Job Fair Application Form

TNHFCtrust & NEEDtrust

“DISABLE THE DISABILITY” Job Fair for Differently Abled

APPLICATION FORM 1. PERSONAL DETAILS: NAME

:

DATE OF BIRTH

:

GENDER

:

Male / Female

MARITAL STATUS

:

Single / Married

NAME OF FATER / MOTHER/GUARDIAN/ HUSBAND

:

COMMUNITY

:

ADDRESS FOR COMMUNICATION

:

PINCODE

:

STATE

:

PERMANENT ADDRESS

:

PINCODE

:

STATE

:

TELEPHONE NUMBER WITH STD CODE

:

(To you do not have a phone, give the Contact number of someone close to You with the person’s name)

MOBILE NUMBER

:

E-MAIL ID : 2. EDUCATIONAL QUALIFICATIONS:

AFFIX YOUR PHOTO HERE

Any other

PG Degree

PG Diploma

Degree

Diploma

Class XII

Class X

Degree & Subjucts (for eg: Qualification B.E – E.E.E M.A – History Name of School/ College and Location

School Board/ University

Month & Month & Year of Year of joining Passing Duration of Course

Percentage of marks (%)

Medium of Instructions

TNHFCtrust & NEEDtrust

TNHFCtrust & NEEDtrust

Brief Details of all Academic Projects (if any): In case of computer based projects, please indicate in “Description” the front end and back end applications used. Academic year

Title of the Project

Name of the Organization

Duration of the Project

Description

TNHFCtrust & NEEDtrust 3. COMPUTER SKILLS

:

(Please tick)

 YES

If YES (a) Basic Computer Skills

(Please tick the ones opplicable)

1. MS Word



2. MS Excel



3. MS Power Point



4. MS Access



5. Internet Applications



6. others (b) Advanced Computer Skills

1.

Programming Languages (eg.C, C++ etc)

2.

Operating Systems (Eg: Windows, Linux etc)

3.

Sofware Packages (eg. MS Office, Adobe Photoshop, SAP etc)

4.

Web Programming Languages (eg: HTML, Java Script etc)

5.

Hardware & Networking (eg. Troubeshooting LAN/WAN etc)

6.

(Please write in details)

 NO

TNHFCtrust & NEEDtrust 4. ADDITIONAL QUALIFICATIONS:

(a) Languages Known : (Please tick) Language English Hindi Other (Specify)

Speak

Read

Write

Other (Specify)

(b) Typewriting

(please tick)

 YES  NO

:

If Yes please specify speed Language

Qualification with speed Lower Higher Other

English Hindi Other (Specify) Other (Specify) (c) Any Other Qualification: 5. WORK EXPERIENCE

:

YES 

NO 

If YES, please fill in the details below

SI No.

Company Name

Designation

6. DETAILS OF DISABILITY:

Nature of work

Date of joining (Month & year)

Date of Leaving (Month & Year)

Total duration in months

Last Salary drawn (Per Month

TNHFCtrust & NEEDtrust (a) Nature of disability (please tick: Hearing/Orthopedic/ Visual/ Others

(b) Please give details of disability:

HEARING IMPAIRMENT:

i.

Hard of hearing / Moderate / Severe loss (please tick)

ii.

Do you (please tick) - sign - Lip read - Speak

iii.

Do you use hearing aid? Yes/No

ORTHOPAEDIC IMPAIRMENT: i.

Give details of orthopedic disability : (Eg: left leg, right hand, both legs etc)

ii.

Do you use any assistive device for mobility? (eg: calipers, crutches, wheelchair etc.) If yes, please specify.

VISUAL IMPAIRMENT: Blind / Low Vision / Any Other (please tick) i.

Describe the degree of your vision loss you have in one or both eyes: Left eye:

Right eye:

ii.

Do you Know Braille? Yes / No

iii.

Do you use Computers? Yes / No

iv.

Do you use any assistive device / technology to use computers? (eg. JAWS / magnifier.) Please specify.

v.

Do you use any assistive device for reading? If Yes, Please Specify.

TNHFCtrust & NEEDtrust

FOR OTHERS INCLUDING FOR THOSE WITH MULTIPLE DISABILITIES:

i.

Mention your disability and the details of disability (In not more than 50 words)

ii.

Do you use any assistive device? If Yes, Please Specify

(c) other than the above mentioned, if you need any other special assistance at work place, which the employer would need to be aware of, please specify

7. PREPARATORY SEMINAR Preparatory seminar on Saturday, August 28th , 2009 – 9 AM to 10 AM The seminar is an added advantage for you at TNHFCtrust. We have arranged for top HR Professionals to give you practical and valuable tips on expected corporate behavior. This will enable you to face interviews more confidently to be able to present yourself better to your prospective employer. Make use of this wonderful opportunity! Please note

: This Seminar is NOT compulsory. : A token amount of Rs. 50/- will be collected from you at the Venue

I would like to participate in the preparatory Seminar? (Please tick): Yes 

No  I declare that all the above details are true.

Date: Place:

Signature of Candidate

TNHFCtrust & NEEDtrust

Terms & Conditions: Applications can be downloaded from www.tnhfctrust.in and also from our out district representatives. Additional information on this obtained from NEED TRUST,New-33, Old-14, 48th Avenue, Ashok Nagar, Chennai – 600 083. 1.

Only shortlisted candidates will be called for the job fair to attend personal interviews.

2.

Candidates who are not shortlishted will not be permitted to attend job fair. (ne®Kf¤ nj®î¡F Kiwahd foj« »il¡f¥ bg‰wt®fS¡F k£Lnk g§nf‰f mDkâ c©L)

3.

Shortlisted candidates will be intimated by post/email/fax on basis of the availability.

4.

Filled in applications can be emailed to [email protected] or can be posted to be following address NEED TRUST, New-33, Old-14, 48th Street, 9th Avenue, Ashok Nagar, Chennai – 600 083.

5.

Shortlisted candidated will be required to register their candidature for interview by paying Rs.50 in the venue. (ne®Kf¤ nj®É‹ miH¥ghs®fŸ %.50I mDkâ f£lzkhf nj®î eilbgW« âd¤j‹W neÇš brY¤â uÓJ bgw nt©L«.)

6.

Selected candidates may be liable to serve through out the nation.