Application Form - Vallee D`Osterlog Endemic Garden Foundation

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
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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: ..........................................
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