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EMPLOYMENT APPLICATION FORM


IF EMPLOYED, THIS BECOMES PART OF YOUR PERMANENT RECORD
PLEASE PRINT ALL INFORMATION REQUESTED EXCEPT SIGNATURE

Date of Application: _______________________________


April 4, 2019 Position Applied For: ______________________________________
HR Assistant
Salary Range Expected: ___________________________
10,000 - 12,000 Earliest Possible Start Date: ________________________________
April 8, 2019

Complete Name: ___________________________________________Nickname:


Cruz, Liane Marie Avila ___________
Liane Date of Birth:_______________
February 02, 1999
Surname, Given Middle Place of Birth:___________________
Muntinlupa City
Civil Status: ____________Gender
Single : ___________
Female Height: ____________
5'2 Weight: ____________
68 kgs Religion: ________________
Roman Catholic
Present Address: _________________________________________________________________________________________
Block 3 Lot 24 Yen Street Villa Carolina 1 Tunasan Muntinlupa City
Permanent Address: ______________________________________________________________________________________
Block 3 Lot 24 Yen Street Villa Carolina 1 Tunasan Muntinlupa City
Cell phone #:________________________
09173018248 Land phone #: __________________E-mail
(02) 852 - 1972 Address:_________________________
TIN#:__________________________________
355585594-0000 Pag-Ibig/HDMF #:_________________________________________________
121245484996
SSS#:_________________________________
34-8207265-3 Philhealth #:______________________________________________________
010523112908

Name of Father: Camilo C. Cruz Occupation: Government Employee Date of Birth: November 26, 1963
Name of Mother: Maria Liza Visitacion A. Cruz Occupation: Government Employee Date of Birth: January 9, 1975
Name of Spouse: N/A Occupation: Date of Birth:

CHILDREN / DEPENDENTS (This includes parents and siblings for the unmarried applicants, wife and children for married applicants)

Name Age Relationship Occupation /School / Grade / Year Level / Course


_________________________________
N/A ____ ____________________ _________________________________
_________________________________ ____ ____________________ _________________________________
_________________________________ ____ ____________________ _________________________________
_________________________________ ____ ____________________ _________________________________
_________________________________ ____ ____________________ _________________________________

Languages spoken/written: Spoken Written


_____________________________
Filipino ( ) Very Fluent ( ) Fluent ( ) Not so fluent ( ) Very Fluent ( ) Fluent ( ) Not so fluent
_____________________________
English ( ) Very Fluent ( ) Fluent ( ) Not so fluent ( ) Very Fluent ( ) Fluent ( ) Not so fluent
_____________________________ ( ) Very Fluent ( ) Fluent ( ) Not so fluent ( ) Very Fluent ( ) Fluent ( ) Not so fluent

Computer applications Skill level


_____________________________________
Microsoft Office (MS Word, Excel, PowerPoint) ____ Beginner ____ Intermediate ____ Expert
_____________________________________
Adobe Photoshop ____ Beginner ____ Intermediate ____ Expert
_____________________________________ ____ Beginner ____ Intermediate ____ Expert

Special Skills: ________________________________________________________________________________


Playing the piano, baking cookies and cakes

EDUCATIONAL BACKGROUND

TYPE OF SCHOOL NAME OF SCHOOL LOCATION DATES ATTENDED MAJOR & DEGREE
PROFESSIONAL/GRADUATE
SCHOOL N/A
BUSINESS OR TRADE
SCHOOL N/A
COLLEGE
De La Salle College of Saint Benilde 2544 Taft Ave, Malate, Manila
2015 - 2019 BSBA - Human Resource Management

HIGH SCHOOL San Beda College Alabang 8 Don Manolo Blvd, Cupang, Muntinlupa
2005 - 2015
Trainings & Seminars Location Date
_____________________________
Leadership and World Affairs Program, by Osgood ______________________________
Washington DC and New York City ________________________
August 2018
_____________________________
Philippine Talent Map Initiative ______________________________
De La Salle College of Saint Benilde ________________________
July 2018
_____________________________
HR Analytics ______________________________
De La Salle College of Saint Benilde ________________________
February 2018
_____________________________
HRIS: Birth of A Breakthrough ______________________________
De La Salle College of Saint Benilde ________________________
November 2017

_____________________________
HR Heroes: Past s Visionary, Present Trainee ______________________________
De La Salle College of Saint Benilde ________________________
March 2017

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Please use last page of this form to
summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.
EMPLOYMENT RECORD

Please list your experience for the past four years beginning with your most recent job held. If you were self-employed,
give firm/company name. Attach additional sheets if necessary.

Name of Employer: ________


N/A ______________________________ Phone#: ____________________________
Address: ______________________________________________ E-mail Address:_______________________
Employment Dates: (From: ________________________________ To:________________________________)
Your last job title:_____________________________________________________________________________
Pay or Salary: (Start ________________________________ Final:________________________________)
Name of last Supervisor / Superior :___________________________________ Position:_____________
_______________
Reason for leaving:___________________________________________________________________________

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at
this company

Name of Employer: ______________________________________ Phone#: ____________________________


Address: ______________________________________________ E-mail Address:_______________________
Employment Dates: (From: ________________________________ To:________________________________)
Your last job title:_____________________________________________________________________________
Pay or Salary: (Start ________________________________ Final:________________________________)
Name of last Supervisor / Superior :___________________________________ Position:_____________
_______________
Reason for leaving:___________________________________________________________________________

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at
this company

Name of Employer: ______________________________________ Phone#: ____________________________


Address: ______________________________________________ E-mail Address:_______________________
Employment Dates: (From: ________________________________ To:________________________________)
Your last job title:_____________________________________________________________________________
Pay or Salary: (Start ________________________________ Final:________________________________)
Name of last Supervisor / Superior :___________________________________ Position:_____________
_______________
Reason for leaving:___________________________________________________________________________

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at
this company

Name of Employer: ______________________________________ Phone#: ____________________________


Address: ______________________________________________ E-mail Address:_______________________
Employment Dates: (From: ________________________________ To:________________________________)
Your last job title:_____________________________________________________________________________
Pay or Salary: (Start ________________________________ Final:________________________________)
Name of last Supervisor / Superior :___________________________________ Position:_____________
_______________
Reason for leaving:___________________________________________________________________________

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at
this company
HOW DID YOU COME TO APPLY HERE? ______________________________________________________________________________
Through Indeed

DO YOU HAVE PREVIOUS APPLICATION WITH MACS? ( ) Yes ( ) No

HAVE YOU EVER BEEN CONVICTED OF A CRIME? ( ) Yes ( ) No

If yes, explain number of conviction (s), nature of offense (s) leading to conviction (s), how recently such offense (s),
was/were committed, sentence (s) imposed, and type (s) of rehabilitation. ____________________________________
N/A
_______________________________________________________________________________________________
_______________________________________________________________________________________________

DO YOU HAVE A DRIVER’S LICENSE? ( ) Yes ( ) No

What is your means of transportation to work? _________________________________________________________


Private Vehicle
Driver’s License # _________________
N24-19-S04010 Expiration Date: ___________________
March 11, 2019 Restrictions: __________________
N/A
Have you had any accidents during the past three years? _________________
N/A How Many? ____________________
Have you had any violations during the past three years? _________________
N/A How Many? ____________________

ARE YOU A LICENSED PROFESSIONAL (e.g. CPA, ENGR. etc.)? ( ) Yes ( ) No

If yes, please indicate type and PRC Cert. No. __________________________________________________________


N/A

ARE YOU RELATED TO ANY PERSON EMPLOYED BY OR TO ANY SUPPLIER OR PARTNER OF MACS OR ANY OF ITS SISTER /
AFFLIATE COMPANIES? ( ) Yes ( ) No
If yes, please indicate the name/s and relationship/s_____________________________________________________
N/A
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________

HAVE YOU HAD ANY PHYSICAL OR MENTAL CONDITION WHICH LIMITS YOUR ABILITY TO PERFORM THE JOB APPLIED FOR OR
POSE A POTENTIAL RISK TO OTHER EMPLOYEES? ( ) Yes ( ) No
If yes, please describe____________________________________________________________________.
N/A

Person to notify in case of emergency:

Name :______________________________________________
Maria Liza Visitacion A. Cruz Cell Phone No.:___________________________
09173004676
Relationship:___________________________________
Mother Phone No.: _______________________________
(02) 988-4607
Address: ______________________________________________________________________________________

I understand that employment with MACS is contingent upon several factors including satisfactory results of the
following: background & reference checks & medical examination, which includes drug testing.

I hereby authorize MACS, its affiliates and agents, to use & dispose of in any manner any information and documents
which I have submitted or will submit to MACS in connection with my application for employment.

I further authorize MACS and its duly authorized representatives to conduct appropriate investigation to verify the
information I provided in connection with my application. All representations in this application form are true and correct
to the best of my knowledge and belief and I have not knowingly omitted any related information of an adverse nature.

I agree that any misrepresentation or inaccurate information may cause my ineligibility for employment with MACS or
termination from employment if I am hired. I further acknowledge that such management right to terminate my services
for misrepresentation or similar actuation maybe exercised at anytime during my employment with MACS.

Printed Name: ____________________________________


Liane Marie A. Cruz

Signature: _______________________________________

Date: ___________________________________________
April 4, 2019
Liane Marie A. Cruz
Name: ____________________________
April 4, 2019
Date: _______________
HR Assistant
Position Applied for: ________________________________________

ESSAY
Choose only five (5) and answer concisely. You may use the back portion
and/or request for extra paper.

1. What criteria are you using to evaluate the company for which you
hope to work?

2. In what ways do you think you can make contribution to our company?

3. What skills do you think you have gained from schooling and past work
experience?

4. What is your long-term employment and career objective?

5. What kind of job do you see yourself holding five years from now?

6. What do you think the most significant characteristics and abilities a


person must posses to become successful?

7. What things frustrate you most? How do you usually cope with them?

8. What does success means to you?

9. What are some of the things on your job(s) that you think you have
done particularly well?

10. What did you like least/most about your previous job(s)?

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