Scribd
Upload
5 views6 pages

Application Form & Interview Form

The document is an Employee Application Form for Archipelago International, requiring personal data, employment history, education, references, and health information from applicants. It includes sections for general and technical assessments during the interview process, as well as a declaration of truthfulness by the applicant. Additionally, it outlines the approval process for the hiring decision within the Human Resources Department.

Uploaded by

nuroktavia067
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
5 views6 pages

Application Form & Interview Form

The document is an Employee Application Form for Archipelago International, requiring personal data, employment history, education, references, and health information from applicants. It includes sections for general and technical assessments during the interview process, as well as a declaration of truthfulness by the applicant. Additionally, it outlines the approval process for the hiring decision within the Human Resources Department.

Uploaded by

nuroktavia067
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
You are on page 1/ 6

Employee Application Form

Recent Photo

The following information will help us assess your employment opportunity with Archipelago International
(hereinafter called the “Employer”). All portions of this application pertaining to you must be completed. We
appreciate the time you spend completing this application form.

Position applied : ____________________________________________


Salary Expectation : ____________________________________________
Notice Period : ____________________________________________

PERSONAL DATA

Full Name : Date of Birth :

Address :

City : Post Code :

Telephone :

Email :

Marital Status : Religion :

Height / Weight :

FORMAL EDUCATION

Year of
University/School Major Academic Degree
Graduation

HR/Application Form/001 Page 1


Employee Application Form
RECORD OF PREVIOUS EMPLOYMENTS
1. Company Name :
______________________________________________________
Industry : ______________________________________________________
Position : ______________________________________________________
Period : From ___________________ To __________________________
Supervisor’s Name : ______________________________________________________
Last salary : Rp ___________________________________________________
Reason for leaving : ______________________________________________________

2. Company Name :
______________________________________________________
Industry : ______________________________________________________
Position : ______________________________________________________
Period : From ___________________ To __________________________
Supervisor’s Name : ______________________________________________________
Last salary : Rp ___________________________________________________
Reason for leaving : ______________________________________________________

REFERENCES (Non – Relatives)


1. Name :_______________________ Mobile Number :______________________
Occupation :_______________________
Email Address : ____________________________________________________________

2. Name :_______________________ Mobile Number :______________________


Occupation :_______________________
Email Address : ____________________________________________________________

3. Name :_______________________ Mobile Number :______________________


Occupation :_______________________
Email Address : ____________________________________________________________

4. Name :_______________________ Mobile Number :______________________


Occupation :_______________________
Email Address : ____________________________________________________________

HR/Application Form/001 Page 2


Employee Application Form

GENERAL INFORMATION
Are you presently employed ? YES ❑ NO ❑

Can we contact your present employer for a reference ? YES ❑ NO ❑

Do you have any health limitations/illnesses? YES ❑ NO ❑ If yes, please fill out the table below.

HEALTH RECORDS
LIMITATION/ILLNESS HOSPITALIZATION REMARKS
YES NO

DECLARATION
I certify that all statements made on this application are true and complete to the best of my knowledge. I
understand that misrepresentation or omission when discovered, will subject me to discharge and I hereby
authorize any investigation relating to my work experience, education or reputation for the purpose of my
application for employment.

(……………………………..)
Applicant

HR/Application Form/001 Page 3


Interview Form
APPLICANT NAME:

POSITION APPLIED: DEPARTMENT:

INTERVIEW DATE: MEDIUM: ❑ONLINE ❑FACE-TO-FACE

1. GENERAL ASSESSMENT

GRADE : 1.Poor 2. Average 3. Good 4. Excellent

1st 2nd 3rd


Subject Comment Comment Comment
Interview Interview Interview

Appearance/
Grooming

Communication
Skills

Attention to
Detail

Problem
Solving Skills

Leadership
Skills

Attitude/
Behavior

2. ARCHIPELAGO VALUES ASSESSMENT

GRADE : 1.Poor 2. Average 3. Good 4. Excellent


1st 2nd 3rd
Subject Comment Comment Comment
Interview Interview Interview
Integrity
Honesty, truthfulness
and consistency of
one’s action
Enthusiasm
Enjoyment,
optimism/interest in
one’s work
Excellence
One’s quality of work
and the intention to
do better
Ownership
The state of owning
one’s action or work
Compassion
Kindness and
sympathy towards
others

HR/Interview Form/002 Page 1


Interview Form
3. TECHNICAL ASSESSMENT (as applicable for the applied position)

GRADE : 1.Poor 2. Average 3. Good 4. Excellent

Competency Grade Remarks

4. LANGUAGE PROFICIENCY

GRADE : 1.Poor 2. Average 3. Good 4. Excellent

Language Speaking Reading Writing


English

5. ADDITIONAL INFORMATION (use as applicable)

6. OVERALL CONCLUSION

Interviewer’s Name

Position

Interview Date

Overall Conclusion

HR/Interview Form/002 Page 2


Interview Form
For Human Resources Department Only

Notice Period : __________________________________


Basic Salary : __________________________________
Transportation Allowance : __________________________________
Housing Allowance : __________________________________
Mobile Allowance : __________________________________
Others : __________________________________

Approved by, Acknowledged by,

________________ ________________ ________________


(Department Head) (Human Resources) (General Manager)

HR/Interview Form/002 Page 3

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy