HR Application Form

PLEASE READ AND SIGN THE STATEMENT BELOW

I UNDERSTAND THAT MY EMPLOYMENT IS CONDITIONED UPON MY SUCCESSFUL PASSING OF THE COMPANY'S INTERVIEW, QUALIFICATION, CRITERIA, MEDICAL TEST, ETC., AND ON SATISFYING REFERENCES FROM MY PAST EMPLOYERS, AND ON THE CONFIRMATION OF MY EMPLOYMENT WITH THE EMPLOYER AFTER THE NORMAL PROBATIONARY PERIOD.

I WILL BE REQUIRED TO PROVIDE DOCUMENTATION INCLUDING BUT NOT LIMITED TO, MY BIRTH CERTIFICATE, NATIONAL INSURANCE CARD, INCOME TAX FILE # AND CERTIFICATES, DIPLOMAS, ETC.

I CERTIFY THAT ALL THE INFORMATION GIVEN IN THIS APPLICATION IS TRUE AND CORRECT. I UNDERSTAND THAT FALSE REPRESENTATION ON MY PART AND/OR ANY OMISSION IN GIVING REQUIRED INFORMATION WILL BE SUFFICIENT REASON FOR THE CANCELLATION OF A WORK OFFER, OR IF I HAVE ALREADY BEEN EMPLOYED, MY IMMEDIATE DISMISSAL WITHOUT WARNING OR INDEMNITY.

I UNDERSTAND AND AGREE THAT ALL POLICIES, PROCEDURES AND THE PERSONNEL POLICY GUIDE MAY BE MODIFIED OR DELETED BY THE COMPANY WITH OR WITHOUT NOTICE TO ME OF SUCH MODIFICATION OR DELETION. THE POLICIES AND PROCEDURES ARE NOT INTENDED TO BE A CONTRACT OF EMPLOYMENT NOR DO THEY GIVE ME ANY RIGHT OF CONTINUED EMPLOYMENT.

I EXPRESSLY AUTHORIZE, WITHOUT RESERVATION, THE EMPLOYER, ITS REPRESENTATIVES, EMPLOYEES OR AGENTS TO CONTACT AND OBTAIN INFORMATION FROM ALL REFERENCES (PERSONAL AND PROFESSIONAL), EMPLOYERS, PUBLIC AGENCIES AND OTHERWISE TO VERIFY THE ACCURACY OF ALL INFORMATION PROVIDED BY ME IN THIS APPLICATION, RESUME OR JOB INTERVIEW. I HEREBY WAIVE ALL RIGHTS AND CLAIMS THAT I MAY HAVE REGARDING THE EMPLOYER, ITS AGENTS, EMPLOYEES OR REPRESENTATIVES, FOR SEEKING, GATHERING AND USING SUCH INFORMATION IN THE EMPLOYMENT PROCESS AND ALL OTHER PERSONS, CORPORATIONS OR ORGANISATIONS FOR FURNISHING SUCH INFORMATION ABOUT ME.

I UNDERSTAND THAT THIS APPLICATION REMAINS CURRENT FOR ONLY 30 DAYS. AT THE CONCLUSION OF THAT TIME, IF I HAVE NOT HEARD FROM THE EMPLOYER AND STILL WISH TO BE CONSIDERED FOR EMPLOYMENT, I MUST REAPPLY AND COMPLETE A NEW EMPLOYMENT APPLICATION FORM.

DATE

SIGNATURE OF APPLICANT

POSITION(S) APPLIED FOR	TYPE OF WORK REQUIRED FULL TIME PART TIME TEMPORARY/SEASONAL
DATE OF BIRTH YEAR MONTH DAY	ANY PREFERENCES OR RESTRICTIONS WITH WORK	ARE YOU AVAILABLE FOR TRAVEL? (IF REQUIRED) Yes No	SALARY REQUESTED
NIS # TIN #	PLEASE SELECT ONE BELOW MR. MRS. MISS/MS.	FIRST NAME	FAMILY NAME
	PRESENT ADDRESS:
LIST NAMES OF RELATIVES AND FRIENDS WHO WORK HERE:		RELATIONSHIP:
HAVE YOU EVER BEEN CONVICTED OF A CRIMINAL OFFENCE? IF YES, PROVIDE DETAILS		YES	NO
PERSON TO BE CONTACTED IN AN EMERGENCY	NAME	RELATIONSHIP	TELEPHONE #

EDUCATION	DATE			NAME OF SCHOOL, COLLEGE, UNIVERSITY	CERTIFICATES AND DIPLOMAS OBTAINED
EDUCATION	FROM	TO	# OF YEARS	NAME OF SCHOOL, COLLEGE, UNIVERSITY	CERTIFICATES AND DIPLOMAS OBTAINED
HIGH SCHOOL
COLLEGE
UNIVERSITY
OTHER

LANGUAGES	SPOKEN					WRITTEN
LANGUAGES	VERY WELL	WELL	PASSABLE	LITTLE	NOT AT ALL	VERY WELL	WELL	PASSABLE	LITTLE	NOT AT ALL
ENGLISH
SPANISH
OTHER

NAME OF EMPLOYER	ADDRESS	TELEPHONE #
POSITION HELD	FROM YEAR MONTH TO YEAR MONTH	DUTIES
NAME AND JOB TITLE OF SUPERVISOR	YOUR SALARY START $ END $	REASON FOR LEAVING

NAME OF ENTERPRISE	ADDRESS	TELEPHONE #
POSITION HELD	FROM YEAR MONTH TO YEAR MONTH	DUTIES
NAME AND JOB TITLE OF SUPERVISOR	YOUR SALARY START $ END $	REASON FOR LEAVING

LAPARKAN TRADING LIMITED – GUYANA

EDUCATION

LANGUAGES

EMPLOYMENT RECORDS (LIST ALL FORMER EMPLOYERS)

PERSONAL REFERENCES (OTHER THAN RELATIVES AND EMPLOYERS)

PLEASE READ AND SIGN THE STATEMENT BELOW

Please attach a .pdf copy of your resume