employer employees supervised
by you
Phone number of your Reason for leaving
employer

DESCRIPTION OF YOUR DUTIES

B. PREVIOUS POSTS
FROM TO GROSS SALARY EXACT TITLE OF YOUR POST
Month/Year Month/Year (before tax)

Name of your Type of business


employer
Address of your Number and kind of
employer employees supervised
by you.
Phone number of Reason for leaving
your employer
DESCRIPTION OF YOUR DUTIES

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CR/JA/01

FROM TO GROSS SALARY EXACT TITLE OF YOUR POST


Month/Year Month/Year (before tax)

Name of your Type of business


employer
Address of your Number and kind of
employer employees supervised
by you
Phone number of your Reason for leaving
employer
DESCRIPTION OF YOUR DUTIES

FROM TO GROSS SALARY EXACT TITLE OF YOUR POST


Month/Year Month/Year (before tax)

Name of your Type of business


employer
Address of your Number and kind of
employer employees supervised
by you
Phone number of Reason for leaving
your employer
DESCRIPTION OF YOUR DUTIES

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CR/JA/01

22. HAVE YOU ANY OBJECTIONS TO OUR MAKING ENQUIRIES TO YOUR PRESENT EMPLOYER IF TAKEN
FOR THIS POSITION? YES NO

23. REFERENCES.

List THREE persons not related to you, who are familiar with your character, qualifications and work.
Full Name Email address Mobile Number Business or Occupation

24. OTHER INFORMATION

State any other relevant facts which are applicable for this position

List your hobbies and interests outside work


If you are not a Kenyan citizen, do you have a YES NO
valid work permit Work permit class:
Expiry Date:
Do you hold a valid Kenya driving license? YES NO
Have you ever been arrested, indicted, or YES NO
summoned into court as a defendant in a If yes, give full particulars of each case in an attached
criminal proceeding, or convicted, fined or statement.
imprisoned for the violation of any law
(excluding minor traffic violations?)

25. I certify that the statements made by me in answer 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

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CR/JA/01
misrepresentation or material omission made on this form or other document requested by The CRADLE
render a staff member liable to termination or dismissal.

Date (Day/Month/Year):

Signature:

If called for interview, you will be requested to supply documentary evidence which supports the
statements you have made above. Do not however send any documentary evidence until you have been
asked to do so by The CRADLE.

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