APPLICATION FORM PHOTO
I. GENERAL INFORMATION
Last Name First Name Middle Name
Nickname Mobile No. Home Tel. No. Email Address
Present Address Position Desired
Birthdate (mm/dd/yyyy) Gender Civil Status Citizenship
Male Female
TIN SSS No. Philhealth No. HDMF No.
II. APPLICATION QUESTIONNAIRE
1. How did you learn about the job opportunity? (Please check the appropriate box and specify name of the provider in the space)
Job Fair Referred ____________________ School Placement Office Walk-in
by:
Search ____________________ Others ____________________
Jobstreet
firm/Agency: :
2. Do you or your spouse have any relative/s employed in SM or its Affiliates?
Yes (Please answer the required information below) None, proceed to question no. 3
Name Relationship Company Name Position
3. Do you or your spouse have any relative/s who are contractors/service providers/suppliers of SM or its Affiliates?
Yes (Please answer the required information below) None, proceed to question no. 4
Name Relationship Company Name/Position Service Provided to SM
4. If hired, how soon can you start working? 5. HaveYes
you ever been convicted of any crime? If YES, give details.
Immediately Week/s after notice:
____________________ No
_______________
6. Are you willing to relocate? ____
7. Are you willing to travel?
Will Ye N
Yes No Will Consider
Consider s o
8. Have you ever applied or worked with SM or its Affiliates before? 9. Do you have any pending applications with other companies?
Ye
Yes No If yes, when? _______________________ No
s
III. EDUCATIONAL ATTAINMENT
Name of School Degree / Major / Honors Years Attended (From - To)
High School
Vocational
College
Post Graduate
IV. EMPLOYMENT HISTORY (Indicate last 4 companies worked with; start from the most recent; skip if not applicable)
Inclusive Dates
Company/Address & Contact Number Position Reason for Leaving
From To
V. FAMILY BACKGROUND
Spouse Name Children's Names Father's Name Mother's Maiden Name
VI. CHARACTER REFERENCES (Should not be a relative)
Name Company Position Contact Number
VII. ACKNOWLEDGEMENT AND AUTHORIZATION
I hereby affirm to the best of my knowledge and belief that all the answers to the foregoing are true and correct.
I acknowledge that the filing of this application does not entitle me to any acquired right to employment and Ace Hardware Phils.,Inc. may dispose of this
application in any manner it so desires. I also authorize Ace Hardware Phils., Inc. to collect and process my personal data in accordance with the purposes provided
in the Privacy Consent form I have executed and to inquire and/or verify my record/s from any or all of my former employers / the schools I attended.
Consequently, I hereby release and discharge the Company from any and all claims, proceedings and/or liability which may arise from such inquiry.
I further acknowledge that any misrepresentation in the foregoing answers and data given shall be sufficient grounds for my dismissal from Ace Hardware Phils., Inc.
Applicant's Name and Signature Date Accomplished