Instructions:

EMPLOYMENT APPLICATION FORM

OFFICE USE ONLY

• Please complete all sections as thoroughly as possible, even if you are attaching a resume.

It is necessary to provide complete information, as this will be used to determine

eligibility.

• A separate application is required for each position/vacancy. Application must be received

at the appropriate location by the closing date indicated in the advertisement.

DATE RECEIVED

POSITION INFORMATION

POSITION TITLE, MINISTRY AND LOCATION

FOR GENERAL APPLICATION Full time Part time

Indicate (√) the type of PERMANENT

Employment you are requesting TEMPORARY

TYPE (s) OF POSITION- please describe

PERSONAL INFORMATION

LAST NAME FIRST NAME INITIALS

Mai Lyndon L

RESIDENCE TEL. NO.

601-2660

DATE OF BIRTH (DD MM YY)

28/06/1993 BUSINESS TEL. NO. – or message

GENDER: Male/Female

Male

MAILING ADDRESS CITY DISTRICT POSTAL CODE

#4 Welch Street Belize City Belize

LEGAL STATUS TO WORK IN BELIZE –

Documentation may be required Belizean Citizen Permanent Resident

Work Permit OTHER – please specify

Do you have a disability that

may require accommodation

in the work place

YES

NO

If YES, what

accommodation would

you need?

CURRENT EMPLOYMENT STATUS

Are you currently an employee in the Public Service of Belize?

NO YES If yes, indicate status and provide

Social Security No.

Employee S.S. No.

000473517

Are you willing to work anywhere in Belize? NO YES – list locations preferred

EDUCATION AND TRAINING

Please describe secondary, post-secondary, courses and training which have given you work related knowledge and skills. Start with highest level achieved

and specify the degrees, certificates or diplomas completed. Official documentation may be required. Attach a separate page if necessary.

NAME OF INSTITUTION OF

ORGANIZATION

LOCATION YEAR

TAKEN

AREA OF STUDY GRADE/CERTIFICATION/

DIPLOMA/DEGREE

Saint John’s college Belize city 2006 - 2010 Biology and Chemistry Diploma

Saint Johns college junior col. Belize city 2010 - 2012 Biology and Chemistry Associates Degree

SKILLS/EXPERIENCE Please list areas of experience that you have which are relevant to the position you are applying for and attach any appropriate documentation.

Ability to independently make appropriate decisions while processing a wide range of information. Being well organized I am able to pay attention to details, remaining on task with multiple interruptions and retaining information. Able to outstandingly perform varied duties assigned.

APPLICANT’S SIGNATURE:

• Please read carefully before signing. This application is not valid unless signed by the applicant.

• In accordance with the Public Service Regulations for Public Service Employees, to avoid potential conflict you may be required to

provide information about direct relatives or persons with whom you share a household who are employed in the public service.

I certify that the information provided in this application or attachments/resume is true and complete. I understand that if any information in

this application or attachment/resume is found to be untrue or incomplete, my application may be rejected or I may be dismissed in the event that

I am the successful applicant.

X L.Mai DATE 6/6/2014

SKILLS/EXPERIENCE

Please list areas of experience that you have which are relevant to the position you are applying for and attach any appropriate

documentation.

Data entry clerk at court 8

Attain court hearings to record and transcribe details into written copies

Arrange and schedule court date as requested by magistrates

Keep records and preserve the court’s seals and records

Inform witnesses, and plaintiffs about the court date

Process warrants and petitions

Customer Consultant at Protel BPO

Analyze customer service requirement and inform of all available services.

Administer all customer orders; provide appropriate consultation to customer for various products and services.

Manage all customer issues and resolve all complaints effectively.

SPECIAL ACHIEVEMENTS

Briefly summarize your knowledge and major skills/achievements which relate to the advertised position or if this is a general application,

to the position(s) that interest you. You may use this space to enter other information you would like us to consider in reviewing your

application.

· Well-versed with modern technology and able to adapt to the work place.

· Efficient in work processing applications, bookkeeping, and basic management system

· Highly flexible and adaptive to new technology

· Excellent communication, management and organizational skills

DRIVER’S LICENSE INFORMATION

Provide the following information if applying for a position where driving is a requirement.

List class(es) of valid driver’s license List any restriction/endorsement definitions

on license. If required, do you have access to a vehicle for use on government business?

YES NO

Class A None

REFERENCES

Reference checks will be conducted to assess your past work performance and may include checks of attendance records.

In addition to the references identified in the “Work History” section, you may wish to provide further references. If any references have

known you by a previous (different) name, please specify.

NAME TEL. NO. RELATIONSHIP NO. OF YEARS

KNOWN

Stephanie Gillett 227-7164 Former Co- worker 2

Adolph Lucas 662-4998 Family Friend/ Co-worker 7

Captain Eric Neal 635-2492 Family Friend 6

APPLICANT’S SIGNATURE:

• Please read carefully before signing. This application is not valid unless signed by the applicant.

• In accordance with the Public Service Regulations for Public Service Employees, to avoid potential conflict you may be

required to provide information about direct relatives or persons with whom you share a household who are employed

in the public service.

• Your signature on this application form is your consent that as a condition of being considered for employment in the

public service, references about past work performance will be obtained from your current and previous employers. If

you are not presently employed in the Belize Public Service, you will be notified prior to contact with your employer.

I certify that the information provided in this application or attachments/resume is true and complete. I understand that if any

information in this application or attachment/resume is found to be untrue or incomplete, my application may be rejected or I

may be dismissed in the event that I am the successful applicant.

X L. Mai DATE 6/6/2014