SURVEY: Job Application Form

Bientott” is committed to a policy of equal opportunity and the development of positive policies to

promote equal opportunity in employment around the word.

This form is in two separate parts: the first part contains personal information and is a confidential document, which will not be seen by those making a selection decision and the second part relates specifically to the post(s) you are applying for. FIRST PART Job Reference Number Position Applying For Desired Location      

     

     

We aim to ensure no applicant or employee receives less treatment on the basis of gender including transgender, marital status or civil partnership, religion and belief, political opinion, race, colour, nationality or ethnic origin, work pattern, age, disability or Health status, socio-economic background, spent convictions, trade union activity or membership, on the basis of having or not having dependants, or any other irrelevant grounds. We welcome applications from all sections of the community as we believe that a diverse workforce gives added depth to our work. Please answer the questions below, which will help us ensure there is no hidden bias within our recruitment process.

PERSONAL INFORMATION

Surname/Family Name Title (Dr, Ms, etc)

First Names

Present Address  

Date of Birth

Marital Status Example: Single , Married

Gender Example : Male , Female

E-mail Address

Telephone Numbers (Home)       Mobile Number

EDUCATION/QUALIFICATIONS

Please give details of your education and professional qualifications in chronological order. Dates

Educational Institution Qualifications and grades From To                                                                            

Please give details of any relevant professional qualification; including membership of any relevant professional bodies and any relevant job-related training that you have undertaken:

    

PLEASE GIVE DETAILS OF ANY CURRENT OR PLANNED STUDIES.

Course of study and expected qualification Dates

     

           

           

REFERENCES Schlumberger Limited requires two references:

REFEREE 1

Full Name   

Job Title/Position    

Address    

Email Address

Telephone Number     Fax Number      

REFEREE 2

Full Name

Job Title/Position

Address

Email address

Telephone Number     Fax Number      

Referees will be contacted once you have accepted a provisional offer and not before. By returning this application form you are giving your permission for the Company to contact the referees at the stated time.

Have you ever applied to or interviewed by bientott ?

If “yes,” give the approximate date(s)      

Have you ever worked for bientott ?

If “yes,” When?      

Have you any friends or relatives employed by bientott ?

If “yes,” Who?      

SECOND PARTPlease note, this section of the form will be detached and given to the Recruiting Manager. The Recruiting Manager and the Interviewing Panel will have access only to information contained in this section. PERSONAL INFORMATION

Family Name Title (Dr, Ms, etc)   

Do you have a physical or mental disability as described as above? Please do not attach a CV (or any other document) unless it has been requested as part of the recruitment process; they will not be used to make selection decisions. This is to ensure that all candidates are treated consistently.

PREVIOUS EMPLOYMENT

Please give details of your present or last employer

Name of Employer

Details of Salary.

Dates of Employment

Address (including postcode) Email /Telephone Fax Number

     

Position and Responsibilities

Are there any reasonable adjustments in your existing or previous employment that Bientott needs to consider should you be successful in this application?

   

EMPLOYMENT INTERESTS

Preferred Employment Type? Example :

Approximately how many hours a week do you want to work?    

Are you willing to serve in any of the Bientott locations?

What are your salary expectations?

If married do you intend to relocate with your family? Yes       No      

Which other position would you intend to apply for?   

NATIONALITY

Nationality at Birth

Present Nationality      

Have you ever possessed any oth er nationality or citizenship? Yes   

    No      

If ‘Yes’ please specify:      

PERSONAL QUALITIES AND OVERALL SUITABILITY FOR THE POST(S)

Please tell us briefly why you are interested in the position being applied for, what personal qualities you bring and what makes you particularly suitable for the position?

YOUR SKILLS AND ABILITIES FOR THE JOB

State the skills and abilities you have which might be useful for the position you applied for:

We use this important section to help determine whether you should be invited to the selection stage. You should show your skills by stating your abilities.

DECLARATION

I declare that the information I have provided in this application form is, to the best of my knowledge and belief, correct and complete. If you include any details that you know to be false or if you withhold relevant information, you may

render yourself liable to disqualification from the recruitment exercise or, if appointed, to dismissal.

If you submit your application electronically, typing your name will be taken as being as binding as your signature.

APPLICANT’S SIGNATURE/NAME DATE

           

e for one year after completion of the recruitment exercise.

Bientott will use the information you provide in this form to process your application. If your application is successful and you take up employment with bientott, his form will be kept on your

personnel file.

Third part possible if you are selected…

GOOD LUCK !