Online Application
  

 

Thank you for considering applying for employment through SEAPCI! By filling out this form, you are inquiring about placement through SEAPCI. A more detailed application will have to be filled out prior to employment

Date of Application
Position Applying For
Personal Information  
Name Last Name, First Name, Middle Name
Mailing Address
Mobile Number
Home Number
Email Address
Education  
Professional/Tertiary School
School Address
Year Graduated
Masteral Education (if any)
School Address
Year Graduated
Registration & Licenses
Local Registration and License		  
Title of Registration/License
Date Taken Score:
Other Registration & License
For Nurses only		  
CGFNS Qualifying Exam Date Score:
CGFNS Certificate Received (Yes or No)
Nurse NCLEX State Date Taken
Physical Therapist NPTE State Date Taken
Occupational Therapist NBCOT State Date Taken
Others State Date Taken

English Proficiency Exam

  Date Taken Overall
Score		 Speaking
TOEFLibt
IELTS
TSE
Others

Work Experience

Currently working in a hospital/medical center? (Yes or No)
From (MM/YY) to (MM/YY)
Hospital Employer
Area/Specialty
Position
Hospital bed capacity

How did you find out about SEAPCI?

Referred by SEAPCI Nurse
Website, please specify
Others, please specify

Do you have a pending application with any Philippine recruitment agency?
If Yes, which agency?