GOVERNMENT OF THE VIRGIN ISLANDS
Application for Employment
Return to: The Director, Department of Human Resources, Central Administration Building, Wickhams Cay I, Road Town,
Tortola, British Virgin Islands VG1110. Telephone (284) 468-2178 Fax (284) 468-3191
PERSONAL INFORMATION DATE:
_______________________
Mr Ms Mrs Dr Other_____________________
SURNAME__________________________ FIRST______________________ MIDDLE________________
COUNTRY OF BIRTH_________________________ IMMIGRATION STATUS BVI Islander Other
EMPLOYMENT STATUS
Employed Unemployed Student Self-employed
Occupation ______________________________________________________________________________
JOB/POSITION APPLYING FOR
1st Preference ________________________________________________ Ref No. (If Known) ____________
2nd Preference _______________________________________________ Ref No. (If Known) ____________
How did you hear about this position?
Newspaper___________________________ HR Website HR Television Channel Walk-in
HR Quest Job Fair Family/Friend Job Site________________________ Other
□ Family/Friend □ Job Site □ Other
EDUCATIONAL BACKGROUND
Qualification _______________________
Institution ____________________________________________ Location ___________________________
Enrollment Date ____________________________ Completion Date ________________________________
Qualification _______________________
Institution ____________________________________________ Location ___________________________
Enrollment Date ____________________________ Completion Date ________________________________
Qualification _______________________
Institution ____________________________________________ Location ___________________________
Enrollment Date ____________________________ Completion Date ________________________________
Qualification _______________________
Institution ____________________________________________ Location ___________________________
Enrollment Date ____________________________ Completion Date ________________________________
OTHER SPECIAL SKILLS/QUALIFICATIONS
Typing, wpm ________ Court Reporting
Computer MS Office Suite Lotus AutoCAD GIS DTP
Accounting Software_________________________________________________________
Other Software _____________________________________________________________
Other Skills ____________________________________________________________________________
EMPLOYMENT AND EXPERIENCE
NAME OF COMPANY/ORGANISATION_____________________________________________________
Location _______________________________________ Your Position _____________________________
Hire Date __________________ Termination Date __________________ Salary _________ per _________
Reason for Leaving _______________________________________________________________________
NAME OF COMPANY/ORGANISATION ____________________________________________________
Location _______________________________________ Your Position _____________________________
Hire Date __________________ Termination Date __________________ Salary _________ per _________
Reason for Leaving _______________________________________________________________________
NAME OF COMPANY/ORGANISATION_____________________________________________________
Location _______________________________________ Your Position _____________________________
Hire Date __________________ Termination Date __________________ Salary _________ per _________
Reason for Leaving _______________________________________________________________________
PERSONAL REFERENCES
Name _________________________________________ Relationship/Occupation _________________
Address _______________________________________ Period of Time Known ______Yrs _____Mths
Name _________________________________________ Relationship/Occupation _________________
Address _______________________________________ Period of Time Known ______Yrs _____Mths
Checklist & Notes for Completion
Birth Certificate: Clean, readable copy and/or copy of passport (particulars page)
DO NOT SEND ORIGINALS (Certificates/Passport/Cards must be copied)
Immigration Status: If other than BVIslander attach clean, readable copy of Belonger Card, Naturalization
Certificate or BVI Passport (particulars page) as applicable
Education: Clean, readable copy of certificate(s)
Note – Academic qualifications will be verified before final appointment
Other tests (computer/typing etc) maybe required at interview
Personal References: – Known to you in private/business life, and one must be able to attest to your
Character; the other work related. NO RELATIVES. References will be contacted.
Testimonials: – Two (2) written letters from other references covering your education & career progress
Résumé No Yes Attach printed copy or send in MS Word format via Email:
[email protected]CONTACT INFORMATION
ADDRESS _______________________________________________________________________________
PHONE Home _______________________ Work _____________________ Cell ______________________
EMAIL _____________________________________ WEBSITE __________________________________
__________________________________________________________________
Signature of Applicant
BVI Gov Employment Application Revised November 2006