APPLICATION FORM

The information provided on this application form will remain private and confidential and will be
used for the purpose of recruitment and selection. Where the application is successful New JOBS
Recruitment Agency USA (Newjobinusa.com) may wish to process this information for personnel
administration and business management purposes. Where this is the case, processing will take
place in accordance with the provision of the Data Protection Acts 1984 and 1998. Please also
note that New JOBS Recruitment Agency USA (Newjobinusa.com) may approach third parties to
verify the information that you have given. By signing this form you will be providing New JOBS
Recruitment Agency USA (Newjobinusa.com) with your consent to all these uses.

The application form, rather than a curriculum vitae (CV), is preferred to ensure that information is
presented in a standardised format and that only the details we require are provided. This ensures
that all applicants are treated fairly and equally.

As the information contained on the form is used during the selection process, it is essential that
you complete all sections as fully and accurately as possible. If there is not enough space
provided on the form, please continue on a separate sheet of paper. On each sheet used, write
your name and the post applied for, together with the section you are answering. If any section
does not apply to you, please write N/A. If you are handwriting the form, please complete it using
black ink and BLOCK CAPITALS.

 Application Reference No: ………………………………………………..

Personal Details

 First name: …………………………………………………………………………

Paste your recent
 Middle name: ……………………………………………………. ……………….. passport size
photograph
 Last name: …………………………………………………………………………

 Gender: …………………………………………………………………………….

 City of Birth: ………………………………………………………………………

 Date of Birth:
Day Month Year

 Country of Birth: …………………………………………………………………………………..........

 Native Country: ………………………………………………………………………………………...

  Marital status: …………………………………………………………………………………………...

Contact Details

 Address: ………………………………………………………………………………………………...

 Region: ………………………………………………………………………………………………….

 Postal code: ……………………………………………………………………………………………..

 Nationality: ……………………………………………………………………………………………...

 State: ………………………………………………………………………………………………….....

 City: …………………………………………………………………………………………………......

 Mailing Address (in block letters): ……………………………………………………………………….

…………………………………………………………………………………………………………...

 Tel. No. : ……………………………………………… Mobile: ……………………………................

 E-mail ID (: ……………………………………………………………………………..........................

 Residential Address: …………………………………………………………………………………...

 Whether Physical Handicapped? : ……………………………………………………………………………..

 All Educational/other professional Qualifications/Training Courses etc/Degree Examination onwards:

Level Exam passed/ Division/Grade Year of Duration of the Board/ University Course Course of
Degree Trg. % of Marks Passing Degree/ Diploma Specialisation
  Brief professional experience:

Office/Instt. Firm Post held Part time/ Exact dates to be Scale of Nature of
Contract Basis/ given (indicate day, Total Period (in years) pay duties
Ad-hoc/ regular/ month & year)
Temp./pmt. From To Years Months Days

 Any other relevant information: ………………………………………………………………………...

…………………………………………………………………………………………………………..

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UNDERLINE THE TYPE OF WORK YOU WOULD BE INTERESTED IN:

Works available:
1. Retail salesperson
2. Cashier
3. Office clerk
4. Combined food preparation and serving worker
5. Registered nurse
6. Waiters and waitresse
7. Customer service representative
8. Janitors and cleaner
9. Freight, stock, and hand material mover laborer
10. Secretaries and administrative assistant
11. Stock clerks and order filler
12. General and operation manager
13. Bookkeeping, accounting, and auditing clerk
14. Elementary school teacher
15. Heavy and tractor-trailer truck driver
16. Nursing aides, orderlies, and attendant
17. Wholesale and manufacturing sales representative
18. First-line supervisors of office and administrative support worke
19. Teacher assistant
20. Bus and truck mechanics and diesel engine specialist
21. Maintenance and repair worker
22. First-line supervisors of retail sales worker
23. Executive secretaries and executive administrative assistant
24. Accountants and auditor
25. Secondary school teacher
26. Security guard
27. Receptionists and information clerk
28. Business operations specialist
29. Home health aide
30. Team assembler
31. Restaurant Cook
32. Maids and housekeeping cleaner
33. Landscaping and groundskeeping worker
34. Food preparation worker
35. Light truck or delivery service driver
36. Construction laborer
37. First-line supervisors of food preparation and serving worker
38. Licensed practical and licensed vocational nurse
39. Shipping, receiving, and traffic clerk
40. Personal care aide
41. Packers and packager
42. Middle school teacher
43. Police and sheriff's patrol officer
44. Carpenter
45. Childcare worker
46. Automotive service technicians and mechanic
47. Computer support specialist
48. Lawyer
49. Teller
50. First-line supervisors of production and operating worker
51. Management analyst
52. Service Sales representative
53. Fast food Cook
54. Medical assistant
55. Industrial truck and tractor operator
56. Electrician
57. Dishwasher
58. Application Software developer
59. Computer system analys
60. Bartender
61. Medical secretarie
62. Billing and posting clerk
63. Financial manager
64. First-line supervisors of construction trades and extraction worker
65. School or special client Bus driver
66. Correctional officers and jailer
67. Cafeteria, food concession and coffee shop counter attendant
68. Human resources, training, and labor relations specialist
69. First-line supervisors of mechanics, installers, and repairer
70. Counter and rental clerk
 71. Inspectors, testers, sorters, samplers, and weigher
72. Bill and account collector
73. Helpers-production worker
74. Dining room, cafeteria attendants and bartender helper
75. Institution and cafeteria cook
76. Technical and scientific products sales representative
77. Systems Software developer
78. Driver/sales worker
79. Preschool teacher
80. Plumbers, pipefitters, and steamfitter
81. Social and human service assistant
82. Machinist
83. Hairdressers, hairstylists, and cosmetologist
84. Packaging and filling machine operators and tender
85. Operating engineers and other construction equipment operator
86. Computer programmer
87. Pharmacy technician
88. Network and computer systems administrator
89. Restaurant, lounge, and coffee shop hosts and hostesse
90. Postal service mail carrier
91. Sales manager
92. Insurance sales agent
93. Welders, cutters, solderers, and brazer
94. Fire-fighter
95. Dental assistant
96. Physician
97. Recreation worker
98. Telemarketer
99. Computer and information system manager

Other Specify: …………………………………………………………………………………………………...

I hereby declare that all the statements made in the application are true and complete to the best of my
knowledge and belief.

Signature ____________________________________ Date__________________________

Please return this completed application form to the following email address.

New Job Recruitment Agency U.S.A Tel: +120-2888-2025

106 15th St NW E-mail: [email protected]
Washington, DC 20005