Application Form 2023 v4 PDF
Application Form 2023 v4 PDF
DATE OF APPLICATION: ______________________ DATE & TIME AVAILABLE FOR INT: ___________
Photo
POSITION DESIRED: 1st choice: ___________________ 2nd Choice: _______________________________
DATE AVAILABLE FOR WORK: __________________________________
OTHER COMPANIES YOU HAVE APPLIED TO: ________________________________________________
PERSONAL BACKGROUND
NAME:
Gonzales Genevieve Dela Cruz Gen
(LAST) (FIRST) (MIDDLE) (NICKNAME)
HOME ADDRESS:
PHONE NO.
( ) Own House ( ) Rented ( ) With Relatives ( ) Boarding House ( ) Others Length of Stay: ___ yrs
MOBILE PHONE NO. E-MAIL ADD BIRTHDATE: month/day/ AGE CIVIL STATUS
+63917-506-0649 genevieve.gonzales@student year 12/31/1993
.ateneo.edu
GENDER RELIGION HEIGHT WEIGHT DRIVER’S LICENSE
HOLDER?
FAMILY BACKGROUND
Does your family own business? ________ If yes, state the nature of the business: ___________________
RELATIVES IN COMPANY
EDUCATIONAL BACKGROUND
VOCATIONAL/
TECHNICAL
Government examination taken: Bar __________ Board _________ Civil Service ____________
Are you presently enrolled in any school? _____________ If so, which school? _____________________________
What course? ____________________________ Time schedule: _______________________________________
EMPLOYMENT
COMPANY NAME TELEPHONE NUMBER
__________________________________________________ _________________________
ADDRESS EMPLOYMENT PERIOD (FROM – TO)
__________________________________________________ _________________________
POSITION TITLE
__________________________________________________ _________________________
NAME AND POSITION OF IMMEDIATE SUPERIOR REASON FOR LEAVING
__________________________________________________ _________________________
Being a retail company, are you willing to comply with our NO LEAVE POLICY from Dec 1 to 25?____________
WORK BACKGROUND
Who referred you? __________________________
REFERENCES
Give two (2) references who know you well, who are not your relatives.
Essay
Aside from the experiences and the skills that matches the job qualifications, when you hire
me, I am all in. I would not give you the bare minimum. I take initiative and I can perform work
beyond my scope if the situation calls for it. I am cooperative and adaptable. I value integrity. I
am choosing your company because I consider market stability and your company's image
which creates vision of getting more from simplicity and elegance. I also got attracted to your
mission of saving people time for the things that matter. I am looking for a long term job that
aligns with my values.
OTHERS
NO
HAVE YOU EVER BEEN CONVICTED OF A CRIME? IF YES, DESCRIBE IN FULL. ______________________________________________________
HAVE YOU EVER BEEN DISMISSED FROM EMPLOYMENT, FORCED TO RESIGN, OR OTHERWISE DISCIPLINED AS A RESULT OF ANY
ADMINISTRATIVE CASE? IF YES, DESCRIBE IN FULL. __NO __________________________________________________________________
HAVE YOU EVER HAD PHYSICAL DEFECTS, OR ANY MAJOR ILLNESS, WHICH PREVENTS YOU FROM PERFORMING CERTAIN JOBS?
IF YES, DESCRIBE IN FULL. __
NO ____________________________________________________
DO YOU SMOKE? _ NO _______ IF YES, SINCE WHEN AND HOW MANY STICKS/DAY? ___ _ ____________________________________________
I hereby authorize the Company to thoroughly investigate my background, references, employment record, and other matters related to my suitability for
employment. I authorize persons, schools, my current employer (if applicable), and previous employers and organizations contacted by the Company.
to provide any relevant information regarding my current and/or previous employment and I release all persons, schools, employers of any and all claims
for providing such information. I understand that misrepresentation or omission of facts may result in rejection of this application, or if hired, discipline up
to and including dismissal. I understand that I may be required to sign a confidentiality and/or non-complete agreement, should I become an employee
of the Company I understand that nothing contained in this application, or conveyed during any interview which may be granted, is intended to create an
employment contract. I understand that filling out this form does not indicate that there is a position open and does not obligate the Company to hire
me.
GENEVIEVE GONZALES
____________________________________ FEBRUARY 18, 2024
______________________
SIGNATURE OVER PRINTED NAME DATE
ANNEX B
(SALARY DETAILS)
PHP 60,000
SALARY FROM PREVIOUS / CURRENT EMPLOYERS: _________________________
I hereby authorize Republic Apparel Retailers, Inc. to thoroughly investigate my background, references, employment record, and other
matters related to my suitability for employment. I authorize persons, schools, my current employer (if applicable), and previous employers and
organizations contacted by Republic Apparel Retailers, Inc. to provide any relevant information regarding my current and/or previous employment and
I release all persons, schools, employers of any and all claims for providing such information. I understand that misrepresentation or omission of facts
may result in rejection of this application, or if hired, discipline up to and including dismissal. I understand that I may be required to sign a confidentiality
and/or non-complete agreement, should I become an employee of Republic Apparel Retailers, Inc. I understand that nothing contained in this
application, or conveyed during any interview which may be granted, is intended to create an employment contract. I understand that filling out this form
does not indicate that there is a position open and does not obligate Republic Apparel Retailers, Inc. to hire me.
____________________________________ ______________________
SIGNATURE OVER PRINTED NAME DATE