Employee Application Form
Applying for the Post Of
*
Last Name
*
First Name
*
Address - Line 1
*
Address - Line 2
Parish
Please Select
Christ Church
Saint Andrew
Saint George
Saint James
Saint John
Saint Joseph
Saint Lucy
Saint Michael
Saint Peter
Saint Philip
Saint Thomas
Telephone No. (Work)
Please enter a valid phone number.
Format: (000) 000-0000.
Telephone No. (Home)
Please enter a valid phone number.
Format: (000) 000-0000.
Telephone No. (Cell)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age
*
Country Of Birth
*
Nationality
*
Marital Status
Please Select
Single
Married
Seperated
Divorced
Widowed
N.I.S. No.
I.D. No.
Next of Kin
Please Select
Mother
Father
Sister
Brother
Uncle
Aunt
Wife
Husband
Other
Emergency Contact Numbers
*
Can you lift 50lbs repeatedly without injury?
*
Please Select
Yes
No
Do you have any tattoos?
*
Please Select
Yes
No
Do you suffer from any ailment or allergies?
*
Please Select
Yes
No
Medical Conditions (check all that apply)
Diabetes
Hypertension
Asthma
Back Injuries
Foot Ailments
Skin Conditions
Allergies
Heart Problems
Mental Ailments
Other
Other Medical Conditions (describe)
Employment / Business History
Education History
What are your hobbies & interests?
Have you ever been charged, arrested or convicted?
Have you ever been accused of a dishonest act? (If yes, give details)
Have you ever been dismissed or asked to resign from previous employment? (If yes, give details)
What compensation do you expect to earn?
Are you prepared to work shift?
Please Select
Yes
No
Are you available to work on Sundays?
Please Select
Yes
No
Have you been employed or contracted by this company previously?
Please Select
Yes
No
If so, when and where?
Do you have any relatives or friends within this company?
Please Select
Yes
No
If yes, list name(s)
Do you have a valid driving license?
Please Select
Yes
No
Type of License (check all that apply)
Automatic
Light Goods
Heavy Goods
Are you willing to drive for the Company?
Please Select
Yes
No
Do you have any children?
Please Select
Yes
No
If yes, how many children?
Please describe your personality briefly
What are your long-term goals in life?
What does the word “service” mean to you?
References
Applicant Declaration (Please read and acknowledge)
*
ResumeCV
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Remarks / Comments
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