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Fillable-Roe-Group-Application-Form-October-2023

The document is an employment application form for The Roe Group of Companies, requiring personal information, employment history, and references. It includes sections for education, qualifications, and consent for background checks. The applicant must declare the truthfulness of their information and provide an ID photograph and proof of citizenship if applicable.

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Benedict Casey Pascascio Jr.
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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20 views

Fillable-Roe-Group-Application-Form-October-2023

The document is an employment application form for The Roe Group of Companies, requiring personal information, employment history, and references. It includes sections for education, qualifications, and consent for background checks. The applicant must declare the truthfulness of their information and provide an ID photograph and proof of citizenship if applicable.

Uploaded by

Benedict Casey Pascascio Jr.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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THE ROE GROUP O F COMPANIES

APPLICATION FOR EMPLOYMENT


PLEASE PRINT ALL ANSWERS CAREFULLY, ACCURATELY AND COMPLETELY.
Name:

Last First Middle


E-mail Address: Telephone:

Home Address:
No. & Street
City/Town: District or Country:

Country of Citizenship/Nationality: Date of Birth: / / Age:


D M Y
Sex: Marital Status: Single: Married: Common-law: Widowed:

Languages Spoken/Read/Written

Social Security Number Driver’s License

Number of Dependents (persons in your care): __________ Ages: ____________________________________

Type of Work Desired:

Salary Expected: Hourly________ Or Weekly _________ Or Monthly _________

Type of Employment Desired: Internship: Temporary: Part Time: Full Time:

List the names of any relatives employed at another Roe Group Company:

In the event of accident or emergency, whom do we contact?

Name: Relationship

Telephone Numbers:

Circle Highest Year of Schooling completed: PRIMARY HIGH SCHOOL SIXTH FORM UNIVERSITY
1 2 3 4 1 2 1 2 3 4
List schools attended, (last one first and attach a copy of certificates)

Name: Course of Study: Date Completed:

State other qualifications, training, or courses you have attended:


Name: Facilitator/Institution: Date Completed:
List three (3) professional references from past employers(supervisors/managers).
No relatives or friends. Teacher references will be accepted from recent graduates.

Name: Yrs. Known: Mobile. No: Relationship: Occupation/Job Title:

Present Employment: Salary: Position:

Why are you no longer employed?

Account for all employment since leaving school: (list last position first)
Former Employer’s Position From To Salary Reason for Leaving
Name Month Month
and Year and Year

In exceptional circumstances we may require you to work on Saturdays and Sundays. Do you have a problem with
this? Yes No

Do you suffer from any illness or allergies? Yes No


If yes, please give details:

Have you ever been discharged from your employment? Yes No

If yes, please give details:

Have you ever been convicted of any crime? Yes No

If yes, please give details:

Do you plan to engage in any other work while employed? Yes No

If yes, give details:

Type of Equipment or Machinery you can operate: (including Driving Permit and Class):

Your contribution to own self-improvement and contribution to the community

Any additional information (e.g. Hobbies, membership in service organizations, additional training, etc)
NB. Please re-read carefully all the information you have supplied before signing the declaration! We will
consider this application carefully, but it does not guarantee employment.
DECLARATION

I HEREBY DECLARE THAT ALL THE INFORMATION ON THIS APPLICATION TO BE TRUE AND
COMPLETE AND THAT I HAVE NOT WITHHELD ANY INFORMATION WHICH COULD ADVERSELY
AFFECT MY APPLICATION. I FURTHERMORE UNDERSTAND THAT ANY MISLEADING OR UNTRUE
INFORMATION MAY LEAD TO MY DISQUALIFICATION OR IMMEDIATE DISMISSAL.

Signed: Name in Print: Date:

Note: This Application is to be accompanied by one (1) recent I.D. PHOTOGRAPH, and proof of citizenship/right
to work in Belize, if applicable.
ATTACH ID PHOTOGRAPH

PASSPORT
PHOTOGRAPH

OFFICIAL USE AND COMMENTS:

INTERVIEWED BY:
POSITION: DATE:
COMMENTS:

RECOMMEND FOR HIRE: YES - NO

___________________________________________________________________

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