BROOKSIDE DAIRY LTD PO Box 236 - 00232 RUIRU-KENYA FAX: (+254 20) 20 15 203, 35 42437 Email: maziwa@brookside.co ke )B EMP} MENT FORM FirstName _ Nuk Middle Name JAMES LastName _kaa@iuk ae Address Phone Number CJ_ps3aib5 pe Se ‘Are you eligible to work in the Kenya? Yop Ng Have you been convicted of a felony within the last five years? Yes, No I yes, please explain nS a. Se POSITION/AVAILABILITY: Position Applied For —Paskaging ve . ‘What date are you availabe to start work? EDUCATION: Name and Adress of School - Degree/Diploma - Graduation Date -RWIANYAMBO SECONDARY ScHOof — PA ADA 98 220318 Museu KenyaEMPLOYMENT HISTORY ‘Starting wth your present or mos recent emekoe, st employers cing set arpoynant, emer pt eve, Present Employer cores Prone Superwer____May wo cont? Yot__No__Dates employed: Prom____To__Endngaalary$_ Staring job esc nang eb ceserpton ve yu ever worked under athena: ys, pase ge the name yas worked und ae companys fr wich you moked PERSONAL REFERENCES (Pea a it omer omanyer otras) Ps Use re sce bw to describe your intr n cura, slong we ob read ae an ates yo el quay you or pon wh vs. yeuineedmare pace. pes corte orth beck ths shack. Yo shold ence a tea whch Sacco Sivetcied cow Use oly os authorzea by (Ccr] Concepts im Community Living, ne. (22008) SatesPLEASE READ CAREFULLY BEFORE SIGNING ‘ica Place i an ecal opportunity omelyer and conser al aplcans ante bas tc gualeatons wih egad re, cole. regen, ‘9. se, raion! ong ctzarsnp, sabi, maral sau. sama onecacon vweran or cue Masry statin or fom composition You | ‘ctor wi be gen every coniderson, bl ur recap of does Pot grace te! You wit be employed Hf you have any queen, te ‘Mercewerwilbe Nope ioe you | understand tat ny ob oer that may be ended cme wba conngant upon the suzessl campeon a dr and lea test cry tat he statements made by me on Bis appcaon ave re, complet, and coret to he best of my browse. This Emsloymert “Aspen usea ort me nt bata an sage of an eaten. ane canturay, cout cise sen goraraeretemon mormon jo lslaoae Tora anit pokis an procedures, wahout he exoress wien pemason oe ‘Ager en fee “wolelaas £ Ome ‘Employee rrsot Use omy as authorized by ‘Concepts in Community Living, ie (2200)Please Complete in Your Own Handwriting Job Applicant Questionnaire Position for which applyin, Fecilty applying at (f Appicabie) ‘This questionnaire is to be completed by each individual, not jiy.) Wf additional space Is needed, use the backside ofthe page 1. Why do you want to work at Brookside Place? “To help the Company to grow Why are you interested inthis position? leo ny Passion do Work With yeu. Describe any work related experiences that prepares you for this position. \What are you most lacking for in your employer? Co operation How would you go about resolving a disagreement with your supervisor? 1 have prfle sion! Conflice yesolution skills What is your dea of proving high quality cae for senor and dsebed acts? “To wsterstand ne cave and support WE —emre nerds Creating apport for effective Communicator & Understand thei neects Scrouyeescmoreeaby CCL] encaptty Cormunty Living, (2200) eee