Northwest Placement Inc.

applicants

Application Form

Kindly fill out our Online Application form below. We, including the employer, base our initial decision using data indicated on tis form:


Position Applied for *
Date Applied *
PERSONAL DATA
Name (Last, First, Middle) *
Permanent Address *
Temporary Address
Tel. No. w/ area code
Cellphone No. *
Email
Date of Birth (mm/dd/yyyy)
Place of Birth
Age *
Sex	Male Female
No. of Dependents
Civil Status
Height & Weight
Nationality
Religion
Name and Address of Person to be contacted in case of emergency
Tel. No.
EDUCATIONAL ATTAINMENT
Elementary
High School
College *
Others *
Scholarships Honors or Scholastics received
Employment History
State monthly salary received from your past/previous Employer
Special Skills
Tools/Machine handled
Do you have a valid passport?	Yes No
Passport No.
Date of Issue
Valid Until
How did you get your passport?	By Myself Thru other agency
CHARACTER REFERENCES Name at least two (2) persons other than your relatives or former employer who can give us information regarding your character and personal habits.
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Requirements For
NON MEDICAL applicants:
Submit the following in sets:
1. NWP Application Form
2. Resume with job description
3. Certificate of Employment
4. School Credentials
* College/High School Diploma
* Transcript of Records
5. Certificate of Trainings
6. Pasport (Photocopy)
7. 2pcs. 2x2 ID Pictures

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