Job Application Form

To Apply Job Position of:*

Type of Job Application*

Hidden

Other Job Position (Kindly specify)

Personal Information

Full Name per IC*

First

Nickname*

Gender*

IC / Foreign ID No.*

Date of Birth*

Day

Month

Year

Phone Number*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Nationality*

Race*

Other

Your Linked In / Facebook / Social Media / Website URL (If Any)

Kindly provide your Linked In / Facebook / Social Media / Website link URL, press + to add more.

Education Qualification

Highest Education Level*

Kindly Describe Your Education Background*

Click + to add more education background details

Year of Graduate

Name of School / University

Major Studies

Other Professional Program Attended

Click + to add more professional program details

Course Name

Duration

Institute Name

Profession

Work Experience

Main Industry / Nature of Business*

Total Year of Working Experience*

Year (YY)

Month (MM)

Job Experience Details*

Click + to add more details

Job Duration

Nature of Business

Company Name

Job Position

Reason of Leaving

Are you new in Mental Health and Education Industry?*

If No, kindly describe your working experience in Mental Health and Education Industry.

Years of Experience in Mental Health and Education Industry*

Kindly describe your professional background and profile in Mental Health and Education Industry.

Kindly select your specialties in Mental Health and Education Industry

Choose one or more

Self-empowerment

Personal Development

Emotion Management

Mental Disorder

Pathology

Insomnia / Sleep Disorder

Medical Health Issue

Weight Management

Addiction

Family Issue

Parenting

Child Therapy

Relationship

Marriage

Interpersonal Skill

Career Development

Entrepreneurship

Money / Financial

Other

What is your goal and vision in Mental Health and Education Industry?*

Professional Skill

Language*

*Mandarin Speaking is mandatory in our company.
Click + to add more language

Language

Proficiency level (1-10)

Computer Skill*

Click + to add more computer skill details

Skill

Proficiency level (1-10)

Competency Behaviour

Click + to add more competency behaviour details

Skill

Proficiency level (1-10)

Ability and Talent

Click + to add more ability and talent details

Skill

Proficiency level (1-10)

Other Professional Skill (if any)

Click + to add more professional skill details

Skill

Proficiency level (1-10)

Personal Background

Your Strength*

Your Weakness*

Why are you leaving your previous company and job?*

What is your biggest achievement till date? kindly describe.*

Kindly convince us on why should we hire you as part of the team.*

Briefly describe on your understanding about our company.*

Expected Salary in MYR*

How did you get to know about our organisation?

Other (please state):

Job Referred By (If Any)

Write your Goal in Details

Personal Goal

Career Goal

Financial Goal

Family Goal

Spiritual Goal

Q&A

Have you ever been diagnosed with any medical or mental health issue ?*

If Yes , kindly write down the diagnosis symptoms / disease name.

Did your family members been diagnosed to any medical or mental health issue ?*

If Yes , kindly write down the diagnosis symptoms / disease name.

Did you ever been sentenced to jail / fall in any crime previously ?*

If Yes , kindly describe the details.

Job Applicant - Document

Resume / CV*

Drop files here or

Max. file size: 64 MB, Max. files: 5.

Highest Level of Education Certificate*

Drop files here or

Max. file size: 64 MB, Max. files: 10.

Professional Certificate / Qualification (If Any)

Drop files here or

Max. file size: 64 MB, Max. files: 10.

OM SPACE SDN BHD