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Apply for Internship
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Kilifi County Application For Employment Form »
The Fields marked in RED are Required!
1. Vacancy Applied For
Vacancy /Post:
Vacancy No:
2. Personal Details
Applicant Name:
Title:
Prof.
Dr.
Mr.
Mrs.
Ms.
Rev.
Eng.
Date of Birth
Gender
Female
Male
Nationality
ID /Passport No:
Employment/PNo:
(For those serving in the County or National Government)
Address
Postal Code
County:
Subcounty:
Ward:
Telephone:
Mobile:
Email
Alternative Contact Person:
Telephone:
3. Other Details
Do you suffer from any physical impairement? (PWD)
Yes
No
If yes give details:
Have you been convicted of any criminal offences or a subject of probation?
Yes
No
If Yes, State Reason(s) :
Effective Date
Have you ever been interviewed by Kilifi County Public Service Board before?
Yes
No
If Yes, State the Post:
Interview Date:
(Declaring the above information will not necessarily debar an applicant from employment in Public Service Board. Each case will be considered on its own merit)
4. Academic/Professional/Technical Qualifications (starting with the Highest)
<tr class="tr_ed_{0}"> <td><input type="text" name="ed_date_begin[{0}]" id="ed_date_begin{0}" class="mydatepicker input-date required date" /></td> <td><input type="text" name="ed_date_end[{0}]" id="ed_date_end{0}" class="mydatepicker input-date required date" /></td> <td><input type="text" name="ed_institute[{0}]" id="ed_institute{0}" class="required" maxlength="30" /></td> <td><input type="text" name="ed_qualification[{0}]" id="ed_qualification{0}" class="required" maxlength="30" /></td> <td><input type="text" name="ed_courses[{0}]" id="ed_courses{0}" class="required" maxlength="30" /></td> <td><input type="text" name="ed_specialization[{0}]" id="ed_specialization{0}" class="required" maxlength="30" /></td> <td><input type="text" name="ed_grade[{0}]" id="ed_grade{0}" class="input-date required" maxlength="30"/></td> </tr>
Date From:
Date To:
University/ College/ Insitution/ School:
Award/Attainment (eg. Degree, Diploma, Certificate)
Courses (eg. PHD, MSC, BA):
Subject (eg. Econ, Maths)
Class/Grade:
Add Row
Delete Row
5. Other Relevant Courses and Training/Registration/Membership to professional Bodies/Institution
<tr class="tr_ed_other_{0}"> <td><input type="text" name="ed_other_year[{0}]" id="ed_other_year{0}" class="" maxlength="4" /></td> <td><input type="text" name="ed_other_institute[{0}]" id="ed_other_institute{0}" class="" maxlength="30" /></td> <td><input type="text" name="ed_other_course[{0}]" id="ed_other_course{0}" class="" maxlength="30" /></td> <td><input type="text" name="ed_other_detail[{0}]" id="ed_other_detail{0}" class="" maxlength="30" /></td> </tr>
Year:
Institution/College:
Course:
Details
Add
Delete
6. Employment Details (starting with the most recent)
<tr> <td><input type="text" name="wrk_date_begin[{0}]" id="wrk_date_begin{0}" class="mydatepicker input-date"/></td> <td><input type="text" name="wrk_date_end[{0}]" id="wrk_date_end{0}" class="mydatepicker input-date"/></td> <td><input type="text" name="wrk_org[{0}]" id="wrk_org{0}" maxlength="60"/></td> <td><input type="text" name="wrk_position[{0}]" id="wrk_position{0}" maxlength="80"/></td> <td><input type="text" name="wrk_level[{0}]" id="wrk_level{0}" maxlength="80"/></td> </tr>
Date From:
Date To:
Employer's Name
Position/Rank/ Designation
Job Group/ Gross Monthly Salary (Kshs)
Add Row
7. Briefly state your current duties, responsibilities and assignments
8. Please give details of your abilities, skills and experience which you consider are relevant to the position applied for. The information may include an outline of your most recent achievements and your reasons for applying
9. Personal Referees
Full Name
Occupation
Relationship with Referee
Years Known to Referee
Address
Telephone No
Email
Full Name
Occupation
Relationship with Referee
Years Known to Referee
Address
Telephone No
Email
Full Name
Occupation
Relationship with Referee
Years Known to Referee
Address
Telephone No
Email
Human Verification
Enter the characters as seen on the image:
