Progressive Distributors Ltd

Job Application Form

P.O. Box 10107
KY1-1001
Grand Cayman
Cayman Islands
Phone: 345 949 2928
345 949 6255
Fax: 345 949 2593
Email: info@pdl.com.ky
Web: www.pdl.com.ky
 

Personal Information

Date:
Name:
 LastFirstMiddle
Email:
Present
Mailing
Address:		PO Box:District:Home Phone:Cell Phone:
Present Street Address:
Date of Birth:Nationality:Do you have Caymanian Status/Right to Work:
Yes No
Emergency
Contact:		Name:Relationship:Phone:

General Information

Necessary to process your application
Position Applied For:Date Available:Salary:
Are You Currently Employed? Yes NoIf Yes, May We Contact Your Employer? Yes No
Have You Applied to PDL/Foster Brothers Before? Yes No
If Yes, When?
Do You Hold a Valid Drivers License? Yes No
If Yes, Issued Where?
License Class/Group:License Number:Expiry Date:

Education

 Name & Location of SchoolLevel CompletedDid You Graduate?
Grammar School: Yes No
High School: Yes No
College: Yes No
Other: Yes No
Please write 25 words or more, why you would like to work at PDL and why would you make a good employee.

Former Employers

dd/mm/yy Name & AddressPhoneFinal SalaryPositionReason for Leaving
From:
To:
From:
To:
From:
To:

References

Give the name of three persons not related to you, whom you have known at least one year.
 NameAddressPhoneBusinessYears Known
1
2
3

Physical/ Medical Record and Additional information

Do you have a physical or medical condition which may limit your ability to perform the job applied for? Yes No
Does any member of your family have a physical or medical condition which may limit your ability to perform
the job applied for?		 Yes No
Are you pregnant? Yes No
Would you be prepared to take random Drug Tests? Yes No
Have you ever been charged or convicted of any felony or drug related crimes? Yes No
If Yes, Explain:
Do you have any pending felony or drug related charges? Yes No
If Yes, Explain:
Can you work on Saturdays and public holidays? Yes No
Referred By:List any relatives employed by PDL: