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  • Application for Employment

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INSTRUCTIONS TO THE APPLICANT:

ANSWER AS MUCH AS YOU CAN AND SELECT FROM CHOICES IN THE DROPDOWN. LEAVE ITEM BLANK IF NOT APPLICABLE.

PLEASE NOTE CERTAIN QUESTIONS ARE REQUIRED IN ORDER TO PROCEED TO THE NEXT PAGE/STEP.

YOU CAN GO BACK TO ANY PREVIOUS PAGE/STEP BY CLICKING ON THE BOX LABELED "STEP 1" AND SO ON BELOW.

CLICK THE SUBMIT BUTTON IN THE LAST STEP TO SEND YOUR APPLICATION.

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ACKNOWLEDGEMENT

In compliance with the Data Privacy Act (DPA) of 2012, I have read and understood the Data Privacy Notice and authorize MMC to:

1. Process my job application in accordance with my qualifications, skills, and background.

2. Disclose and share my personal information to authorized representatives, government regulatory agencies, and third-party service providers for any legitimate business purpose.

3. Keep and maintain my personal information.

4. I acknowledge and consent that my application data will be running through a secure third-party platform that Makati Medical Center has authorized. I also acknowledge that the third-party provider will not have access to nor store my data.

I hereby confirm that I understand the foregoing and that I am voluntarily giving my consent to the processing of my Personal Data under the terms and conditions provided above.

By clicking “Agree/Next Step” you hereby confirm your understanding and voluntarily give your consent in the processing of your Personal Data under the terms and conditions provided.

Note: All fields are required unless stated otherwise.

Nature of Source

Nature of Source

Position Applied for

Position Applied
Do you have any pending applications with other companies?
Availability Date
Desired Salary ₱

Personal Information

Attach Photo
First Name
Middle Name
NOTE: If with no Middle Name, please put period(.) or dash(-) to proceed
Last Name
Nickname
Suffix
Birthdate
Age
Birthplace
Mobile Number
Secondary Mobile Number
Phone Number
Email
Secondary Email (Optional)
Zip Code
City Code
Complete Present Address
Complete Permanent Address
Provincial Phone Number
Marital Status
Height (cm)
Weight (lbs)
Bloodtype
Gender
Nationality
Religion
SSS No.
HDMF No.
PHIC No.
TIN

Family Background

Parents and Siblings

# First Name Middle Name Last Name Birthdate Relationship Contact Number
1
Add Row Delete Row
With Spouse and Children?
YES
NO

Spouse and Children (Eldest to Youngest)

# First Name Middle Name Last Name Birthdate Relationship Contact Number
1
Add Row Delete Row
With Relative/s currently employed in Makati Medical Center?
YES
NO

Relative/s currently employed in Makati Medical Center, if any

# First Name Middle Name Last Name Relationship Department or Position
1
Add Row Delete Row

Person/s to notify in case of emergency

# First Name Middle Name Last Name Relationship Complete Address Contact Number/s
1
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Education

School and Education Degree

# School Name Year From Year To Title / Degree Education Type Finished / Graduated
1
Address / Branch Honor/s Received (Including Scholarship)
Add Row Delete Row

Employment History

With Employment History?
YES
NO
NOTE: BEGIN FROM YOUR PRESENT OR LAST EMPLOYER.
PLEASE FOCUS ON THE LAST THREE (3) PREVIOUS EMPLOYERS
# Company Name Position Assumed Period From Period To Salary
1
Supervisor Name Position of Supervisor Contact No. of Supervisor Reason for Leaving
Add Row Delete Row

Interest and Skills

Personal Skills

Please rate yourself in the following by clicking the stars below.

Oral Communication Skills
You gave a rating of 0 star(s)
Customer/Patient Service Skills
You gave a rating of 0 star(s)
Interpersonal Skills
You gave a rating of 0 star(s)
Problem Solving Skills
You gave a rating of 0 star(s)
Flexibility
You gave a rating of 0 star(s)

Computer Literacy

Please rate yourself in the following by clicking the stars below.

Word
You gave a rating of 0 star(s)
Excel
You gave a rating of 0 star(s)
Powerpoint
You gave a rating of 0 star(s)
Outlook
You gave a rating of 0 star(s)
Internet
You gave a rating of 0 star(s)
Hobbies/Sports
Other Skills

Professional License/s

With PRC License?
YES
NO
# Profession Year Exam Taken Board Rating Prof. License No. Registration Date Expiration Date
1
Add Row Delete Row

Training Programs and Memberships in Professional Organization

With Training Programs & Memberships?
YES
NO
# Training Program / Professional Organization Training / Membership ID No. Date Issued Expiry Date
1
Add Row Delete Row

Languages

# Languages and Dialects Used Language Type Language Skill Proficiency
1
Add Row Delete Row

Other Qualifications

Are you willing to be considered for temporary employment?
YES
NO
Are you willing to be assigned on shifting schedule?
YES
NO
Have you ever been involved in any complaint(s), administrative, criminal or civil case(s) filed against you?
YES
NO

Medical History

Do you have any past or present medical condition?
YES
NO
Are you currently taking any medication or prescribed medicine?
YES
NO
Have you had any injuries, recent accidents or confinements in the past two (2) years?
YES
NO
Check any of the medical conditions you have now or you had in the past:
YES
NO
Allergic Disorders (e.g., Asthma, Rhinitis, Skin Asthma)
Cardiovascular Disorders (e.g., Elevated BP, Heart Problems)
Gastrointestinal Disorders (e.g., Ulcer, Bowel Problems)
Musculoskeletal Disorders (e.g., Slip Disc, Fractures, Joint Problems, Arthritis)
Vision Problems (e.g., Myopia, Cataract, Near/Farsightedness)
Auditory Problems (e.g., Hearing Impairment)
Congenital Ailments
Others (Please state nature of ailment)
Do you smoke?
YES
NO

Character References (Excluding Family Members/ Relatives)

First Name Middle Name Last Name Company / Occupation Contact Number/s Email Address

Add hashtags or keywords to your application to standout and be seen. Press the "Enter key" after each hashtag or keywords to submit.

Example: If you are a nurse taking up or finished a Master's degree with experience in mental health nursing, you may put keywords such as "nurse", “Masters”, “MS Nursing”, "MSN", "MA", "mental health", "psychiatry", "nursing", etc.

Interview Questions

No available interview questions

CERTIFICATION

To the best of my knowledge and ability, I gave accurate and complete information as requested by Makati Medical Center (MMC).

I hereby authorize MMC and its authorized representatives to make reasonable inquiries from my schools, former associates, employers, customers, and other references indicated here.

I UNDERSTAND AND ACKNOWLEDGE THAT ANY MISREPRESENTATION/FALSIFICATION OR OMMISSION OF FACTS, OF WHATEVER NATURE, REQUESTED IN THIS APPLICATION SHALL BE CONSIDERED SUFFICIENT CAUSE FOR REFUSAL OF EMPLOYMENT OR DISMISSAL AT ANYTIME DURING MY EMPLOYMENT.

I further agree to submit myself to all the MMC prerequisites for employment, and that non-disclosure and concealment of any ailment(s) and/or disabilities (congenital and otherwise), administrative, civil or criminal case(s) and record(s) shall also be valid grounds for refusal of employment and separation from employment if I am already employed.

If employed, I promise to abide by all rules and regulations of MMC.

I ALSO AGREE TO RELEASE MMC AND IT’S DIRECTORS, OFFICERS, EMPLOYEES, SHAREHOLDERS FROM EVERY AND ALL LIABILITY (INCLUDING NEGLIGENCE) WHETHER DIRECT OR INDIRECT, SPECIAL OR CONSEQUENTIAL ARISING FROM THE COLLECTION, RECORDING, HOLDING, STORAGE, USE AND DISCLOSURE OF SUCH INFORMATION IN CONNECTION TO MY APPLICATION FOR EMPLOYMENT.