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Job Application

Position

id

date time

Position Applying For:

Date Available:

Personal Details

Full Name:

Address:

Email:

Phone:

Date of Birth (DD-MM-YYYY):

Are you Bermudian:

Yes

No

Are you married to a Bermudian:

Yes

No

Are you willing to work:

Sundays?

Yes

No

Overtime?

Yes

No

Saturdays?

Yes

No

Weekends?

Yes

No

Evenings?

Yes

No

Shifts?

Yes

No

Public Holidays?

Yes

No

Health

Your present health is:

Will you be able to perform the essential job functions for the position you are applying?:

Education

Please give names, address and list any qualifications

id

parent_id

School:

Address:

Certificates/Diplomas/Degrees Earned:

Dates Attended:

School:

Address:

Certificates/Diplomas/Degrees Earned:

Dates Attended:

Other special knowledge, skills:

Employment

List all employment for the past 15 years, starting with your most recent position.

Dates From-To:

Employer/Address:

Position:

Reason for Leaving:

Ending Monthly Salary:

Dates From-To:

Employer/Address:

Position:

Reason for Leaving:

Ending Monthly Salary:

Dates From-To:

Employer/Address:

Position:

Reason for Leaving:

Ending Monthly Salary:

Dates From-To:

Employer/Address:

Position:

Reason for Leaving:

Ending Monthly Salary:

Dates From-To:

Employer/Address:

Position:

Reason for Leaving:

Ending Monthly Salary:

Dates From-To:

Employer/Address:

Position:

Reason for Leaving:

Ending Monthly Salary:

References

Please provide details of at least two references, other than your present employer and relatives.

Name:

Address:

Name:

Address:

Police Record

Have you ever been convicted in a Court of Law?:

Yes

No

Have you ever been incarcerated?:

Yes

No

Please Explain:

Declaration

Anything submitted on this form is subject to verification through reference checking.
Present employer will be contacted only with applicants permission.
I understand that falsification of any information could prejudice my application of employment or, if warranted, be grounds for dismissal.
I authorise that a police report may be requested.
I certify that, to the best of my knowledge, the information contained in this application is true and factual.

I agree to the above statments:

Yes

No

Resumes may be forwarded directly to our human resource department at [email protected].