APPLICATION FOR EMPLOYMENT

June 16, 2016

PERSONAL INFORMATION

DATE: ___________________________

NAME (LAST NAME, FIRST NAME, MIDDLE NAME)

CITY

SOCIAL SECURITY NO. (LAST FOUR DIGITS)

0000
XXX-XX-__________
STATE
ZIP CODE

Carolina

PR

CITY

STATE

Ortiz Luna Gil

PRESENT ADDRESS
Jose S. Quiones St. 24-39

PERMANENT ADDRESS
PHONE NO.

00985

ZIP CODE

REFERRED BY

787-675-6087

Adriana Horta

EMPLOYMENT DESIRED
POSITION

DATE YOU CAN START

SALARY DESIRED

Vice President

as soon as possible

$75 p/h

X
ARE YOU EMPLOYED? ___Yes ___No

EVER APPLIED TO THIS COMPANY

X
BEFORE? ____Yes ____No

IF SO, MAY WE INQUIRE OF YOUR PRESENT EMPLOYER?

____Yes ____No
WHERE?
WHEN?

EDUCATION HISTORY
NAME AND LOCATION OF SCHOOL
HIGH
SCHOOL
COLLEGE

YEARS
ATTENDED

DID YOU
GRADUATE?

SUBJECT STUDIED

Dr. Gilberto Concepcin de Gracia

Yes

high school diploma

University of Puerto Rico in Carolina

In Process

Business Administration

TRADE OR
BUSINESS

GENERAL INFORMATION
SUBJECTS OF SPECIAL STUDY/RESEARCH
WORK OR SPECIAL TRAINING/SKILLS
Trilingual, Studied Marketing in high school ( DECA )

US MILITARY OR NAVAL SERVICE

RANK

FORMER EMPLOYERS (LIST BELOW LAST FOUR EMPLOYERS, STARTING WITH LAST ONE FIRST)
DATE
MONTH AND
YEAR
FROM
2014

TO

2015

FROM

2013

TO

2014

NAME AND ADDRESS OF

EMPLOYER
Hotel La Concha

Cold Stone

SALARY

$8.11
$7.25

POSITION

Pool attendant

REASON FOR
LEAVING
Studies

Move to the U.S.

Cashier

FROM
TO
FROM
TO

REFERENCES GIVE BELOW THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN FOR
AT LEAST ONE YEAR.

NAME

ADDRESS

BUSINESS

YEARS
KNOWN

Jovan Urdaneta

ex supervisor

Dra. Carmen Bonilla

professor

AUTHORIZATION
I certify that the facts contained in this application are true and complete to the best of my knowledge and
understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above
to give you any and all information concerning my previous employment and any pertinent information
that may have, personal or otherwise, and release the company from all liability for any damage that may
result from utilization of such information.

Gil Ortiz

June 16, 2016

DATE ______________________________
SIGNATURE __________________________________________