LIGHT OF HOPE CHRISTIAN ACADEMY IN PHILIPPINES INC.
Blk. 14 Lot 61 Phase 1K, Kasiglahan Village ,
San Jose, Rodriguez, Rizal Please attach
#09664912887 recent ID Picture
3.5cm X4.5cm
APPLICATION FOR EMPLOYMENT
(Passport size)
Source: ( ) Website ( ) Walk-in ( )Job Fair ( )Referral: ____________________
Position Applied for:
1st 2nd Salary Desired:
Choice Choice ____________________________
_______________________________________________________________________________ ________________
(Surname) (First Name) (Middle Name) Nickname
Present Address: ________________________________________________________________________ __________________
(No.) (Street) (Village/Town) (City) (Postal Code)
Provincial Address:_______________________________________________________________________ __________________
(No.) (Street) (Village/Town) (City) (Postal Code)
Contact Number: _________________________ ___________________________ _________________________________________________
(Telephone Number) (Cellphone Number) (E-mail Address
Age:__________ Birthdate: ________________ Birthplace: _____________________Sex: ________ Height: ______ Weight: ________
(mm/dd/yyyy)
SSS No.: __________________________ Pag-Ibig No.: _______________________ TIN No.: _________________________
GSIS No.:__________________________ Philhealth No.: _______________________ Religion: _________________________
Civil Status: ( ) Single ( ) Married ( ) Annulled ( ) Separated ( ) Widowed
Pls. Check One ( ) Staying at own house ( ) Renting ( ) Staying with Relatives
Langauge / Dialects Spoken: __________________________________________________________________________________
Interests / Hobbies: __________________________________________________________________________________
Other Special Skills/Can Operate or use (machines/eqpt.software) _____________________________________________________
Other special qualifications, books published, article written: _____________________________________________________
EDUCATIONAL BACKGROUND
(Name & Address of School Attended) Course/Degree/Major (Inclusive Date of Attendance) Honors/Distinction Received
Elementary: _________________________________ _______________ ____________________ __________________
Secondary: _________________________________ _______________ ____________________ __________________
Vocational: _________________________________ _______________ ____________________ __________________
College: _________________________________ _______________ ____________________ __________________
Postgraduated: _________________________________ _______________ ____________________ __________________
Study/Scholarship Grant: __________________________ _______________ ____________________ __________________
EMPLOYMENT HISTORY
(Starts with your present or latest Job)
A.Company: ________________________________________________ Nature of Business: _______________________________
Address /Tel. # ______________________________________________ Immediate Superior _______________________________
Employment Date: From ______________________________________ To ________________________________________
Position at Start ____________________________________________ Position at Leaving: _______________________________
Status of Appointment ________________________________________ Leaving Salary ___________________________________
Job Description __________________________________________________________________________________________________
B.Company: ________________________________________________ Nature of Business: _______________________________
Address /Tel. # ______________________________________________ Immediate Superior _______________________________
Employment Date: From ______________________________________ To ________________________________________
Position at Start ____________________________________________ Position at Leaving: _______________________________
Status of Appointment ________________________________________ Leaving Salary ___________________________________
Job Description __________________________________________________________________________________________________
A.Company: ________________________________________________ Nature of Business: _______________________________
Address /Tel. # ______________________________________________ Immediate Superior _______________________________
Employment Date: From ______________________________________ To ________________________________________
Position at Start ____________________________________________ Position at Leaving: _______________________________
Status of Appointment ________________________________________ Leaving Salary ___________________________________
Job Description __________________________________________________________________________________________________
APPLICATION FORM P.2
TRAINING AND SEMINAR
Training and Seminar Attended Inclusive Period No. of Training Hours Conducted by
___________________________________ ______________ ____________________ __________________
___________________________________ ______________ ____________________ __________________
___________________________________ ______________ ____________________ __________________
___________________________________ ______________ ____________________ __________________
___________________________________ ______________ ____________________ __________________
CIVIL SERVICE ELEGIBILITY (INCLUDING BAR OR BOARD EXAMINATION
Examination Place Date Rating
________________________________ ________________________ ________________ ________________________
________________________________ ________________________ ________________ ________________________
________________________________ ________________________ ________________ ________________________
________________________________ ________________________ ________________ ________________________
FAMILY DATA
(Parents, Spouse,Children, Brothers and Sisters) Please an “+” in the “age” column if family member is decrease.
FULL NAME BIRTHDATE AGE RELATION PROFESSION/ WHERE EMPLOYED
(mm/dd/yyyy) ACCUPATION
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
MEDICAL HISTORY
Birth Mark _________________________ Allergies _________________________ Physical Defect/Major Surgery/Illness _____________
Blood Type: ________________________ Do you wear glasses/contact lenses? Yes No Grade ____________________
CHARACTER REFERENCES
Give atleast three (3)
Name Position Company/Address Contact Number
____________________________ _____________________________ ___________________________
__________________
____________________________ _____________________________ ___________________________
__________________
____________________________ _____________________________ ___________________________ __________________
Please List down all relatives any attached agency
Name of Relative(s) Relation Company Occupation/Position
___________________________ ______________________________ ____________________________ __________________
___________________________ ______________________________ ____________________________ __________________
___________________________ ______________________________ ____________________________ __________________
Have you ever been accused of indicted/tried for the violation of any law, ordinance or regulations before any court or tribunal, or have you
ever been accused/changed, or tried for any breach of infraction of military, naval or constabulary discipline in an administrative action?
Yes No (If yes, give the date and state the nature of offence and penalty)
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
Have you ever been previously retired or were you given separation pay?
Yes No (If yes, please indicate amount ____________________________)
In case of emergency, who should we notify? Name _______________________________________ Relation __________________
ALL INFORMATION
Address: I HAVE SUPPLIED IN THIS APPLICATION ARE TO THE BEST OF MY KNOWLEDGE,
___________________________________________________________________________ TRUE
Phone AND CORRECT. I
No.:_________________
UNDERSTAND THAT THIS AUTHORIZES LIGHT OF HOPE CHRISTIAN ACADEMY IN PHILIPPINES INC. TO CONDUCT
BACKGROUND CHECK/VERIFICATION RELATIVE TO THIS APPLICATION. I UNDERSTAND FURTHER THAT ANY DELIBERATELY
UNTRUE INFORMATION OR FALSE STATEMENT GIVEN HERE WILL BE SUFFICIENT CAUSE OF DISQUALIFICATION AND CAN
BECOME A BASIS FOR MY DISMISSAL.
(IF AND WHEN HIRED)
___________________________________________ ________________________________________
Printed Name and Signature Date
