THAILAND

APPLICATION FOR EMPLOYMENT

To apply for the vacancy, please submit the following: 1) the completed application form, 2) a copy of your resume or CV, and 3) a detailed written description of how you meet each of the position’s qualifications. Deliver in person, via email at , or by mail to Peace Corps Thailand, 242 Rajvithi Road, Dusit, Bangkok 10300.

  1. NAME (Last, First, Initial)
  1. ADDRESS TELEPHONE

home
Email: / cell

3. DATE OF BIRTH (Month/Day/Year) ____/____/____ PLACE OF BIRTH (City)

4. WHAT POSITION ARE YOU APPLYING FOR?

5. EDUCATION (list colleges and university attended beginning with the most recent)

Name of School / Degree/Diploma / Month/Year Awarded

6. WORK EXPERIENCE Describe your current or most recent jobs in sections A, B, and C

A: NAME OF EMPLOYER’S ORGANIZATION

LOCATION (City/Region)
NAME / TITLE of IMMEDIATE SUPERVISOR / Tel:
DATES EMPLOYED / Month/year: / to / Month/year: / .
SALARY REC’D
REASON FOR LEAVING

DESCRIPTION OF WORK (Describe your specific duties and responsibilities)

May we contact your current supervisor? / Yes ______No ______

B: NAME OF EMPLOYER’S ORGANIZATION

LOCATION (City/Region)
NAME / TITLE of IMMEDIATE SUPERVISOR / Tel:
DATES EMPLOYED / Month/year: / to / Month/year: / .
SALARY REC’D
REASON FOR LEAVING

DESCRIPTION OF WORK (Describe your specific duties and responsibilities)

May we contact your supervisor? / Yes ______No ______

C: NAME OF EMPLOYER’S ORGANIZATION

LOCATION (City/Region)
NAME / TITLE of IMMEDIATE SUPERVISOR / Tel:
DATES EMPLOYED / Month/year: / to / Month/year: / .
SALARY REC’D
REASON FOR LEAVING

DESCRIPTION OF WORK (Describe your specific duties and responsibilities)

May we contact your supervisor? / Yes ______No ______

7. WHEN ARE YOU AVAILABLE TO START WORK?

8. WHICH LANGUAGE(S) DO YOU SPEAK OR READ? (List each language and place an “X” in each column that applies to you).

LANGUAGE(S) / SPEAK / READ / WRITE / TRANSLATE
English
Thai

SPECIAL SKILLS AND ABILITIES

9. List special training, skills, or accomplishments that qualify you for the position. Examples are: workshops and specialized training courses attended; computer or other technical skills; titles of publications; etc. In addition, list the title and year of honors or awards you have received.

10. RELATIVES [List any relatives that work for Peace Corps or other U.S. Government agencies]

NAME / RELATIONSHIP / OCCUPATION

REFERENCES

11. List two people who are not related to you and do not supervise you, and who know your qualifications for the job for which you are applying.

FULL NAME OF REFERENCE / TELEPHONE NUMBER (S) / PRESENT BUSINESS OR HOME ADDRESS
YOU MUST SIGN THIS APPLICATION. READ THE FOLLOWING CAREFULLY BEFORE YOU SIGN

A false statement on any part of your application may be grounds for not hiring you, or for dismissing after you begin work.

I understand that any information I give may be investigated as allowed by law or Presidential Order.

I certify that, to the best of my knowledge and belief, all my statements are true, correct, complete, and made in good faith.

12. SIGNATURE ______13. DATE (Month/Day/Year) ___/___/___