FADA MISSION MEDICAL CENTER
DOUALA -BONABERI CAMER0ON
Employment Application
MANAGER POSITION: AT LEAST 3 YEARS OF EXPERIENCE IN MANAGERAL POSITION/DEGREE IN ACCOUNTING, MANAGEMENT, HEALTHCARE MANAGEMENT OR EXPERIENCE AS A NURSE OR PHARMACIST. ABILITY TO USE MICROSOFT EXCEL WORD AND POWER POINT. UNDERSTAND AND SPEAK BOTH ENGLISH AND FRENCH. EVERY OTHER POSTION NEEDS AT LEAST 3YEARS OF EXPERIENCE.
Personal Information:
Full Name
*
First Name
Middle Name
Last Name
where do you live ?
Phone Number
*
E-mail
example@example.com
Birth Date
Please select a day
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Day
Please select a month
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February
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Month
Please select a year
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Year
Position Applying For
Please Select
Medical doctor
Nurse
Nurse Midwife
Nurse Aid
Manager-accountant
Medical laboratory Technician
Pharmacy Technician
Accounting Clerk
Security
Cleaner
Driver
Retail Clerk
Maintenance-electronics/Medical equipment
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YEARS OF EXPERIENCE FOR POSITION APPLIED FOR
NUMBER OF YEARS OF EXPERIENCE
Are you able to come to work at least 5days a week from Monday thru Friday?
Date You Can Start
-
Month
-
Day
Year
Date
Education:
University
Name of College/University Attended
Number of Years Attended
Area of Study/Degree
Graduated?
Yes
No
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Graduate School
Name of Graduate School Attended
Number of Years Attended
Area of Study/Degree
Graduated?
Yes
No
Number of Years Attended
Area of Study/Degree
Graduated?
Yes
No
Skills/Qualifications:
Skills
List any relevant skills
Current Employment:
Current Employer
Name of Current Employer or NONE if not Employed
Position
Reason for Leaving?
Start Date
-
Month
-
Day
Year
Date
May We Contact?
Yes
No
Phone Number
Previous Employment:
Previous Employer
Name of Previous Employer
Position
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
References:
Reference 1
Name of Reference
Relationship
Years Acquainted
Email
example@example.com
Phone Number
Reference 2
Name of Reference
Relationship
Years Acquainted
Phone Number
Email
example@example.com
Cover Letter & Resume (Optional):
Cover Letter
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Resume
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Send Application:
Date
-
Month
-
Day
Year
Date
Signature
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