This document is an application for employment with the State of California. It requests basic personal information such as name, address, and contact details. It also asks about the applicant's education history, licenses/certifications, employment history, and availability. The applicant is asked to certify that the information provided is true and complete. An Equal Employment Opportunity questionnaire is included to collect optional demographic information for research purposes.
The document is an employment application for New York State. It begins by stating that NYS is an equal opportunity employer and prohibits discrimination of any kind. It requests contact information from applicants who require accommodations. The application instructs applicants to complete all pages and sections, and may be required to submit additional materials. It requests information about eligibility to work, driver's license, education history, employment history, availability, and professional references.
The applicant is applying for a position with the State of Texas. The application requests standard employment information such as name, contact details, education history, employment history, military service, and availability. It notes that the State of Texas is an equal opportunity employer and does not discriminate. The applicant must sign to confirm the accuracy of the information provided and authorize references to be contacted.
This document appears to be a job application for a position with the University of Wisconsin-Milwaukee Police Department. The multi-page application requests personal information, education history, employment history, military service details if applicable, references, and answers to supplemental questions. It also includes notices that any false statements made in the application may result in denial of employment or termination, and authorizes the university to conduct a criminal background check.
This document is an employment application for Schlumberger. It requests basic personal information such as name, address, phone number, availability, education history, work experience, licenses, and references. It also includes legal disclaimers about providing accurate information and consent for background checks. The application collects optional equal opportunity information at the end.
This document is an application form for non-teaching employment at a Bexley school. It requests contact information, employment history, education and training details, references, disability status, criminal record details, and equal opportunity monitoring information. The form notes that all information provided will be kept confidential and used only for assessing suitability for employment.
Candidate Application and Background check sheetAllen Shaw
This document is an employment application for MedSearch Corp, a medical staffing agency. It requests personal information such as name, address, education history, employment history, references, and includes legal disclosures for background checks. The applicant is asked to provide details on their qualifications, sign disclosures allowing reference and background checks, and agrees the information provided is true.
The application requests standard personal and employment information such as name, address, phone number, education history, work experience, references, and availability. It notes that Full Circle is an at-will employer and may terminate employment at any time, and that applicants consent to background and drug tests as conditions of employment. Applicants must certify that all information provided is true and accurate.
The document is an employment application for New York State. It begins by stating that NYS is an equal opportunity employer and prohibits discrimination of any kind. It requests contact information from applicants who require accommodations. The application instructs applicants to complete all pages and sections, and may be required to submit additional materials. It requests information about eligibility to work, driver's license, education history, employment history, availability, and professional references.
The applicant is applying for a position with the State of Texas. The application requests standard employment information such as name, contact details, education history, employment history, military service, and availability. It notes that the State of Texas is an equal opportunity employer and does not discriminate. The applicant must sign to confirm the accuracy of the information provided and authorize references to be contacted.
This document appears to be a job application for a position with the University of Wisconsin-Milwaukee Police Department. The multi-page application requests personal information, education history, employment history, military service details if applicable, references, and answers to supplemental questions. It also includes notices that any false statements made in the application may result in denial of employment or termination, and authorizes the university to conduct a criminal background check.
This document is an employment application for Schlumberger. It requests basic personal information such as name, address, phone number, availability, education history, work experience, licenses, and references. It also includes legal disclaimers about providing accurate information and consent for background checks. The application collects optional equal opportunity information at the end.
This document is an application form for non-teaching employment at a Bexley school. It requests contact information, employment history, education and training details, references, disability status, criminal record details, and equal opportunity monitoring information. The form notes that all information provided will be kept confidential and used only for assessing suitability for employment.
Candidate Application and Background check sheetAllen Shaw
This document is an employment application for MedSearch Corp, a medical staffing agency. It requests personal information such as name, address, education history, employment history, references, and includes legal disclosures for background checks. The applicant is asked to provide details on their qualifications, sign disclosures allowing reference and background checks, and agrees the information provided is true.
The application requests standard personal and employment information such as name, address, phone number, education history, work experience, references, and availability. It notes that Full Circle is an at-will employer and may terminate employment at any time, and that applicants consent to background and drug tests as conditions of employment. Applicants must certify that all information provided is true and accurate.
This document is an application form for allotment of a Permanent Account Number (PAN) in India. It requests individual/entity details such as name, gender, date of birth/incorporation, address, father's name, photograph, income sources, and documents for identity, address and date of birth proof. Instructions are provided on accurately filling name fields like using full names without abbreviations, and address details like country/PIN codes. Applicants are advised to provide contact details and Aadhaar/Enrolment ID number as per Indian tax laws.
This document contains an employment application for Lightning Energy Services, LLC. It requests basic applicant information like contact details, position applying for, availability, and authorization to work. It also contains sections to list prior work experience, education, references, and requires the applicant's signature agreeing to the terms of the application and authorizing background checks.
This document is an application for employment. It requests personal information such as name, address, phone number, email, availability, desired salary, employment history, references, and certifies that all information provided is true. It notes that employment is available to all without discrimination. Reasonable accommodations are available upon request for applicants with disabilities during the application and interview process.
This 3 sentence summary provides the high level information from the document:
The document is an application for employment which requests basic personal information such as name, contact details, identity number, qualifications, work experience, and references from candidates who are applying for an advertised position in the Republic of South Africa's government department. The purpose of the form is to assist the government department in selecting the best candidate to be interviewed for the advertised post based on the information provided. Applicants are advised to fully, accurately and legibly complete the form in order to help process their application fairly.
This document is an application for employment at The Point Crab House and Grill. It requests basic personal information from applicants such as name, address, and availability. It also asks about an applicant's education history, work experience, skills, criminal record, and availability to work in terms of hours and shifts. The application notes that the establishment considers all applicants equally regardless of personal characteristics. It includes an authorization for background checks and at-will employment agreement stating that either party can end the employment at any time.
The document is an application for employment as a commercial driver. It requests personal information such as name, address, contact details, social security number, driver's license information, and commercial driving experience. It also asks for employment history details, accident and traffic violation history, and authorization to conduct background checks. The applicant certifies the accuracy of the information provided and consents to the employer verifying details and releasing driving records if employed.
This document is an application for employment with the Georgia Department of Defense. It requests personal information, employment eligibility details, education history, language skills, professional licenses, a detailed work history for the past 10 years, military service details if applicable, and optional equal employment opportunity information. Applicants must certify that the information provided is true and accurate, and understand that intentionally providing false information would be a violation of state law.
Application form for Community Attendance OfficerJames Hall
A partnership of Willows High School (Cardiff), STAR Communities First and the People and Work Unit invite applications for the post of Community Attendance Worker to support pupils and their families with school attendance within the Willows Cluster of schools in Cardiff.
El documento describe el modelo de las 3C para el desarrollo de estrategias logísticas. Este modelo se centra en los clientes, la competencia y la corporación. Para los clientes, la estrategia es ofrecer varias opciones de pago, una variedad de productos y descuentos. En cuanto a la competencia, la estrategia es realizar benchmarking. Para la corporación, la estrategia es reducir costos, aumentar ingresos, utilizar redes sociales y conseguir mejores descuentos de productos.
Cửa cuốn gấp được thiết kế dành cho các ứng dụng trong công nghiệp , thương mại và dân dụng ở những nơi yêu cầu hạn chế tối đa khoảng hở hai bên tường, cần rất ít không gian ở phía trên.
Para tratar la piel grasa se recomiendan productos sin aceite que contengan ácido acetilsalicílico, vitamina A o vitamina C. Se debe lavar la cara máximo 3 veces al día con agua fría y solo usar productos específicos para piel grasa como hidratantes y maquillajes con protección solar. También es importante exfoliar una vez por semana y quitar el exceso de grasa sin dañar el maquillaje.
El documento describe el modelo de las 3C's para la logística y la cadena de suministro. Este modelo se enfoca en los clientes, la corporación y el mercado. También discute la estrategia de postergación para retrasar actividades de la cadena de suministro hasta que se concrete la demanda del cliente, lo que permite un mejor control de costos y mayor velocidad de respuesta. Finalmente, propone registrar ventas para sacar conclusiones, realizar un presupuesto de costos de transporte, hacer inventario y cobrar el 50% de anticipo para la confección de
This document is a resume for Ida Bagus Gde Widana Widiatmaka. It summarizes his education, including obtaining a Bachelor's degree in Geophysical Engineering from Institut Teknologi Bandung in 2015. It also outlines his organizational experience, including multiple roles in the Geophysical Engineering Student Union "TERRA" at ITB from 2011-2014. His thesis involved applying seismic inversion and multi-attributes to map the spreading of thin sand layers. Additional sections provide details on his software and language skills, interests, and strong points.
Suhas Gopinath is an Indian entrepreneur who founded Globals Inc. at age 14. He started the company from a cyber cafe in Bengaluru with just $200. Today, Globals Inc. is a multinational company with offices worldwide and over 100 employees in India. Gopinath has received several honors and awards for his success as a young entrepreneur, including being named a Young Global Leader by the World Economic Forum, making him the youngest person to ever receive that recognition. He continues to lead Globals Inc. as its CEO and Chairman.
El documento contiene un listado de asistencia de estudiantes con su cédula, nombre, apellido, escuela y semestre. Además, incluye la hora de llegada de cada estudiante.
This document is an employment application for locally employed staff or family members at the U.S. Department of State. It requests personal information such as name, address, and contact details. It also asks about the applicant's education history, work experience, languages, and U.S. citizenship status if applicable. The application is used to establish eligibility and qualifications for job vacancies at U.S. missions.
This document is an employment verification form that collects personal details, educational history, employment history, and references from an applicant. It requests information such as name, date of birth, address, educational institutions attended and degrees obtained, previous employers and positions, manager details, compensation, and reasons for leaving. The applicant is asked to provide documentary proof of their educational qualifications and previous employment, and authorizes the employer to verify the information provided. The form also contains a declaration that the applicant will abide by company policies and that all information provided is true.
This document is an application for employment as locally employed staff or family member with the U.S. Department of State. It requests personal information such as name, contact details, citizenship status, and eligibility to work. It also requests education history, work experience, languages, licenses and skills. Applicants must provide at least three references and certify that the information provided is true and accurate. Instructions are provided on important information about applying for positions at the Mission, eligibility requirements, and how to correctly fill out and submit the application.
This document is an application form for allotment of a Permanent Account Number (PAN) in India. It requests individual/entity details such as name, gender, date of birth/incorporation, address, father's name, photograph, income sources, and documents for identity, address and date of birth proof. Instructions are provided on accurately filling name fields like using full names without abbreviations, and address details like country/PIN codes. Applicants are advised to provide contact details and Aadhaar/Enrolment ID number as per Indian tax laws.
This document contains an employment application for Lightning Energy Services, LLC. It requests basic applicant information like contact details, position applying for, availability, and authorization to work. It also contains sections to list prior work experience, education, references, and requires the applicant's signature agreeing to the terms of the application and authorizing background checks.
This document is an application for employment. It requests personal information such as name, address, phone number, email, availability, desired salary, employment history, references, and certifies that all information provided is true. It notes that employment is available to all without discrimination. Reasonable accommodations are available upon request for applicants with disabilities during the application and interview process.
This 3 sentence summary provides the high level information from the document:
The document is an application for employment which requests basic personal information such as name, contact details, identity number, qualifications, work experience, and references from candidates who are applying for an advertised position in the Republic of South Africa's government department. The purpose of the form is to assist the government department in selecting the best candidate to be interviewed for the advertised post based on the information provided. Applicants are advised to fully, accurately and legibly complete the form in order to help process their application fairly.
This document is an application for employment at The Point Crab House and Grill. It requests basic personal information from applicants such as name, address, and availability. It also asks about an applicant's education history, work experience, skills, criminal record, and availability to work in terms of hours and shifts. The application notes that the establishment considers all applicants equally regardless of personal characteristics. It includes an authorization for background checks and at-will employment agreement stating that either party can end the employment at any time.
The document is an application for employment as a commercial driver. It requests personal information such as name, address, contact details, social security number, driver's license information, and commercial driving experience. It also asks for employment history details, accident and traffic violation history, and authorization to conduct background checks. The applicant certifies the accuracy of the information provided and consents to the employer verifying details and releasing driving records if employed.
This document is an application for employment with the Georgia Department of Defense. It requests personal information, employment eligibility details, education history, language skills, professional licenses, a detailed work history for the past 10 years, military service details if applicable, and optional equal employment opportunity information. Applicants must certify that the information provided is true and accurate, and understand that intentionally providing false information would be a violation of state law.
Application form for Community Attendance OfficerJames Hall
A partnership of Willows High School (Cardiff), STAR Communities First and the People and Work Unit invite applications for the post of Community Attendance Worker to support pupils and their families with school attendance within the Willows Cluster of schools in Cardiff.
El documento describe el modelo de las 3C para el desarrollo de estrategias logísticas. Este modelo se centra en los clientes, la competencia y la corporación. Para los clientes, la estrategia es ofrecer varias opciones de pago, una variedad de productos y descuentos. En cuanto a la competencia, la estrategia es realizar benchmarking. Para la corporación, la estrategia es reducir costos, aumentar ingresos, utilizar redes sociales y conseguir mejores descuentos de productos.
Cửa cuốn gấp được thiết kế dành cho các ứng dụng trong công nghiệp , thương mại và dân dụng ở những nơi yêu cầu hạn chế tối đa khoảng hở hai bên tường, cần rất ít không gian ở phía trên.
Para tratar la piel grasa se recomiendan productos sin aceite que contengan ácido acetilsalicílico, vitamina A o vitamina C. Se debe lavar la cara máximo 3 veces al día con agua fría y solo usar productos específicos para piel grasa como hidratantes y maquillajes con protección solar. También es importante exfoliar una vez por semana y quitar el exceso de grasa sin dañar el maquillaje.
El documento describe el modelo de las 3C's para la logística y la cadena de suministro. Este modelo se enfoca en los clientes, la corporación y el mercado. También discute la estrategia de postergación para retrasar actividades de la cadena de suministro hasta que se concrete la demanda del cliente, lo que permite un mejor control de costos y mayor velocidad de respuesta. Finalmente, propone registrar ventas para sacar conclusiones, realizar un presupuesto de costos de transporte, hacer inventario y cobrar el 50% de anticipo para la confección de
This document is a resume for Ida Bagus Gde Widana Widiatmaka. It summarizes his education, including obtaining a Bachelor's degree in Geophysical Engineering from Institut Teknologi Bandung in 2015. It also outlines his organizational experience, including multiple roles in the Geophysical Engineering Student Union "TERRA" at ITB from 2011-2014. His thesis involved applying seismic inversion and multi-attributes to map the spreading of thin sand layers. Additional sections provide details on his software and language skills, interests, and strong points.
Suhas Gopinath is an Indian entrepreneur who founded Globals Inc. at age 14. He started the company from a cyber cafe in Bengaluru with just $200. Today, Globals Inc. is a multinational company with offices worldwide and over 100 employees in India. Gopinath has received several honors and awards for his success as a young entrepreneur, including being named a Young Global Leader by the World Economic Forum, making him the youngest person to ever receive that recognition. He continues to lead Globals Inc. as its CEO and Chairman.
El documento contiene un listado de asistencia de estudiantes con su cédula, nombre, apellido, escuela y semestre. Además, incluye la hora de llegada de cada estudiante.
This document is an employment application for locally employed staff or family members at the U.S. Department of State. It requests personal information such as name, address, and contact details. It also asks about the applicant's education history, work experience, languages, and U.S. citizenship status if applicable. The application is used to establish eligibility and qualifications for job vacancies at U.S. missions.
This document is an employment verification form that collects personal details, educational history, employment history, and references from an applicant. It requests information such as name, date of birth, address, educational institutions attended and degrees obtained, previous employers and positions, manager details, compensation, and reasons for leaving. The applicant is asked to provide documentary proof of their educational qualifications and previous employment, and authorizes the employer to verify the information provided. The form also contains a declaration that the applicant will abide by company policies and that all information provided is true.
This document is an application for employment as locally employed staff or family member with the U.S. Department of State. It requests personal information such as name, contact details, citizenship status, and eligibility to work. It also requests education history, work experience, languages, licenses and skills. Applicants must provide at least three references and certify that the information provided is true and accurate. Instructions are provided on important information about applying for positions at the Mission, eligibility requirements, and how to correctly fill out and submit the application.
This document is an application for employment with Connected Logistics. It requests information such as contact details, education history, professional licenses, language skills, availability, employment history, references, and consent for background checks. The applicant is asked to disclose any criminal convictions and traffic violations. They must agree to the company's policies and authorize procurement of a background investigation report as part of the hiring process.
This document is a scholarship application form for SIM Global Education. It requests personal details, education history, employment history, and other qualifications from the applicant. The applicant is instructed to submit the completed form along with supporting documents by the specified closing date. Any false information could result in disqualification or revocation of an awarded scholarship. The scholarship is only open to bachelor's degree programs at SIM Global Education.
This document is a standard job application that collects personal and employment information from applicants. It notes that the employer complies with equal opportunity laws and requires applicants to fully complete the application. It requests contact details, availability, authorization to work, education history, skills, references, employment history and availability of former employers as references. The applicant verifies the accuracy of the information and acknowledges the employer's "at-will" employment terms.
The document provides information about careers as a wildlife biologist. It discusses the typical job duties, which involve studying wildlife and conducting research and management. An education such as a master's degree in biology is required. Starting salaries are around $32,000 and can increase to $108,000. Many jobs are located in western states and national parks. The document also provides tips for applying for jobs such as completing applications thoroughly and honestly.
HRM410 Strategic StaffingApplication Form AssignmentYOUR .docxwellesleyterresa
HRM410: Strategic Staffing
Application Form Assignment
YOUR NAME:
You are the new HR manager for this fictitious (private sector) company, which has hundreds of employees and is clearly obligated under Title VII and other major employment regulations. Rather than starting over from scratch with a brand new application form, many HR managers would likely take a look at the existing form first.
Using the table located at the very bottom of this document, identify the ten (10) items that are legally problematic* on this employment application form, why they are problematic, and what could possibly be in their place, if applicable. Use of the table is required.
When you are done “save” or “save as” this document with your last name, then first initial and assignment name (e.g. SmithLApplForm.docx) and place your name in the table box above. Then load it to your Dropbox by end of Week 6.
Please email your instructor if you have any questions.
*By problematic we are looking for possible violations of various employment regulations. Note that some may not be blatantly illegal, but, rather problematic and best to avoid as a best practice.
One final tip: Do not focus on stylist elements such as the layout of the application form or questions you do not “like.” Focus only on the legally problematic items.
Today’s DateAPPLICATION FOR EMPLOYMENT
ABC Payroll Company
An Equal Opportunity Employer
Position applying for:
Desired Rate of Pay
$ per
PLEASE PRINT This application form has been reviewed for fairness and job-relatedness. Do not provide any unsolicited information. Disabled applicants can request reasonable accommodation in completing this application. Resumes are not accepted in lieu of completion of this application.
Mr./Mrs./Ms./Miss
Last Name
First, Middle Initial
Maiden Name
(if applicable)
( )
Present Address
Street
City/State/Zip
Telephone Number (day)
( )
( )
Email Address (if applicable)
Telephone Number (evening)
Telephone Number (alternate)
Are you a citizen of the United States? |_| Yes |_| No
Are you legally eligible to work in this country? |_| Yes |_| No
Have you ever been convicted of a felony or arrested? |_| Yes |_| No If yes, give dates and explain. (Attach separate paper if necessary.) This does not automatically mean you will not be hired. The basis of the situation and how long ago are important. Give all of the facts so that an informed decision can be made.
Are you at least 18 years of age?
|_| Yes
|_| No
Date available for employment:
EDUCATIONAL DATA
School
Print Name, City, and State for Each School
Dates (mo/yr) of Attendance
Degree
Major Course of Study
High School
College
Graduate School
Other
Have you had any additional educational experience (other than data noted above), which relates to the job for which you are applying? |_| Yes |_| No
If yes, describe:
Pa ...
HRM410 Strategic StaffingApplication Form AssignmentYOUR .docxadampcarr67227
HRM410: Strategic Staffing
Application Form Assignment
YOUR NAME:
You are the new HR manager for this fictitious (private sector) company, which has hundreds of employees and is clearly obligated under Title VII and other major employment regulations. Rather than starting over from scratch with a brand new application form, many HR managers would likely take a look at the existing form first.
Using the table located at the very bottom of this document, identify the ten (10) items that are legally problematic* on this employment application form, why they are problematic, and what could possibly be in their place, if applicable. Use of the table is required.
When you are done “save” or “save as” this document with your last name, then first initial and assignment name (e.g. SmithLApplForm.docx) and place your name in the table box above. Then load it to your Dropbox by end of Week 6.
Please email your instructor if you have any questions.
*By problematic we are looking for possible violations of various employment regulations. Note that some may not be blatantly illegal, but, rather problematic and best to avoid as a best practice.
One final tip: Do not focus on stylist elements such as the layout of the application form or questions you do not “like.” Focus only on the legally problematic items.
Today’s DateAPPLICATION FOR EMPLOYMENT
ABC Payroll Company
An Equal Opportunity Employer
Position applying for:
Desired Rate of Pay
$ per
PLEASE PRINT This application form has been reviewed for fairness and job-relatedness. Do not provide any unsolicited information. Disabled applicants can request reasonable accommodation in completing this application. Resumes are not accepted in lieu of completion of this application.
Mr./Mrs./Ms./Miss
Last Name
First, Middle Initial
Maiden Name
(if applicable)
( )
Present Address
Street
City/State/Zip
Telephone Number (day)
( )
( )
Email Address (if applicable)
Telephone Number (evening)
Telephone Number (alternate)
Are you a citizen of the United States? |_| Yes |_| No
Are you legally eligible to work in this country? |_| Yes |_| No
Have you ever been convicted of a felony or arrested? |_| Yes |_| No If yes, give dates and explain. (Attach separate paper if necessary.) This does not automatically mean you will not be hired. The basis of the situation and how long ago are important. Give all of the facts so that an informed decision can be made.
Are you at least 18 years of age?
|_| Yes
|_| No
Date available for employment:
EDUCATIONAL DATA
School
Print Name, City, and State for Each School
Dates (mo/yr) of Attendance
Degree
Major Course of Study
High School
College
Graduate School
Other
Have you had any additional educational experience (other than data noted above), which relates to the job for which you are applying? |_| Yes |_| No
If yes, describe:
Pa.
The document is an application form for permanent residence in Singapore. It requests information about the applicant such as personal details, education history, employment history, family details, and other supporting documents. If approved, it would grant the applicant an Entry Permit to live in Singapore permanently. The form consists of several parts requesting details about the applicant, applicant's spouse and children, previous marriages, declaration of truth of details, and consent for authorities to verify the information provided. Signatures are required from the applicant and spouse (if applying). Photocopies of identification documents like passports and birth certificates for applicant and family are also required to be submitted along with the form.
This document is an application form for the Civil Service Examination in the Philippines. It requests information such as the applicant's personal details, educational background, employment history, and eligibility for the exam. The form provides instructions on the admission and application requirements, such as having an original valid ID for verification and paying the examination fee. It also specifies photo specifications that must accompany the application.
This document is an application form for a civil service examination. It requests information such as the applicant's name, contact details, education history, and employment history. It provides instructions for applicants regarding the examination process and requirements. Applicants must be citizens of good moral character and not have any convictions. They must bring their application form, valid ID, and examination supplies on the scheduled examination day.
This document is a venue staff application form that collects personal and job-related information from applicants. It requests contact details, eligibility to work, disability status, the role and job being applied for, employment history, qualifications, references, and a supporting statement. It collects information on criminal convictions and contains a declaration and consent for background checks. Guidance notes explain how the information will be used, defines disability, and provides information on references and criminal convictions disclosures.
This document summarizes an application for employment. It contains sections for general information about the applicant, the position being applied for, education and training history, work experience, and a signature agreeing to the information provided. The applicant is providing all necessary details for a potential employer to evaluate their application.
This document is an application form for a position with Community Voice Careline Response Limited. It requests personal details, employment history, references, education history, and availability from applicants. It notes that successful candidates will be asked to complete a medical questionnaire and that CVs should not be enclosed. Applicants are asked to sign declaring that all information provided is true and complete.
This document is an application form for a position with Community Voice Careline Response Limited. It requests personal details, employment history, references, availability, and a declaration from the applicant. It informs applicants that the position involves regulated activity with vulnerable groups, and that the company will treat any personal information according to data protection law. Successful candidates will be asked to complete a medical questionnaire.
This document provides information about SAT fee waivers for the 2016-2017 school year. It outlines the eligibility criteria for fee waivers, which include being enrolled in certain programs for low-income students or having a family income below specified thresholds. It describes the benefits of fee waivers, which include waived fees for the SAT, additional score reports, and up to four college application fee waivers. It provides instructions for obtaining and using a fee waiver to register for the SAT online or by mail.
This 3 part application form requests personal information, job experience details, and references for a position at the British Council. Part 1 collects contact details. Part 2 focuses on work history and qualifications relevant to the job. Part 3 requests availability, references, and criminal convictions disclosure. Completing the form accurately provides information needed to evaluate candidates for roles at the organization.
This document is an application form for a civil service examination. It requests information from applicants such as name, contact details, education history, and eligibility requirements. It provides instructions for the different types of examinations (pen and paper or computerized) and states that applicants must bring identification and meet admission requirements to sit for the exam. Failure to attend the scheduled exam will result in forfeiture of fees and slot.
This document is an application form for a civil service examination in the Philippines. It requests information such as the applicant's personal details, education history, and employment records. It also provides instructions on the application process and requirements, including submitting identification documents and paying an examination fee. The form notes that applicants must meet eligibility criteria such as citizenship, age, and good moral character. It warns that cheating will not be tolerated and violators will face administrative and criminal penalties under Philippine law.
1. Applications will be processed ONLY for classifications where an
examination is in progress and the published final filing date has not passed,
or for vacant positions where a department requests an application.
PRINT OR TYPE--PLEASE SEE INSTRUCTIONS ON BACK PAGE
FIRST 3 LETTERS OF
LAST NAME AT BIRTH
MONTH OF BIRTH DAY OF BIRTH
Last 4 DIGITS OF SOCIAL
SECURITY NUMBER
APPLICANT'S NAME (Last) (First) (M.I.) SOCIAL SECURITY NUMBER
MAILING ADDRESS (Number) (Street) E-MAIL ADDRESS WORK TELEPHONE NUMBER
(City) (County) (State) (Zip Code) HOME/VRS/TTY TELEPHONE NUMBER
EXAMINATION(S) OR JOB TITLE(S) FOR WHICH YOU ARE APPLYING
ANSWER THE FOLLOWING QUESTIONS:
PERSONNEL
USE ONLY
1. Enter the county in which you would like to take the examination
if different from the county of your residence:
2. Do you need reasonable accommodation to take an interview or written test? Yes No
3. Do your religious beliefs prevent you from taking an examination on Saturday? Yes No
4. Are you now employed by the State of California? (If "YES", fill in the information below.) Yes No
Department: Subdivision
5. Have you ever been fired, dismissed, terminated, or had an employment contract terminated from any position for
performance or for disciplinary reasons? (Applicants who have been rejected during a probationary period, or whose
dismissals or terminations have been overturned, withdrawn [unilaterally or as part of a settlement agreement] or revoked
need not answer "Yes".) Refer to the Instructions for further information. If "Yes" to Question #5, give details in the
Explanations section.
Yes No
a. possess verbal fluency in
b. possess written fluency in
6. In addition to English, list any other languages you:
7. I certify I can type at a speed of words per minute. (For typing applicants only.)
(ANSWER QUESTIONS 8 AND 9 ONLY IF THE EXAMINATION INDICATES THEY ARE REQUIRED.)
8. Do you meet the minimum and/or maximum age requirements? Yes No
License # Class: Restrictions:
9. Do you possess a valid California Driver License? (If "YES", fill in the information below.) Yes No
EXPLANATIONS
DATE SIGNED
APPLICANT IDENTIFICATION NUMBER (EASY ID)
CERTIFICATION – IMPORTANT – PLEASE READ BEFORE SIGNING – If not signed, this application may be rejected.
I certify under penalty of perjury that the information I have entered on this application is true and complete to the best of my knowledge. I further understand
that any false, incomplete, or incorrect statements may result in my disqualification from the examination process or dismissal from employment with the
State of California. I authorize the employers and educational institutions identified on this application to release any information they may have concerning
my employment or education to the State of California.
APPLICANT'S SIGNATURE
APPLICANTS—DO NOT USE THE SPACE BELOW—FOR PERSONNEL USE ONLY
Classes 01 02 03 04 05 06
WC for
Series/Levels
RC/Flag for
Series/Levels
CODES
Flags
WC
FOR PERSONNEL USE ONLY
STATUS
Accepted REJECTED WC
EXPERIENCE LICENSE REQUIREMENT
EDUCATION OTHER
STAFF DATE PROCESSED
STATE OF CALIFORNIA - CALIFORNIA DEPARTMENT OF HUMAN RESOURCES
EXAMINATION / EMPLOYMENT APPLICATION
STD. 678 (REV. 10/2013) Page 1
Y O U 0 7 1 6 7 5 7 9
Young William T 405-82-7579
Hacienda Heights
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State Hospital Patton State Hospital
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Lateral transfer.
1/20/2015
2. APPLICANT'S NAME (Last) (First) (M.I.) EASY ID
EDUCATION
DID YOU GRADUATE FROM HIGH SCHOOL?
NoYes
IF NOT, DO YOU POSSESS A GED OR EQUIVALENT?
Yes No
IF NOT, ENTER THE HIGHEST GRADE YOU COMPLETED
UNIVERSITY OR COLLEGE—NAME AND LOCATION,
BUSINESS, CORRESPONDENCE, TRADE OR
SERVICE SCHOOL
COURSE OF STUDY
UNITS
COMPLETED
SEMESTER
UNITS
COMPLETED
QUARTER
DIPLOMA, DEGREE OR
CERTIFICATE OBTAINED
DATE
COMPLETED
LICENSES – LIST APPLICABLE LICENSES AND CERTIFICATES INDICATED IN THE EXAMINATION BULLETIN.
(If you are an attorney, please indicate the date you were admitted to the Bar under the Issue Date column, if stated on the examination bulletin.)
LICENSE / CERTIFICATION NUMBER ISSUE DATE
EXPIRATION
DATE
IN THE SPACE BELOW, INDICATE SPECIFIC COURSE REQUIREMENTS NEEDED
TO SATISFY REQUIREMENTS FOR THIS EXAMINATION
EMPLOYMENT HISTORY– Begin with your most recent job. List each job separately.
FROM (MM/DD/YYYY) TO (MM/DD/YYYY) TITLE/JOB CLASSIFICATION (Include Range or Level, if applicable) SUPERVISOR NAME
HOURS PER WEEK TOTAL WORKED (Years/Months) COMPANY/STATE AGENCY NAME SUPERVISOR PHONE NUMBER
SALARY EARNED PER ADDRESS
DUTIES PERFORMED
REASON FOR LEAVING
FROM (MM/DD/YYYY) TO (MM/DD/YYYY) TITLE/JOB CLASSIFICATION (Include Range or Level, if applicable) SUPERVISOR NAME
HOURS PER WEEK TOTAL WORKED (Years/Months) COMPANY/STATE AGENCY NAME SUPERVISOR PHONE NUMBER
SALARY EARNED PER ADDRESS
DUTIES PERFORMED
REASON FOR LEAVING
STATE OF CALIFORNIA - CALIFORNIA DEPARTMENT OF HUMAN RESOURCES
EXAMINATION / EMPLOYMENT APPLICATION
STD. 678 (REV. 10/2013) Page 2
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3. APPLICANT'S NAME (Last) (First) (M.I.) EASY ID
FROM (MM/DD/YYYY TO (MM/DD/YYYY) JOB TITLE/CLASSIFICATION (Include Range or Level, if applicable) SUPERVISOR NAME
HOURS PER WEEK TOTAL WORKED (Years/Months) COMPANY/STATE AGENCY NAME SUPERVISOR PHONE NUMBER
SALARY EARNED PER ADDRESS
DUTIES PERFORMED
REASON FOR LEAVING
FROM (MM/DD/YYYY) TO (MM/DD/YYYY) JOB TITLE/CLASSIFICATION (Include Range or Level, if applicable) SUPERVISOR NAME
HOURS PER WEEK TOTAL WORKED (Years/Months) COMPANY/STATE AGENCY NAME SUPERVISOR PHONE NUMBER
SALARY EARNED PER ADDRESS
DUTIES PERFORMED
REASON FOR LEAVING
FROM (MM/DD/YYYY) TO (MM/DD/YYYY) JOB TITLE/CLASSIFICATION (Include Range or Level, if applicable) SUPERVISOR NAME
HOURS PER WEEK TOTAL WORKED (Years/Months) COMPANY/STATE AGENCY NAME SUPERVISOR PHONE NUMBER
SALARY EARNED PER ADDRESS
DUTIES PERFORMED
REASON FOR LEAVING
EMPLOYMENT HISTORY (Continued)
STATE OF CALIFORNIA - CALIFORNIA DEPARTMENT OF HUMAN RESOURCES
EXAMINATION / EMPLOYMENT APPLICATION
STD. 678 (REV. 10/2013) Page 3
YOU
4. APPLICANT'S NAME (Last) (First) (M.I.) EASY ID
EMPLOYMENT HISTORY (Continued)
FROM (MM/DD/YYYY) TO (MM/DD/YYYY) JOB TITLE/CLASSIFICATION (Include Range or Level, if applicable) SUPERVISOR NAME
HOURS PER WEEK TOTAL WORKED (Years/Months) COMPANY/STATE AGENCY NAME SUPERVISOR PHONE NUMBER
SALARY EARNED PER ADDRESS
DUTIES PERFORMED
REASON FOR LEAVING
FROM (MM/DD/YYYY) TO (MM/DD/YYYY) JOB TITLE/CLASSIFICATION (Include Range or Level, if applicable) SUPERVISOR NAME
HOURS PER WEEK TOTAL WORKED (Years/Months) COMPANY/STATE AGENCY NAME SUPERVISOR PHONE NUMBER
SALARY EARNED PER ADDRESS
DUTIES PERFORMED
REASON FOR LEAVING
FROM (MM/DD/YYYY) TO (MM/DD/YYYY) JOB TITLE/CLASSIFICATION (Include Range or Level, if applicable) SUPERVISOR NAME
HOURS PER WEEK TOTAL WORKED (Years/Months) COMPANY/STATE AGENCY NAME SUPERVISOR PHONE NUMBER
SALARY EARNED PER ADDRESS
DUTIES PERFORMED
REASON FOR LEAVING
STATE OF CALIFORNIA - CALIFORNIA DEPARTMENT OF HUMAN RESOURCES
EXAMINATION / EMPLOYMENT APPLICATION
STD. 678 (REV. 10/2013) Page 4
YOU
5. EQUAL EMPLOYMENT OPPORTUNITY
(For Examination Use Only)
APPLICANT: To assist the State of California in its commitment to Equal Employment Opportunity, applicants are asked to
voluntarily provide the following information. This questionnaire will be separated from the application prior to the examination
and will not be used in any employment decisions. Government Code Section 19705 authorizes the California Department of
Human Resources to retain this information for research and statistical purposes.
Under 21(1) 21 - 39 (3) 40-69 (6) 70 and Over(7) Male Female
PLEASE CHECK ONE OF THE BOXES THAT BEST DESCRIBES YOUR RACE/ETHNICITY HERITAGE:
ASIAN GROUP
AGE GENDER
Asian Indian (M)
Cambodian (U)
Chinese (J)
Filipino (G)
Japanese (I)
Korean (K)
Laotian (V)
Vietnamese (L)
Other Asian Group (S)
HISPANIC GROUP
Cuban (C)
Mexican/Mexican American (A)
Puerto Rican (B)
Other Hispanic/Latino Groups(D)
PACIFIC ISLANDER GROUP
Guamanian or Chamorro(R)
Hawaiian (P)
Samoan (Q)
Other Pacific Islander Group(T)
OTHER GROUPS
Aleut (O)
American Indian/Native American(H)
Black/African American (F)
Eskimo (N)
White (E)
Other Racial Group(X)
Choose not to Identify(Z)
DISABILITY(Y) —A person with a disability is an individual who: (1) has a physical or mental impairment or medical condition
that limits one or more life activities, such as walking, speaking, breathing, performing manual tasks, seeing, hearing,
learning, caring for oneself or working; (2) has a record or history of such impairment or medical condition; or (3) is regarded
as having such an impairment or medical condition.
MILITARY—A military veteran; a widow or widower of a veteran; or a spouse of a 100% disabled veteran.
THANK YOU FOR COMPLETING THIS QUESTIONNAIRE
SOCIAL SECURITY NUMBER
STATE OF CALIFORNIA - CALIFORNIA DEPARTMENT OF HUMAN RESOURCES
EXAMINATION / EMPLOYMENT APPLICATION
STD. 678 (REV. 10/2013) Page 5
6. INSTRUCTIONS
Read the following instructions carefully before completing this Application. Please complete the Application on a typewriter or personal
computer or print in ink. All questions must be answered completely and accurately, except as noted. You may be disqualified for any
false or misleading statements or for omitting information. The information you furnish will be used to determine your eligibility and/or
may be the basis for arriving at your final rating in an examination. During the course of an examination, you may be requested to provide
additional information regarding your qualifications, your preference regarding work location, shifts, etc.
Easy ID - You are required to provide the following tracking
information on the application. The first three letters of your last
name at birth, the month and day of your birth and the last four
digits of your social security number. If you have already
established an Easy ID in the online system and it is different,
please provide that Easy ID.
Social Security Number - Providing this is voluntary in
accordance with the Privacy Act of 1974 (PS 93-579). However, if
the Social Security Number is not provided, the department
administering this examination will be unable to process your
application for purposes of granting Veteran's Preference points,
Career Credits, written test waivers, or to check for eligibility in
promotional examinations.
Home/VRS/TTY Number - Provide your 10-digit home
telephone, Video Relay Service (VRS) phone number, or Text
Telephone (TTY) phone number.
Examination Title/Job Title - Fill in the exact title of the
examination from the examination bulletin. Promotional
examinations are only available to those who currently meet the
criteria to apply on a promotional basis (i.e., civil service employee,
veteran, legislative employee, etc.). If applying for a vacant
position, enter the class title of the position/vacancy for which you
are applying.
Question 2 - Reasonable Accommodation will be provided to
applicants who need assistance to take an interview or written test.
If you check “Yes” you will be contacted via telephone or mail to
make specific arrangements.
Question 5 - Employment History/Discharges. Question 5 must
be answered by all applicants. You must answer “Yes” if you have
ever, because of poor performance or misconduct, been fired,
dismissed, or terminated from a job, or had an employment contract
terminated. Explain any “Yes” answers in the Explanations section.
Include the facts in brief, the grounds for any action taken against
you, and the circumstances under which you left the position.
In completing this application, you do not need to answer “Yes” to
Question 5 if:
• you have been rejected during a probationary period; or
• your employer withdrew the firing, dismissal, termination,
or contract termination (either voluntarily or as part of a
settlement); or
• a court or administrative agency overturned or revoked the
firing, dismissal, termination, or contract termination.
If asked about past employment history by a prospective employer
during the hiring process or probationary period, however,
applicants are required to tell the truth regarding any firing,
dismissal, termination, contract termination or rejection during
probationary period, whether or not the action was overturned,
revoked, or withdrawn (either voluntarily by the employer or, as
part of a settlement agreement). Applicants are also required to
provide factually correct information on the Employment History
section of the application.
Questions 8 and 9 - These questions should be answered
only if the examination bulletin indicates (a) a minimum or
maximum age requirement for eligibility; and/or (b) a California
Driver License requirement.
Explanations - Use this section to explain the details of any
response that requires additional information. Be thorough, and
attach additional sheet(s) if needed.
Signature - Your signature and the date signed is required. If the
Application is not signed, it may be rejected.
Education - You must include a complete record of your training
and educational background. Please read the Requirements section
of the examination bulletin carefully for any special educational
requirements. If more space is needed, attach additional sheet(s).
Licenses - If the examination bulletin calls for a specific
license, professional certificate, or membership in a professional
organization, list the full name of the license, certificate or
organization, the license number, and the official expiration date of
the document or membership.
Experience - You must include a complete list of your paid
and/or volunteer work experience which relates to the
qualification requirements specified on the examination
bulletin. List all relevant jobs, during the past 10 years, regardless
of duration, including part-time and military service. You should
also list volunteer experience and jobs held more than ten years
ago if they relate directly to the job for which you are applying.
State employees must list the specific departments for which
they worked and indicate the specific civil service class title(s)
held.
Examinations Granting Veteran’s Preference Points - If you
have not previously applied for and been approved Veteran’s
Points, you must apply for the points by completing and submitting
the Application for Veteran’s Preference Form SPB-1093 to California
Department of Human Resources.
NOTE: Your completed Application and other examination related
information submitted to the department administering this
examination becomes confidential information and the property of
the State of California as provided by Government Code Section
18934. This Application and other confidential information will
not be returned; therefore, we recommend that you keep a copy
of your completed Application for your personal records. Your
rights to inspect your examination papers are set forth in Sections
186-189 of Title 2 of the California Code of Regulations, which
can be accessed on the California Department of Human Resources’s
web site at www.calhr.ca.gov.
PLEASE ENTER YOUR NAME ON PAGES 1 THROUGH 4 AND STAPLE ALL PAGES OF THE APPLICATION TOGETHER BEFORE
SUBMITTING!
STATE OF CALIFORNIA - CALIFORNIA DEPARTMENT OF HUMAN RESOURCES
EXAMINATION / EMPLOYMENT APPLICATION
STD. 678 (REV. 10/2013) Page 6