* When executing this employment application, if you find a question which you object to
please refrain from answering it.
EVA AIRWAYS CORPORATION
EMPLOYMENT APPLICATION
(PLEASE PRINT PLAINLY)
Social Security Number: DATE:
NAME
IN FULL
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ENGLISH
LAST FIRST MIDDLE
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Attach photograph taken within past 3 months
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NATIVE LANGUAGE NICKNAME
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BIRTH DATE ( dd / mm / yyyy ) : / /
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HEIGHT: CM
WEIGHT: KG
COLOR OF HAIR:
COLOR OF EYES:
BLOOD TYPE:
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BIRTH PLACE:
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NATIVE CITY:
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NATIONALITY:
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MALE □
FEMALE □
MARRIED □
SINGLE □
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DIVORCED □
SEPERATED □
WIDOWED □
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I.D. CARD NO. OR PASSPORT NO.
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PRESENT ADDRESS
NO. STREET CITY STATE ZIP
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TEL:
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PERMANENT ADDRESS
NO. STREET CITY STATE ZIP
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TEL:
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EDUCATION
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LEVEL
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NAME OF SCHOOL
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LOCATION
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YEARS ATTENDED
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MAJOR SUBJECT
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DIPLOMA/ DEGREE
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FROM
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TO
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mm
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yyyy
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mm
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yyyy
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PRIMARY
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SECONDARY
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HIGH
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COLLEGE
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OTHERS
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DESCRIBE ANY SPECIAL VOCATIONAL OR TECHNICAL TRAINING AND SPECIALIZED KNOWLEDGE/ ABILITY
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LANGUAGES (NAME AND INDICATE THE EXTENT OF YOUR COMPETENCE i.e. EXCELLENT, GOOD, FAIR)
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LANGUAGE
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READ
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WRITE
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SPEAK
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JOB APPLIED FOR
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DATE YOU CAN START
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LOWEST ACCEPTABLE SALARY
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LOCATION PREFERENCE
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FOR SECRETARY & CLERK POSITION APPLICANT
(1) TYPING SPEED __________ WORDS PER MINUTE (2) SHORTHAND SPEED ___________ WORDS PER MINUTE
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EMPLOYMENT RECORD (INCLUDE PRESENT OCCUPATION AND LIST ALL PAST JOBS IN CHRONOLOGICAL ORDER)
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EMPLOYED
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JOB TITLE
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NAME & ADDRESS OF ORGANIZATION
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SUPERVISOR NAME AND TITLE
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SALARY
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REASON FOR LEAVING
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FROM
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TO
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mm
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yyyy
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mm
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yyyy
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DO YOU POSSES LETTERS OF RECOMMENDATION FROM ALL YOUR PAST EMPLOYERS LISTED ABOVE?
IF NO, STATE REASONS.
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EXPLAIN DETAILS OF YOUR EXPERIENCE (BE SURE TO EXPLAIN ALL PHASES OF THE JOBS MOST FAMILIAR TO YOU)
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PHYSICAL RECORD:
HEARING: GOOD POOR WEARING GLASSES? YES
FAIR WEAR AID NO
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LIST ANY PHYSICAL DETECTS:
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Have you had a major illness or injury in the past 5 years? Yes No
If yes, describe.
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Residence: □ Own □ Apt. Live With: □ Spouse Own Car? □ Yes Valid Driver’s License? □ Yes
□ Rent □ Home □ Relatives □ No □ No
□ Others
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INFORMATION REGARDING FAMILY (INCLUDING PARENTS, SPOUSE, CHILDREN, BROTHERS/ SISTERS, OTHER CLOSE RELATIVES AND PREVIOUS SPOUSE IF ANY)
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RELATION
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NAME
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BIRTH DATE
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OCCUPATION
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ADDRESS
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dd
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mm
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yyyy
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LIST PERSONAL REFERENCES
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RELATION
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NAME
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YEARS ACQUAINTED
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OCCUPATION
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ADDRESS
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MILITARY STATUS NOT APPLICABLE
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SOCIAL INTERESTS & HOBBIES
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PERSON TO NOTIFY IN CASE OF EMERGENCY
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RELATION
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ADDRESS
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TEL.
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If Related to Anyone In Our Organization, State Name and Department
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Referred By
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HAVE YOU EVER BEEN ARRESTED BY POLICE? (EXCLUING TRAFFIC VIOLATIONS) YES NO
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USE THIS SPACE FOR ADDITIONAL INFORMATION YOU WISH TO ADD
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I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS FORM AND UNDERSTAND THAT ANY FALSE STATEMENTS MADE HEREIN WILL BE SUFFICIENT CAUSE FOR TERMINATION OF EMPLOYMENT.
Signature: ____________________________________
Date: ____________________________________
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(SPACE FOR THE INTERVIEWER)
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Interviewed By
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Date
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REMARKS:
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Neatness
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Character
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Personality
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Ability
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Hired
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For Dept.
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Position
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Will Report
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Salary
Wages
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Approved
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1. Personnel Dept.
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2. Dept. Head
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3. President
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