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Job Fair Registration – Nursing Aide
CJ Lee
2022-08-03T10:48:34+08:00
Job Fair Registration – Nursing Aide
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Note: PLEASE USE CAPITAL LETTERS and PUT “N/A” in fields that are not applicable.
Date
MM slash DD slash YYYY
Carreer Job Fair Registration
*
Onsite
Virtual
Source
*
Referral
Facebook Page
Jobstreet
1Nurse
Others
Others
Employee's full name
*
Referred by:
Position
*
Area/Department
*
Applicant's Name
*
First
Middle
Last
Suffix
Please Select
NA
II
III
IV
JR
SR
V
Present Address
*
Street Address
Barangay
City
Region
Permanent Address
*
Age
*
Birthdate
*
MM slash DD slash YYYY
Gender
*
Female
Male
Mobile Number
*
Landline No.
Email Address
*
Enter Email
Confirm Email
Upload your Resume, Diploma and TOR (Transcript of Records)
*
Drop files here or
Select files
Accepted file types: pdf, docx, png, jpg, Max. file size: 20 MB, Max. files: 3.
Educational Background
Name of School
*
Course/Degree Taken
*
Years Attended (From-To)
*
PRC License Details
For newly-registered nurses, please put "N/A" if PRC license is not yet available.
When did you pass your licensure exam?
*
PRC License No.
*
PRC Expiration Date
MM slash DD slash YYYY
Upload one (1) of any of the following documents: 1) PRC license, 2) PRC Oath form, 3)PRC Renewal Appointment, or 4) Notice of admission and a screenshot of your name in the list of Nursing Board passers
*
Drop files here or
Select files
Accepted file types: pdf, jpg, docx, png, Max. file size: 30 MB, Max. files: 3.
Note: If expired, please attach your PRC renewal appointment form.
Employment Details
Clinical/Hospital Work Experiences
1. Designation
*
1. Years of Experience (From-To)
*
1. Name of the Institution
*
2. Designation
2. Years of Experience (From-To)
2. Name of the Institution
3. Designation
3. Years of Experience (From-To)
3. Name of the Institution
Signature
*
I hereby certify that the information in this application form is true and correct and that I have not knowingly withheld any facts or circumstances that would if disclosed, affect my application. I understand that any misrepresentation or omission of facts on my part shall be sufficient cause for the rejection of my application or dismissal if employed. I authorize the Chinese General Hospital and Medical Center to confirm all the information contained herein and submit myself to a physical examination and other qualifying tests.
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