APPLICATION FOR EMPLOYMENT

Along with the completed application form, could you please forward the following documents?

Copies of all qualifications

Copy of ID
Recent / Last Payslip
3 / 4 x Contactable References
Motivation letter on why you are suitable for the position you are applying for

First Names (in full):

Surname:
Known As:
ID / Passport Number:
Telephone Home:
Cell Number:
Residential Address:
Code:
Type of Work wanted:
Do you wish to Work:

Maiden name:
Title (Miss / Mrs / Mr / Ms)
Date of Birth:
Telephone Work:
E-mail:
Postal Address:
Code:
Permanent
Mornings Only

Temporary
Full Day

Position Applying for:

Current Position:
Current / Last Salary: ..
Gross / Net
Benefits:
Required Salary: .
Gross / Net
Benefits:

Both
Afternoon Only
Notice Period:

Citizenship: Yes / No
Residency: Yes / No
Nationality & Race:
Work Permit: Yes / No

Number:

Required rate for temporary work: .

p/h

How did you hear of SM Placements?

Language Ability
Specific
Read
language

Statutory Statistics
Write

Speak

Home
Language
Other

Spouses / Partner Name:

Gender:
Race:
Occupation:
Marital Status:
Dependants:

Telephone Number:

Age/s:

Employer:

Serious Illness: Yes /

Comment if yes:
No
Smoker: Yes / No
If yes, are you prepared to refrain from smoking at work if required? Yes / No
Preferred job interview times:

Car available for work? Yes / No

Valid drivers license? Yes / No
Code:
Have you ever been sequestrated? Yes / No
If yes, have you been rehabilitated? Yes / No
Have you ever been convicted of a criminal
Comment if yes?
offence? Yes / No

General
Which consultancies / Companies have you contacted:
Preferred geographical work area:
Has your CV been sent to any Companies, NGO etc for a position?
Are you willing to relocate? If yes, what geographical areas?
I hereby declare that the abovementioned particulars are correct, and authorized any of my former employers to furnish their
record of my services, my reason for leaving their employ, together with all other information they may have concerning me,
whether on record or not. I authorized SM Placements to obtain a credit / criminal check when requested as an inherent job
requirement of SM Placements.
I also hereby declare that the information submitted in my CV through to the Agency is 100% accurate. The agency is not
responsible or liable to their client for any false or misleading information supplied by me as the onus is on me to submit the
correct information.
I understand and agree that should I accept a temporary assignment with SM Placements to be performed in the office of a client
with whom SM Placements has contracted to perform work of a particular nature and period advised to me I will engage as an
employee of SM Placements and as such be subject to their control and direction for the duration of the said assignment. I
furthermore agree to notify SM Placements should a client or party associated with a client to whom I am assigned offer me other
Permanent or temporary employment within a period of up to 6 (six) months from the last day of the assignment which
employment I accept so that arrangements for my engagements can be finalized with them. I understand and accept that the
work I perform in a clients office to which I am assigned, and information gained, am strictly confidential and will be treated as
such by me during the assignment and at all times thereafter.
Along with the completed application form, could you please forward the following documents?

Copies of all qualifications

Copy of ID
Recent / Last Payslip
3 / 4 x Contactable References
Motivation letter on why you are suitable for the position you are applying for

SIGNED:
.

DATE:

INTERVIEWER: Dee Phillips