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OUR INITIATIVES: Research

Skill Set Form


eHomemakers' Application for Telework
 

eHomemakers’ Application for Telework

 
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Please answer the following questionnaire honestly. The information will be kept completely confidential. The purpose of the questionnaire is to match you with the most suitable work we can find for you.

 

Personal Particulars

Name

:

IC No.

:

Nationality

:

Malaysian

PR

Foreign Spouse of Malaysian Citizen

Gender

:

Male

Female

Address

:

 

 

 

 

Postcode

:

 

State

:

 

For Klang Valley, please specify locations:

If Others, please specify:

     

Telephone No.

:

Mobile No.

:

Email Address

:

Age

:

30 to 40

40 to 50

50 to 60

60 to 70

Marital Status

:

Single

Married

Widowed

Divorced

Children

:

 

Number of children under 6

None

One

Two

Three

More than 4

Number of children between 7-12

None

One

Two

Three

More than 4

Number of children between 13-18

None

One

Two

Three

More than 4

Number of special children who need special/constant care

None

One

Two

Three

More than 4

Please specify special care needs (Eg: Down Syndrome, Spastic, Autistic)

Number of dependents (other than children, e.g. elderly parents, spouse with chronic illness) who needs your constant attention at home:

None

One

Two

Three

More than 4

 
 

Academic & Professional Qualifications

PMR

SPM

STPM

Tertiary

Other professional training, please specify:

Income-generation Sources

 

Are you currently working?

Part-time

Occasionally

Not working

If you are earning income, what kind of work do you do?

 
 

Personal Skills

 

Please check “Yes” or “No” for the following questions

 

Yes

No

Are you able to travel to an office every day?

§  If yes, are you able to arrange for your own transport to work? i.e. can you drive yourself/ can you take public transport/ can a relative drive you?

§  If no, please explain your condition in extra space provided below

Do you need special transport arrangement like a disabled friendly van?

Can you sit for more than 3 hours straight?

Are you able to read find print or computer screen without any difficulties?

Do you need to use bifocals in order to read fine print, read computer screen text or for typing?

Are you able to use your hands for typing for more than 1.5 hours straight?

Are you able to use your hands on detailed work (e.g. sewing) for more than 3 hours straight?

Are you able to focus on your job for more than 3 hours straight?

Can you work independently?

Are you able to work in a social environment/mix with people comfortably?

Do you have space at home for a desk?

If yes, does your desk at home have enough space for:

a)     computer?

b)     fax machine?

c)     printer?

Do you have a home computer?

Do you have internet connection at home?

Do you have VOIP or Skype?

Your concerns:

 
 

Please list & describe any specific skills/knowledge/hobby

Skill

Yes

No

Please give more details

Public relations

Customer service

Cooking

Photography

Sales/marketing

Handicraft related

Related to art and design

Related to environment

Related to animals

Related to reading and writing

Related to research

Related to automobile

Related to engineering

Related to agriculture/farming

Related to nursing/caring

Phone counselling

Others

1.     

 

2.     

3.     

4.     

5.     

 

Please describe any volunteer work (if any) that you do

 

Availability

How many hours per week can you work?

Fewer than 10

11- 20

20-30

30-40

40-50

 

 

How many hours per day can you work?

Fewer than 3

Fewer than 5

6-8

9-12

 
 

Preferred Work Hours

Hours

Mon

Tues

Weds

Thurs

Fri

Sat

Sun

AM

PM

 
 

Special Conditions

 

Do you experience any of the following problems? (eHomemakers will try to get work from companies that practice CSR (corporate social responsibility)

 

Yes

No

Chronic illness that requires regular medical checkups

Depression/mental breakdown

Critical illness that requires periodic hospitalisation

Inability to concentrate

Inability to sit for more than two hours at a time

Visually-impaired

Hearing-impaired

Speech-impaired

Mental and physical abuse

Any other illnesses or constraints that might affect your work?

Others: Any other issues that you think are important that we should know (other commitments, concerns, interests).

 
 

Work Experiences

 

Starting with your present post, list in reverse order every employment you have had. If you need more space, please attach additional pages

From (MM/YY)

To

(MM/YY)

Name of Employer

Reason(s) for leaving

1.     

2.     

3.     

Type of work & description of duties (Eg: administrative, data entry, marketing/ sales, clerical, inventory

1.     

2.     

3.     

4.     

5.     

From (MM/YY)

To

(MM/YY)

Name of Employer

Reason(s) for leaving

1.     

2.     

3.     

Type of work & description of duties (Eg: administrative, data entry, marketing/ sales, clerical, inventory

1.     

2.     

3.     

4.     

5.     

From (MM/YY)

To

(MM/YY)

Name of Employer

Reason(s) for leaving

1.     

2.     

3.     

Type of work & description of duties (Eg: administrative, data entry, marketing/ sales, clerical, inventory

1.     

2.     

3.     

4.     

5.     

From (MM/YY)

To

(MM/YY)

Name of Employer

Reason(s) for leaving

1.     

2.     

3.     

Type of work & description of duties (Eg: administrative, data entry, marketing/ sales, clerical, inventory

1.     

2.     

3.     

4.     

5.     

 
 
 

Work-related Skills

 

Do you have experience in the following tasks?

Skill Set

Yes

No

If Yes, no.

months or years

Answering phones, taking messages, directing calls

Listing callers’ names, contacts and reason for calling into a computer spreadsheet?

Conducting customer care follow-up (e.g. follow up on caller requests, gather additional information from customers, payments follow-up)?

Answering emails and managing folders

Writing company notes/ memos

 

 

Office administration – e.g. call for maintenance, supplies, compile receipts, manage mail

Organisation of documents - e.g. folder filing, classifying and retrieving documents

Organising and managing boss’ schedule - e.g. book transportation, arrange schedules and reminders

Accounting responsibilities- pay bills, keep & track records, submit monthly reports, simple calculations

Familiarity with the following software

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Outlook Express

Data entry (online)

Surfing the web (finding out information from the internet)

 

Typing Skills

Approximately how many minutes/hours do you take to type one A4 page, double-spaced?

 
 

Languages

 

Please list languages and dialects that you know (Those who speak and write foreign languages are especially encouraged to apply.)

Language/ Dialect

Understand Easily

Speak Fluently

Read Easily

Write Well

Yes

No

Yes

No

Yes

No

Yes

No

1.

2.

3.

4.

5.

6.

 
 
 
 




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