| First name(s) |
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Last name
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| Address(es) |
It is important to provide the address where you can be easily contacted. |
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| Telephone numbers |
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| Email address |
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| Position applying for |
Please write the job and/or department(s) you are interested in |
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| Nationality |
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| Social Security no. |
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| How did you hear about the job? |
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Newspaper Internet Radio Employee referral Other Please tell us how?
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| Do you hold a current drivers license? |
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Yes No
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| Do you require a work permit to work in St. Kitts? |
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Yes No
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| Have you ever been convicted of a criminal offence? |
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Yes No
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| If yes, please state date(s) and reason(s) |
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| Have you ever worked for Kittitian Hill or Terra Forma Group? |
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Yes No
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| If yes, state position & when employed |
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| Has a member of your family ever worked for Kittitian Hill or Terra Forma Group? |
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Yes No
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| If yes, state position & when employed |
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| ADDITIONAL INFORMATION |
| If you have any other relevant qualifications, work based training or experience that you feel may support your application, please list them below. |
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| How much notice are you required to give to your current employer? |
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| When would you be available to start work? |
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| Are there any days or shifts which you are unable to work? If yes, please specify. |
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| Please provide us with the names, addresses, contact number of three (3) people who know the quality of your work and your character. Please state whether they are an employer, personal or school/college referees. Please note that a personal reference should not be a member of your immediate family or yourself. |
| Reference 1. |
| Name of Reference |
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| Address |
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| Contact tel. number |
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| How do they know you? |
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| How many years has this person known you? |
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| Reference 2. |
| Name of Reference |
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| Address |
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| Contact tel. number |
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| How do they know you? |
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| How many years has this person known you? |
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| Reference 3. |
| Name of Reference |
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| Address |
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| Contact tel. number |
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| How do they know you? |
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| How many years has this person known you? |
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| Declaration |
| I confirm that the information given on this application form is correct to the best of my knowledge. I accept that misrepresentation or omission of relevant facts requested is cause for rejection of my application or for dismissal from employment. I understand that my employment contract is subject to successful completion of a probationary period. |
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