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HR FO 018 001 Information Sheet

This document is an applicant information sheet for a position at National University. It collects personal details such as name, address, contact information, education history, employment history, skills and references. It also asks applicants a series of questions regarding current employment, pending legal cases, prior convictions, forced resignations and community affiliations. By signing, the applicant certifies the information is true and correct and understands a background check will be performed.

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Ann SC
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41 views2 pages

HR FO 018 001 Information Sheet

This document is an applicant information sheet for a position at National University. It collects personal details such as name, address, contact information, education history, employment history, skills and references. It also asks applicants a series of questions regarding current employment, pending legal cases, prior convictions, forced resignations and community affiliations. By signing, the applicant certifies the information is true and correct and understands a background check will be performed.

Uploaded by

Ann SC
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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NATIONAL UNIVERSITY HR-FO-018 (001)

022
Rev. August 18, (001
2015
HUMAN RESOURCES DEPARTMENT
APPLICANT'S INFORMATION SHEET
PERSONAL INFORMATION DATE OF APPLICATION: 2’ x 2’

COLORED PHOTO
Position Desired: 1 2 3
Expected Salary:

Department How did you learn about the job opening?

Status: Person to notify in case of emergency:


Part time Full time Address & Telephone No. :


LAST NAME FIRST NAME MIDDLE NAME NICKNAME

PRESENT ADDRESS: CELLULAR PHONE NO.: PHONE NO.:

PROVINCIAL ADDRESS: CELLULAR PHONE NO.: EMAIL ADDRESS:

BIRTH PLACE BIRTHDATE AGE SEX WEIGHT HEIGHT

CIVIL STATUS CITIZENSHIP RELIGION HEALTH CARD NO.:

SSS NO.: TIN: PHIL. HEALTH NO.: PAG-IBIG NO.:

NAME OF MOTHER OCCUPATION BIRTHDATE PHONE NUMBER:

NAME OF FATHER OCCUPATION BIRTHDATE PHONE NUMBER:

NAME OF SPOUSE OCCUPATION BIRTHDATE PHONE NUMBER:

NAME OF CHILDREN: BIRTHDATE NO. OF DEPENDENTS

Do you have relatives employed in National University up to the 3rd degree DEGREE OF RELATION POSITION / DEPARTMENT
[

of consanguinity / affinity? If yes, please indicate.

EDUCATIONAL INFORMATION
SCHOOL DEGREE (units) EARNED INCLUSIVE DATE AWARDS/ HONORS
POST GRADUATE From To

GRADUATE From To

COLLEGE From To

HIGH SCHOOL From To

GRADE SCHOOL From To

TECH. VOCATIONAL From To

EDUCATION UNITS: From To

PROFESSIONAL LICENSE: Registration No. Rating Reg. Date Date Valid

SPECIAL SKILLS:

EMPLOYMENT HISTORY (Start with most recent employment)


NAME & ADDRESS OF COMPANY POSITION & SALARY INCLUSIVE DATE REASON FOR LEAVING
From To

From To

From To

From To

Page 1/2
SEMINARS AND TRAININGS ATTENDED (most recent major attendance)
COURSE TITLE TRAINING INSTITUTION VENUE NO. of HOURS INCLUSIVE DATES

For Applicants to Teaching Position


COURSES TAUGHT SCHOOL FROM TO: SALARY

Teaching Availability
MORNING AFTERNOON EVENING
DAYS
From To From To From To

SKETCH MAP OF RESIDENCE

CHARACTER REFERENCES (up to the 3rd degree of consanguinity / affinity)


NAME OCCUPATION ADDRESS LANDLINE / EMAIL ADDRESS

Recommended by:
NAME OCCUPATION ADDRESS LANDLINE / EMAIL ADDRESS

PLEASE ANSWER THE FOLLOWING QUESTIONS:

1. Are you currently employed in any school/ company? Yes  No If yes, Part time  Full
time

2. Do you have any pending Administrative Case Yes  No


or Criminal Case Yes No
If you have any, give details: ___________________________________________________________

3. Have you been convicted of any crime or violation of any law, decree, or regulation by any court or tribunal? Yes No

4. Have you ever been retired, forced to resign or dropped from employment in the public or private sector? Yes No
If yes, state the reason ______________________________________________

5. Are you affiliated with any community association, union or fraternity? Please specify the organization. _________________
________________________________________________________________________________________________

I certify that the foregoing information is true and correct and I understand and agree that a background investigation will be
conducted relative to my application. Any false information stated herein shall be dealt with accordingly.

________________________ __________________
Signature over Printed Name Date

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