JOB APPLICATION

Please read before filling

*. To apply for a job, you must be at least 18 years old and provide proof of your education. (High School, General Education, College Transcription)

2. Please complete all fields on the request form as the information provided will be used as part of the selection process.

3. Incomplete forms will not be considered.

4. If questions can not be answered, please enter "N / A"

Date of demand

Vacancy details

Date of Birth: Gender:

Reference:

Male Female

204-***-****

Full Name:

Job title:

Administrative Assistant

Address:

For interior applications:

Number of employees:

City:

State:

Senior manager:

Zip Code:

Phone number:

When did you see the announcement of this workplace?

Home:

Mobile:

Have you attached any additional information?

Fax:

Email:

Yes

No

Are you available for work: Regular full-time

Regular part-time, Hours:

(No less than 20 hours per week.) Time interval from 9h to 18h.

Monday Tuesday

Wednesday Thursday

Friday

Are you working right now? Yes No

If "yes": Name of the company:

Address:

City: State: Phone number:

Working day and hours

REFERENCES

Please provide the names and addresses of persons to whom we may request information about your work, experience (previous) and number of days of presence (s); also indicate the relationship with the names of the reference persons. One of them should be your last employer or the current one (if you are already working).

If you have already finished the College, you can provide details about your Director or President.

1

Last employer:

2

Rapport:

3

Rapport:

Name:

Name:

Name:

Adresse:

Address:

Address:

Zip Code:

Zip Code:

Zip Code:

Phone:

Phone:

Phone:

Fax:

Fax:

Fax:

Email:

Email:

Email:

Can we contact?

Yes No

Can we contact?

Yes No

Can we contact?

Yes No

I declare that the above information (and the requested information attached) is correct and that I agree that the employer may take reasonable steps to verify this information (for example by obtaining proof of qualification ).

The employer may process and record the personal information contained in this form for any purpose related to this form.

Signature

We are an employer offering equal opportunities in employment.

We adhere to a policy that offers employment opportunities without discrimination based on race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability.

Make sure your job opportunities will depend on your qualifications only.

Contact this candidate