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APPLICATION FOR EMPLOYMENT

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PERSONAL INFORMATION DATE OF APPLICATION:__________________________

Name: _____________________________________________________________________________________________________
Last First Middle

Address: ___________________________________________________________________________________________________
Street City, State Zip

Contact Information: _______ ( ___ )___________________ ( ___ )_________________________________________________


Home Telephone Mobile Email

How did you learn about our company? ____________________________________________________________________

POSITION SOUGHT: _________________________ Available Start Date:______________

Desired Pay Range: ________________ Are you currently employed?  YES  NO


Monthly Salary

EDUCATION
Name and Location Graduate? – Degree? Major / Subjects of Study

High School

College or University

Specialized Training,
Trade School, etc…

Other Education

Please list your areas of highest proficiency, special skills or other items that may contribute to your abilities in
performing the above mentioned position.

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

TM-0202-APPLICATION FOR EMPLOYMENT Date: 6 Aug 2011 Approved: BDI


PREVIOUS EXPERIENCE

Please list beginning from the most recent

Dates Employed Company Name Location Role/Title

Job notes, tasks performed and reason for leaving:

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

Dates Employed Company Name Location Role/Title

Job notes, tasks performed and reason for leaving:

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

Knowledge of Languages

Language Speak Read Write


Fair Good Excellence Fair Good Excellence Fair Good Excellence
Bahasa Indonesia

English

Mandarin

Other:

Computer Skills

Program Proficiency Remarks


Fair Good Excellence
Microsoft Powerpoint

Microsoft Word

Microsoft Excel

Internet Explorer

Other:

TM-0202-APPLICATION FOR EMPLOYMENT Date: 6 Aug 2011 Approved: BDI


Authorization and Understanding

I understand that BDP may investigate my work and personal history and verify all data given on this Application for
Employment, on related papers, and in interviews, and I authorize BDP to do so. This inquiry may include
information as to my character, general reputation and personal characteristics, and I consent to the conduct of this
inquiry and to the consideration of any statements or references by former employers that are given in response to
the inquiry. I authorize all individuals, schools and employers named, except as specifically limited on this
application, to provide information requested about me, and I release them and BDP from liability for damages in
providing this information. I understand and acknowledge that any misrepresentation, omission or incorrect
statement of fact can result in rejection of my application or, if hired, immediate discharge.

___________________________ ___________________________ ___________________________


Name Signature Date

Certification

I certify that the answers in this document are true to the best of my knowledge. I realize that all the information
furnished by me is important and that BDP will rely on such information in engaging me and in continuing my
employment. I also realize that this information may be verified by BDP and that any misrepresentation of facts
may constitute a cause for dismissal.

I authorize all current and former employers to release to BDP my complete personnel record including, but not
limited to, salary history, performance evaluations, disciplinary reports, letters of reprimand, and attendance
records. I release from liability all current and former employers, their agents, representatives, employees, officers,
or directors for providing the above information.

___________________________ ___________________________ ___________________________


Name Signature Date

TM-0202-APPLICATION FOR EMPLOYMENT Date: 6 Aug 2011 Approved: BDI


Question for Admin and Marketing Candidates
Blue Dolphin (1.5 to 6 years)

1. Tell us about yourself.

2. What information/tools to equip you to be able to sell our school?

3. What is the best way to market our school to Jakarta market?

4. Describe your discipline philosophy

5. What are the key qualities and skills that you have to make you to be a good teachers?

6. How do you communicate with parents?

7. If we decided not to appoint you, what would we be missing out on?

TM-0202-APPLICATION FOR EMPLOYMENT Date: 6 Aug 2011 Approved: BDI