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Policies and Guidelines for LCWP |
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(ADMINISTRATIVE) POLICIES AND GUIDELINES FOR LAY CHURCH WORKERS AND PERSONNEL IN THE DIOCESE OF MARBEL
Appendix E: Sample Employment Application Form
PARISH OF SAINT ANTHONY
APPLICATION FOR EMPLOYMENT
Date_______________
Name SS No. .. Last name First name Middle name
Present address ..Tel. No Permanent address .Citizenship .. Place of birth .Date of birth .Age . Status: ( ) Single ( ) Married ( ) Widowed Religion ...... ( )Separated ( ) Remarried Who referred you to this Parish?........................................................................................... Have you ever applied with this Parish before? ( ) Yes ( ) No State date State name of relatives presently work in this parish, if any . When can you start if employed?................................Minimum salary expected P .
EDUCATIONAL BACKGROUND:
High School: (circle) 1 2 3 4 Name of School .. Graduate? ( )Yes ( ) No Date and Reason for Leaving College: (circle) 1 2 3 4 5 Name of School .. Graduate? ( ) Yes Degree ..( ) No Date and Reason for Leaving Major Minor ................... Other Schools Attended:
Name of School: Year Attended : Course: . . Reasons for choice of field of study .. Reasons for choice of school . . Scholastic Standing: High School ( ) Top 25% ( ) Top 50% ( ) To 75% College ( ) Top 25% ( ) Top 50% ( ) To 75% Honors Won: High School .College .. Scholarships ... Did you earn any portion of your expenses? ( ) Yeas ( ) No What %?..................... Extra Curricular Activities: High School College Activities Position Held Activities Position Held .. .. .. .. Government Exams Taken .. Rating .
EMPLOYMENT BACKGROUND: (List down the last three Companies you have been employed starting with the latest and working back to the earliest. Omit military experience)
Present or Last Position From .To Name of Company ..Address . Nature of work at start .Position .Salary P .. Nature of work at leaving Position ..Salary P .. Immediate Superior .Title ... Did you supervise others? ( ) Yes ( ) No Title ... What did you like specially about the job?............................................................................ What did you dislike about the job?...................................................................................... Reason for leaving .
Next to Last Position From ..To . Name of Company ..Address . Nature of work at start .Position .Salary P .. Nature of work at leaving Position ..Salary P .. Immediate Superior .Title ... Did you supervise others? ( ) Yes ( ) No Title ... What did you like specially about the job?............................................................................ What did you dislike about the job?...................................................................................... Reason for leaving .
Second from Last Position From To .. Name of Company ..Address . Nature of work at start .Position .Salary P .. Nature of work at leaving Position ..Salary P .. Immediate Superior .Title ... Did you supervise others? ( ) Yes ( ) No Title ... What did you like specially about the job?............................................................................ What did you dislike about the job?...................................................................................... Reason for leaving .
Do you have any part-time job? ( ) Yes ( ) No Describe . Which of your job did you like best?..................................................................................... Why?...................................................................................................................................... In all the work you have done, in what have you been most successful?..............................
What type of work do you enjoy most doing?....................................................................... What type of work would you like to try if given the chance?.............................................. How many weeks have you been unemployed for the last five years?................................. How did you spend the time?................................................................................................ How did you support yourself?.............................................................................................
FAMILY BACKGROUND
Name of Father Occupation Name of Mother .Occupation . Are your parents married? ( ) Yes ( ) No Who brought you up?............................................................................................................ Did you help your family financially when you were growing up? ( ) Yes ( ) No How?...................................................................................................................................... Number of brothers ..Ages .Number of sisters .Ages ... Occupation of brothers and sisters .
DOMESTIC AND SOCIAL BACKGROUND
Name of Husband/Wife . Address .. Is your husband/wife presently employed ( ) Yes ( ) No Name of Company .. Number of children and ages: Boys ..Girls . Other dependents ... Do you: ( ) Own your home? ( ) Rent? ( ) Live with parents ( ) With relatives? What are your interests, hobbies, amusements, leisure activities, etc ...
How much do you estimate it costs you it live per month?................................................... Do you have any income other than your salary?.........Amount Source . Must you contribute to the support of your parents, relatives or others? ( ) Yes ( ) No How much?......................................Since when?.................................................................. Have you any debts past due ( ) Yes ( ) No Amount ..Source Are you carrying a mortgage?.............What kind?.................................Balance .. Do you carry an insurance?.........What kind?............Amount ..Premium ..
MEMBERSHIP: (List down the social and/or professional organization to which you belong)
REFERENCES: ( List down names of three references other than relatives, politicians or past employers)
PHYSICAL RECORD
Date of the physical examination ..Purpose Result . Height .Weight .Do you suffer from defect in hearing?...........Sight?................. Have you even been seriously ill?..........Date .Nature illness . Any history of (check: __T.B. __Alcoholism __Heart Ailment __Diabetes __Asthma __Sinus __Allergies __Ulcers? How much time (in days) have you lost because of illness during the past years?.............. Have you undergone surgical treatment Date ..Nature How is your spouses health?........................Children/familys health?...............................
SPECIAL SKILLS: (List down specific skills and qualifications) ...............................................................................................................
OTHER DATA
Have you ever been arrested?...........State date .Place Offense charged?.......................................................Convicted?..........Acquitted?...............
ADDITIONAL INFORMATION: (State other data which you think might help bring to light your other capacities and interests)
APPLICANTS STATEMENT (Please read carefully)
I hereby authorize the Parish to investigate all references contained in this application. I understand that misrepresentation and misinformation of facts called for on this application will be sufficient ground for dismissal.
Applicants Signature: ... Please do not write below .. . Date filed: ..Action taken ... .. Remarks
Interviewer .. Date of Interview .....................
REFERENCES:
1.
Abasalo, Pacita Arguelles. Personnel Management: The Efficient
Management of Employees. Manila: GIC Enterprises and Co. Inc., 1991 ENDNOTES
[1]
St. Anthony Parish Personnel Draft Manual
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