Pizza LaRoma

Aparente St. Block 7, Brgy. City Heights,

General Santos City
0907-2147837 / 0917-1457935 /
083-3063230
www.facebook.com/pizzalaromagensan

ID PICTURE EMPLOYMENT APPLICATION FORM

Date Applied: _______________

Desired Position: __________________ Expected Salary: ____________

Available date to start: _____________

PERSONAL INFORMATION

Last Name : ______________________ First Name: _____________________ Middle Name: _______________

Present Address: _________________________________________________________________________________
Permanent Address: ______________________________________________________________________________
Telephone No. :________________________ Mobile No. : _______________________
Email Address: ________________________ Facebook Account: ____________________
Civil Status : ______________ Religion: _______________ Gender: _________________
Date of Birth: _____________________ Place of Birth: ______________________
Citizenship: _______________ Languages/Dialects Spoken: _____________________________
Skills : _________________________________________________________________________________________
Mother’s Name : ______________________________ Occupation: ___________________________
Father’s Name : ______________________________ Occupation: ___________________________
Spouse Name (if applicable) : __________________________ Occupation: _______________________
Name of Children
1. ___________________________ 4. _____________________________
2. ___________________________ 5. _____________________________
3. ___________________________ 6. _____________________________

EDUCATIONAL ATTAINMENT
Graduate
Name of School Location (Yes/No) Year Graduated Course
Elementary N/A
High School N/A
College
Vocational

EMPLOYMENT HISTORY
Company Name Inclusive Dates of
(start with most recent) Location Position Employment Salary Reason for Leaving

PROFESSIONAL REFERENCE
Name Position Company Name Address Contact Number

I hereby certify that the above information is true and correct to the best of my knowledge and belief. I also understand that any
misinterpretation will be considered reason for withdrawal of an offer or subsequent dismissal if employed.

________________________
Applicant’s Signature

(to be filled out by HR)

Initial Interview _______________ (P/F) Final Interview _________________(P/F)
Training Start Date _____________ Training End Date ____________________ (P/F)
Probation Period Start Date ______________ Probation Period _______________ (P/F)