PRE-EMPLOYMENT QUESTIONNAIRE Note: Completion of this form is to evaluate applicant’s suitability for a vacant position. It is not an employment contract. 1. PERSONAL INFORMATION: Position Applied For: (required) Surname: (required) Other Names: (required) Residential Address: (required) Telephone Number(s): (required) Email Address: (required) Spouse Name: (required) Spouse Telephone Number: (required) 2. PARENT INFORMATION: Father’s Name: (required) Telephone Number: (required) Residential Address: (required) Mother’s Name: (required) Telephone Number: (required) Residential Address: (required) Please indicate (By selecting Alive or Not Alive) if they are alive at the time of this application Father:(required)—Please choose an option—AliveNot Alive Mother: (required)—Please choose an option—AliveNot Alive 3. NEXT OF KIN INFORMATION: Name: (required) Residential Address: (required) Telephone Number: (required) Relatioship: (required) 4. EDUCATIONAL QUALIFICATIONS: School: (required) Certificate Obtained: (required) Date: (required) School: Certificate Obtained: Date: School: Certificate Obtained: Date: School: Certificate Obtained: Date: School: Certificate Obtained: Date: 5. RELEVANT PROFESSIONAL QUALIFICATIONS: Organization: Certificate Obtained: Date: Organization: Certificate Obtained: Date: Organization: Certificate Obtained: Date: Organization: Certificate Obtained: Date: 6. WORKING EXPERIENCE: Current Company/Organization’s Name: (required) Address: (required) Email Address: (required) Telephone: (required) Designation: (required) Period of Employment (FROM): Period of Employment (TO): Would you allow Supply Chain Global Services Ltd. to contact the organization concerning your record of employment? YesNo Immediate Post Company/Organization’s Name: Address: Email Address: Telephone: Designation: Period of Employment (FROM): Period of Employment (TO): Would you allow Supply Chain Global Services Ltd. to contact the organization concerning your record of employment? YesNo Past Company/Organization’s Name: (required) Address: Email Address: Telephone: Designation: Period of Employment (FROM): Period of Employment (TO): Would you allow Supply Chain Global Services Ltd. to contact the organization concerning your record of employment? YesNo 7. REFEREES: Name: (required) Contact Address: (required) Telephone Number: (required) Email: (required) Relationship: (required) Name: (required) Contact Address: (required) Telephone Number: (required) Email: (required) Relationship: (required)
