Job Application Form
Personal Information
1. Full Name: ______________________________________
2. Date of Birth: ____________________________________
3. Gender:
o Male
o Female
4. Address:
o Street: ___________________________________________
o City: ____________________________________________
o State/Province: ____________________________________
o Postal Code: ______________________________________
5. Phone Number: ___________________________________
6. Email Address: ___________________________________
7. Emergency Contact Name: __________________________
8. Emergency Contact Number: _______________________
Position Applied For
1. Job Title: _______________________________________
2. Date Available to Start: ___________________________
3. Preferred Work Hours:
o Full-Time
o Part-Time
o Temporary
o Shift Work
Education and Qualifications
1. Highest Level of Education:
o High School
o Associate’s Degree
o Bachelor’s Degree
o Master’s Degree
o Other: _______________
2. Schools/Universities Attended:
o Name of Institution: _________________________________
o Degree Obtained: ___________________________________
o Graduation Year: ___________________________________
3. Professional Certifications: _______________________
Work Experience
1. Current or Most Recent Employer:
o Company Name: ____________________________________
o Job Title: _________________________________________
o Dates of Employment: _______________________________
o Job Responsibilities: _________________________________
2. Previous Employer:
o Company Name: ____________________________________
o Job Title: _________________________________________
o Dates of Employment: _______________________________
o Job Responsibilities: _________________________________
3. Additional Relevant Work Experience (if applicable):
Skills and Competencies
1. Languages Spoken:
o English
o Chinese
o Malay
o Other: _______________
2. Technical Skills (e.g., software, tools, machinery): ___________________
3. Other Relevant Skills: _____________________________
References
1. Reference #1:
o Name: ____________________________________________
o Relationship: ______________________________________
o Phone Number: _____________________________________
o Email Address: _____________________________________
2. Reference #2:
o Name: ____________________________________________
o Relationship: ______________________________________
o Phone Number: _____________________________________
o Email Address: _____________________________________
Applicant’s Declaration
I hereby declare that the information provided in this application is true, complete, and
correct to the best of my knowledge. I understand that any false information or
omissions may result in the rejection of my application or termination of employment.
Signature: _____________________________ Date: ______________
