Spanish Lookout
Center Road
Tel: +501-823-0132
Fax: +501-823-0463
[email protected]
Application for Employment
IMPORTANT: THIS APPLICATION IS TO BE COMPLETED BY THE APPLICANT.
We will consider this application carefully, but it does not guarantee employment.
Personal information
Name:______________________________________________________________________
Home_Address:_______________________________________________________________
Email Address:________________________________________________________________
Telephone Number:___________________________________________________________
Date of Birth:_________________________________________________________________
Social Security Number:________________________________________________________
Authorized to Work in Belize___Yes________No____________________________________
Languages Spoken:____________________________________________________________
Marital Status: _Single:_____Married:______Widowed:_______Common-Law:___________
Do you have a valid Driver's License?_____________________________________________
What position are you applying for:______________________________________________
Have you ever been convicted of a crime? Yes:_____ No:_______
If yes, please give details:______________________________________________________
Education:
School Name Years Completed Diploma/Degree
High School:
College/University:
Other Training, Certification, or Licenses held:
Work Experience. Please provide details of your two most recent positions held.
Employer:
Address:
Time Employed:
Salary:
Position:
Duties Performed:
Name of your Supervisor:
Reason for leaving:
Employer:
Address:
Time Employed:
Salary:
Position:
Duties Performed:
Name of your Supervisor:
Reason for leaving:
References: Submit three references excluding relatives who we may contact.
Name Title Company Telephone #
Acknowledgement and Authorization:
I certify that all answers given herein are true and complete to the best of my knowledge.
In the event of employment, I understand that false or misleading information given in my application or i
i interview(s) may result in discharge.
__________________________________________________________________________________________________
Signature of Applicant Date