Career Opportunities

WHO ARE WE LOOKING TO PARTNER WITH?

People with:

- - - - Entrepreneurial spirit
        Strong at building relationships
        Passionate about your community
        Hands-on in daily operations
        Individuals and Organizations that are passionate about increasing access to healthcare

Do you have the qualities listed above?

If yes, please complete the form below and send.

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: Spouse Telephone Number:

2. NEXT OF KIN INFORMATION:

Name: Residential Address: Telephone Number: Relationship:

3. EDUCATIONAL QUALIFICATIONS:

School: Certificate Obtained: Date:
School: Certificate Obtained: Date:
School: Certificate Obtained: Date:
School: Certificate Obtained: Date:
School: Certificate Obtained: Date:

4. RELEVANT PROFESSIONAL QUALIFICATIONS:

Organization: Certificate Obtained: Date:
Organization: Certificate Obtained: Date:
Organization: Certificate Obtained: Date:
Organization: Certificate Obtained: Date:

5. WORKING EXPERIENCE:

Current

Company/Organization’s Name: Address: Email Address: Telephone: Designation: Period of Employment (FROM): Period of Employment (TO):

Would you allow E-Business & Virtual Marketing Services Ltd. to contact the organization concerning your record of employment?

YesNo

Immediate Past

Company/Organization’s Name: Address: Email Address: Telephone: Designation: Period of Employment (FROM): Period of Employment (TO):

Would you allow E-Business & Virtual Marketing Services Ltd. to contact the organization concerning your record of employment?

YesNo

Past

Company/Organization’s Name: Address: Email Address: Telephone: Designation: Period of Employment (FROM): Period of Employment (TO):

Would you allow E-Business & Virtual Marketing Services Ltd. to contact the organization concerning your record of employment?

YesNo

6. REFEREES (All fields required):

Name: Contact Address: Telephone Number: Email: Relationship:
Name: Contact Address: Telephone Number: Email: Relationship:

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