EMPLOYMENT APPLICATION FORM
Instruction: Please fill in all blank spaces.
Personal Information:
Applicant’s Name:
2 x 2 Picture
Complete Mailing Address:
Contact Numbers: Mobile # Landline #
Email Address:
Position Applied For: ______________________________ Availability of Employment:
Name of Spouse: Relative working in UM:
TIN: SSS: PhilHealth: Pag-Ibig:
Educational Background:
Degree/Major School Name & Complete Address Year Graduated
Doctorate : _________________________________ __________________________________________________ ____________________
Master : _________________________________ __________________________________________________ ____________________
Baccalaureate : _________________________________ __________________________________________________ ____________________
Others : _________________________________ __________________________________________________ ____________________
Examination Passed: (Licensure/Civil Service):
Type of Exam Date of Exam Rating Reg. No. Place of Exam
Employment Record: (Start from present position)
Name of Company & Complete Address Position/Academic Rank Inclusive Dates Name of Dept. Head & Contact Numbers
Company Position (Landline & Mobile)
_________________________________ _____________________ _____________ ___________________ _____________________
_________________________________ _____________________ _____________ ___________________ _____________________
_________________________________ _____________________ _____________ ___________________ _____________________
_________________________________ _____________________ _____________ ___________________ _____________________
Character References: (not related to you)
Name Occupation/Position & Name of Company Complete Address Contact Numbers
(Work & Home Tel. #s/Mobile #)
_______________________________ _________________________________ ______________________ _______________________
_______________________________ _________________________________ ______________________ _______________________
_______________________________ _________________________________ ______________________ _______________________
Where did you know the information about UM’s job hiring: (Please check)
Radio Announcement Newspaper Ad UM Website Other Information (specify): __________________
I hereby declare that all information presented herein are true and correct to the best of my knowledge and belief, subject
to the verification of the school or its representative, and are indicated as a matter of record for legal purposes.
REQUIREMENTS:
For Teaching/Non-Teaching Position:
1. Letter of Application with recent Curriculum Vitae
2. Employment Application Form with 2x2 latest picture
3. Photocopy of Transcript of Records, S.O., Diploma(s) Signature of Applicant
4. Licensure Exam Result, if applicable
5. NBI Clearance
6. Photocopy of the Tax Identification Card
F-16100-036/ Rev. #: 3/ Effectivity: April 15, 2019