APPLICATION FOR EMPLOYMENT

POSITION/S APPLYING FOR:

NAME AND CONTACT DETAILS
Last Name
First Name
Middle Initial
RAFAEL
Joana Cristine
V.
Blk 23 Lot 18, Phase IV, Soldiers Hills IV, Molino VI, Bacoor
Current
Cavite
Address
Provincial
Address
Contact
Numbers

Blk 23 Lot 18, Phase IV, Soldiers Hills IV, Molino VI, Bacoor
Cavite
Landline
(046) 424 2803

Date of Birth

Highest Level
Attained (please check
the appropriate box)

School Details

Mobile

Other

09159741291
PERSONAL PARTICULARS
Gender
Civil Status
Nationality
Male
Single
Filipino
Female
Married
Other:
Widow/er
____________
Separated
EDUCATIONAL ATTAINMENT
Post Graduate (Masters or Doctorate)
Bachelors Degree/ College Graduate
2 year Certificate Course/Vocational Course
High School Diploma
Other: __________________________
Course Completed:
BACHELOR OF SCIENCE IN
NURSING
University of Perpetual Help
School Attended:
System-DALTA, Las Pinas City

School Details
Licensure Exam
Details (if any)

PRC Details

Inclusive Dates:
Course Completed:
School Attended:
Inclusive Dates:
Exam Taken:
Date Taken:
Score:
With PRC License?

SY 2005 - 2009

Nursing Licensure Examination

November 2009
80.00
Yes
No
0613448

PRC License
Number:
Valid Until:
September 2016
WORK EXPERIENCE
(start with the current or most recent job)

Company Name
St. Lukes Medical
Center Global City

Position Title
Nurse (Casual)

Inclusive Dates
04 May 2015 Present

Work Description

Monthly Salary
Reason For Leaving

Company Name
St. Lukes Medical
Center Global City

Monthly Salary
Reason For Leaving
Company Name

Php 10,000.00
St. Lukes Medical Center Global City has been my
second family for more than 2 years. I was able to
learn a lot, meet a lot of competent and
dedicated people, patients (VIPs and non-VIPs),
some of which I treated as a family. As it is
extremely difficult for me to seek new
employment, my utmost priority is getting a more
secured employment for my ageing parents.
Position Title
Inclusive Dates
ER Patient Experience
16 April 2013 15
Officer (Managerial)
January 2015
Work Description

Php 16, 500.00

To pursue my profession as a nurse.
Position Title
Inclusive Dates
Work Description

Monthly Salary
Reason For Leaving
ADDITIONAL INFORMATION
Do you have relatives working for MMC?
Name:
Department:
Position:
Relationship:
Name:
Department:
Position:
Relationship:

Name:
Department:
Position:
Relationship:
Name:
Department:
Position:
Relationship:

Yes

(if yes, pls. give

details below)

No

Friends
How did you learn about our
website?

Word of
Mouth
Internet

MMC
Employee
Advertisemen
ts
Others:
_______