VALLÉE D’OSTERLOG ENDEMIC GARDEN FOUNDATION Application for Employment This completed application form should be submitted to the Chairperson, Vallée d’Osterlog Endemic Garden Foundation, Wooton, Eau Coulée. Any incomplete application form may entail disqualification of an applicant. PLEASE USE BLOCK LETTERS FOR PERSONAL DETAILS SECTION. TYPED SUBMISSION IS ACCEPTABLE WITH ORIGINAL SIGNATURE. The Chairperson Vallée d’Osterlog Endemic Garden Foundation Wooton Eau Coulée PERSONAL DETAILS Surname: Address: First names: Maiden name (if applicable): Date of birth: Nationality: Marital status: Number of children: Telephone (home/mobile): Telephone (office): Current position / department: Post applied for: EDUCATION AND TRAINING Dates From To Secondary Education Name of school or Certificate obtained college Subjects studied * Tertiary Education Dates From To Name of college/university or other institution Degree or Diploma obtained Subjects studied * Vallée d’Osterlog Endemic Garden Foundation Job Application Form Professional qualifications Other academic or professional qualifications held by applicant? Training Give details of any specialised training received and/or courses attended Other skills Give details of other skills (including languages, computer literacy etc.) Note: Please attach photocopies of certificates of the academic and professional qualifications mentioned above. * Add separate sheets, if necessary Application form 2 Vallée d’Osterlog Endemic Garden Foundation EMPLOYMENT HISTORY Give details of all positions held by you. Start with your most recent position. Dates From To Name of employer, address Position held Major duties performed and nature of business. Job Application Form Starting and leaving salary Reasons for leaving * Add separate sheets, if necessary Application form 3 Vallée d’Osterlog Endemic Garden Foundation Application Form INTERESTS Please indicate your leisure activities and your other interests e.g. community involvement etc. Please give the names and addresses of two referees who are acquainted with your qualifications, professional work and ability. None of the two referees should be a member of the Board of the Foundation. Name: Address: Name: Address: Telephone No: Position: Telephone No: Position: Please confirm whether to your knowledge you are currently under investigation by the Police, ICAC or any other relevant organisation. YES / NO Add any observations you wish to make to support your application I confirm that I have read and am fully conversant the job description of the position for which I am applying, and that the information given on this application form is correct. Signature of applicant: ……………………………………. Application form Date: .......................................... 4
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