WORK EXPERIENCE SHEET

 Instructions: 1. Include only the work experiences relevant to the position being applied to.

2. The duration should include start and finish dates, if known, month in abbreviated form,
if known, and year in full. For the current position, use the word Present, e.g., 1998-
Present. Work experience should be listed from most recent first.  
 

 Duration: January 03, 2018 – present

 Position: Project Site Nurse
 Name of Office/Unit: AFPFC-MPC Project
 Immediate Supervisor: Godofredo Dela Cruz Jr.
 Name of Agency/Organization and Location: JQ International Construction Inc., San Juan City

 List of Accomplishments and Contributions (if any)

o Developed Health and Safety procedures based on DOLE programs

o Ensure all health and safety standards are met before, during and after working
hours.

Summary of Actual Duties

o Responsible for the Health and Safety of workers, visitors and passerby within and
around the construction site
o
 
 
  Duration: February 23, 2011 – March 30, 2012
 Position: Nursing Assistant
 Name of Office/Unit: Nursing Service
 Immediate Supervisor: Julia Foley
 Name of Agency/Organization and Location: Stonebridge Nursing Home
 List of Accomplishments and Contributions (if any)
N/A
 Summary of Actual Duties

o Provides for activities of daily living by assisting with serving meals, feeding patients as
necessary; ambulating, turning, and positioning patients; providing fresh water and
nourishment between meals.
 

  Duration: February 12, 2006 – March 14, 2010

 Position: Staff Nurse
 Name of Office/Unit: Nursing Service
 Immediate Supervisor: Maria Victoria Zamora
 Name of Agency/Organization and Location: P. Gonzales Memorial Hospital
  List of Accomplishments and Contributions (if any)
N/A
Attachment to CS Form No. 212
 Summary of Actual Duties

o Performs therapeutic nursing interventions as established by individualized plan of care for the
adult or elderly patient and his/her family.

(Signature over Printed Name

of Employee/Applicant)

Date: ______________