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Application
for Employment
 
Position applied for:………………………………
1. Personal Data
 
Name:………………………………………….….……… Sex:………….. Date of
Birth:.………………….…………..
Place of Birth:….………………………………………………………………….……………
Nationality:……….………………………….…..…..……..
Present Address:…………..………………………………………………………………………………..……………………………………………………………………………
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Telephone number:…………………………………………
Cambodian ID Card No:……………………… Issued on:.……..…….……..…. Issued by:……..…..………..…..……
In case of emergency, notify:
Name:……………..…………………….………..….……..
Relationship:…………………………..…….…………….
Address:………………….……..……………………………………………………………… ………………………………………………………..…………………………………………
Telephone number:………..……………………..……….…
Family:
Are you married? YES NO
If YES, Do you have a legal marriage certificate? YES NO
Spouse’s Name:……………………………..…………………………………
Occupation:……………………………………………………………………….
Company’s Name:………………………………………………………………..
Children:………………………………………………………….…………….…………………………………………………………………………………………………………….…………………………
If NO,
Father’s Name:…….……………………………………
Occupation:……….…………………….…………………….
Mother’s Name:…………………………………………
Occupation:…………………..………………………………
2. Formal Education
List schools attended beginning with High School, including Technical Schools and other special training
Level of School Name of School Location Degree or Certificate Remarks
Lower seconday        
Upper Secondary        
Faculty or University        
       
Other training        
       
         
       
3. Special Interests
Hobbies or Activities:
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4. Employment
Provide as much detail as possible.
Name of Organization/Company 1 Date Employed Base Salary Other Compensation
 
Month/ Year

From:…………….

To:………………..


(U.S. Dollars)

Start:……………. / Mo.

Ending:…………. / Mo.

(Overtime Commission, etc.)

………………………

………………………

Address:……………………………………………………………………………..…………………………………………………………………………………………………………….
Contact Number: ..………………………………………………………………………………
Position(s) (Title) :………………………………………………………………………………
Supervisor’s Name:…………………………………………..
Supervisor’ s Title:…………………………………………………………………………….
Reason for leaving: …………………………………………………………………………….……………………………………………………………………………….
Name of Organization/Company 1 Date Employed Base Salary Other Compensation
 
Month/ Year

From:…………….

To:………………..


(U.S. Dollars)

Start:……………. / Mo.

Ending:…………. / Mo.

(Overtime Commission, etc.)

………………………

………………………

Address:……………………………………………………………………………..…………………………………………………………………………………………………………….
Contact Number: ..……………………………………………………………………………..
Position(s) (Title) :………………………………………………………………………………
Describe your duties: …………………………………………………………………………... ………………………………………………………………………………………………….
Supervisor’s Name:…………………………………………..
Supervisor’s Title:…………………………………………………………………………….
Reason for leaving: ……………………………………………………………………………. …………………………………………………………………………………………………. …………………………………………………………………………………………………. ………………………………………………………………………………………………….
Name of Organization/Company 1 Date Employed Base Salary Other Compensation
 
Month/ Year

From:…………….

To:………………..


(U.S. Dollars)

Start:……………. / Mo.

Ending:…………. / Mo.

(Overtime Commission, etc.)

………………………

………………………

Address:……………………………………………………………………………..…………………………………………………………………………………………………………….
Contact Number: ..……………………………………………………………………………..
Position(s) (Title) :…………………………………………………………………………….
Describe your duties: ………………………………………………………………………….. …………………………………………………………………………………………………. ………………………………………………………………………………………………….
Supervisor’s Name:…………………………………………..
Supervisor’sTitle:…………………………………………………………………………….
Reason for leaving : ……………………………………………………………………………. …………………………………………………………………………………………………. ………………………………………………………………………………………………….
5. Native Language:
Other Languages Read Write Speak Understand
Easilys
Not Easily Easily Not Easily Easily Not Easily Easily Not Easily
                 
                 
                 
6. Additional Questions:
How did you hear about Operations Enfants du Cambodge?
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Why are you applying for work with Operations Enfants du Cambodge?
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Why are you applying for this position?
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How did you hear about this position?
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Why do you think your qualifications fit this position?
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Have you ever been dismissed or suspended from employment? YES NO
If Yes, give reasons :
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Do you have any close friends or relatives employed by OEC? YES NO
If Yes, give Name, Position, Department/Project:
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Do you have a physical handicap or serious illness, which may affect your ability to work?
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If offered assignment with OEC, how soon will you be available to begin work.
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Explain three strong values that you consider to be most important in your working life?
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What are your weak points?
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Please describe the main Child Rights
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List three important risks on Child Right abuse in Cambodia.
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7. REFERENCES: List two persons, not related to you, who are familiar with your character and qualifications. Do not repeat names of supervisors listed under item 4.
FULL NAME FULL ADDRESS BUSINESS OR OCCUPATION
 

     
 
I certify that the statements made by me in answer to the foregoing questions are true, complete and correct to the best of my knowledge and belief.
 
DATE: _____________ SIGNATURE:___________________________
 
 
     
   
   
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Address: Operations Enfants du Cambodge (OEC)
No 23 , Sophy II, Rattanak commune, Battambang city, Battambang province, Cambodia
Tel: +855(0) 53 952 752
e-mail: oec@camintel.com