MMC Online Application Form

APPLICATION FOR EMPLOYMENT

POSITION/S APPLYING FOR:

NAME AND CONTACT DETAILS

Last Name First Name Middle Initial

RAFAEL Joana Cristine V.

Current AddressBlk 23 Lot 18, Phase IV, Soldiers Hills IV, Molino VI, Bacoor Cavite

Provincial AddressBlk 23 Lot 18, Phase IV, Soldiers Hills IV, Molino VI, Bacoor Cavite

Contact NumbersLandlineMobileOther

(046) 424 2803 09159741291

PERSONAL PARTICULARS

Date of BirthGenderCivil StatusNationality

Male Female Single Married Widow/er Separated Filipino Other: ____________

EDUCATIONAL ATTAINMENT

Highest Level Attained (please check the appropriate box) Post Graduate (Masters or Doctorate) Bachelors Degree/ College Graduate 2 year Certificate Course/Vocational Course High School Diploma Other: __________________________

School DetailsCourse Completed:BACHELOR OF SCIENCE IN NURSING

School Attended:University of Perpetual Help System-DALTA, Las Pinas City

Inclusive Dates:SY 2005 - 2009

School DetailsCourse Completed:

School Attended:

Inclusive Dates:

Licensure Exam Details (if any)Exam Taken:Nursing Licensure Examination

Date Taken:November 2009

Score:80.00

PRC DetailsWith PRC License? Yes No

PRC License Number:0613448

Valid Until:September 2016

WORK EXPERIENCE (start with the current or most recent job)

Company NamePosition TitleInclusive Dates

St. Lukes Medical Center Global City

Nurse (Casual)

04 May 2015 Present

Work Description

Monthly SalaryPhp 10,000.00

Reason For LeavingSt. Lukes Medical Center Global City has been my second family for more than 2 years. I was able to learn a lot, meet a lot of competent and dedicated people, patients (VIPs and non-VIPs), some of which I treated as a family. As it is extremely difficult for me to seek new employment, my utmost priority is getting a more secured employment for my ageing parents.

Company NamePosition TitleInclusive Dates

St. Lukes Medical Center Global CityER Patient Experience Officer (Managerial)16 April 2013 15 January 2015

Work Description

Monthly SalaryPhp 16, 500.00

Reason For LeavingTo pursue my profession as a nurse.

Company NamePosition TitleInclusive Dates

Work Description

Monthly Salary

Reason For Leaving

ADDITIONAL INFORMATION

Do you have relatives working for MMC? Yes (if yes, pls. give details below) No

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How did you learn about our website? Friends MMC Employee

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Internet Others: _______