FULBRIGHT GROUP EMPLOYMENT AGENCY

FULBRIGHT GROUP EMPLOYMENT AGENCY
Applicant Information Sheet:
Full Name

First NameMiddle NameLast Name
Birth Date

DayMonthYear
Current Date

DayMonthYear
Age
Nationality
Gender
Marital Status
Education
Religion
Height
in centimeters(CM)
Weight
in kilograms(KG)
In the Family No.
Brothers / Sisters
separate the number of brothers and sisters with "/"
Son / Age
number of sons and their age/s
Daughter / Age
number of daughters and their age/s
Address
Phone Number

Country CodePhone Number
E-mail
example@example.com
Language Skills:
Mandarin
Cantonese
English
Remarks:
Availability
Example: Anytime or Specific Date of Availability
Current Location
Example: Hong Kong, Philippines, Macau, Middle East, etc.
Accept Share Room
Accept Share job with other Helper
Preferred Work Holiday
Other Information
Example: Name of Referrer, Vaccinations, Existing Loans, etc.
Other countries that you would like to work in?
Previous Duties 1:

Must be the latest work experience
Country
Salary ($) - Indicate the correct currency based on the country you worked at.
Start Date

DayMonthYear
End Date

DayMonthYear
Date
No. of persons to serve
Reason for Leaving?
Care of Babies
indicate the number of babies and their month old separated by a "/"
Care of Toddlers
indicate the number of toddlers and their years old separated by a "/"
Care of Children
indicate the number of children and their years old separated by a "/"
Care of Elderly
indicate the number of elderly and their years old separated by a "/"
Care of Disabled
indicate the number of disable and their years old separated by a "/"
Care of Bedridden
Care of Pets
Household Works
Car Washing
Gardening
Cooking
Driving
Previous Duties 2:

Work experience before the latest work experience
Country
Salary ($)- Indicate the correct currency based on the country you worked at.
Start Date

DayMonthYear
Date
End Date

DayMonthYear
Date
No. of persons to serve
Reason for Leaving?
Care of Babies
indicate the number of babies and their month old separated by a "/"
Care of Toddlers
indicate the number of toddlers and their years old separated by a "/"
Care of Children
indicate the number of children and their years old separated by a "/"
Care of Elderly
indicate the number of elderly and their years old separated by a "/"
Care of Disabled
indicate the number of disable and their years old separated by a "/"
Care of Bedridden
Care of Pets
Household Works
Car Washing
Gardening
Cooking
Driving
Previous Duties 3:

Other work experiences whose timeline is before the two latest work experiences
Country
Salary ($)- Indicate the correct currency based on the country you worked at.
Start Date

DayMonthYear
Date
End Date

DayMonthYear
Date
No. of persons to serve
Reason for Leaving?
Care of Babies
indicate the number of babies and their month old separated by a "/"
Care of Toddlers
indicate the number of toddlers and their years old separated by a "/"
Care of Children
indicate the number of children and their years old separated by a "/"
Care of Elderly
indicate the number of elderly and their years old separated by a "/"
Care of Disabled
indicate the number of disable and their years old separated by a "/"
Care of Bedridden
Care of Pets
Household Works
Car Washing
Gardening
Cooking
Driving
Other Questions:

Rows	Yes	No
Can you cook Chinese Foods?
Do you eat Pork?
Are you afraid of dogs?
Are you afraid of cats?
Do you smoke?
Do you drink alcohol?
Will you accept the job if employer's house has CCTV?

Have you any prolonged illnesses/undergone surgery?
If Yes
state the reason/cause of the illness/surgery
Photo:
Most Recent Photograph (Example Photo is shown below. Make sure that you're wearing a plain shirt or dress with a plain background)

Cancelof
Send Application:
By clicking the submit button below, I certify that all of the information provided by me on this application form is true and complete, and I understand that if any false information, omissions', or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.

In consideration, I also understand and agree that the terms and conditions of me seeking employment may be changed, with or without cause, and with or without notice, at any time by the agency.
Date

MonthDayYear
Date
Conforme
Should be Empty:

FULBRIGHT GROUP EMPLOYMENT AGENCY

Applicant Information Sheet:

Language Skills:

Remarks:

Previous Duties 1:

Previous Duties 2:

Previous Duties 3:

Other Questions:

Photo:

Send Application: